Moral distress and burnout in Iranian nurses: The mediating effect of workplace bullying
Moral distress and burnout in Iranian nurses: The mediating effect of workplace bullying
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DOI：
10.1177/0969733018779210
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发表时间：
2019-09-01
期刊：
影响因子：
4.2
通讯作者：
Lotfi, Mojgan
中科院分区：
文献类型：
--
作者：
Ajoudani, Fardin;Baghaei, Rahim;Lotfi, Mojgan
背景：道德困扰和工作场所欺凌是护理工作场所的重要问题，似乎会影响护士的职业倦怠。目的：探讨伊朗护士的道德困扰和职业倦怠之间的关系，介导的工作场所欺凌的看法。伦理考虑：这项研究得到了乌尔米耶医科大学研究伦理委员会的批准。方法：本研究采用横断面设计，以匿名问卷为研究工具（即道德困扰量表修订版、Maslach倦怠量表和消极行为量表修订版）进行相关研究。数据收集自伊朗西北部西阿塞拜疆首都乌尔米耶的五家教学医院的278名护士。采用结构方程模型和自助程序，以认识到他们的工作场所欺负的看法的中介作用。结果如下：参与者的道德困扰、倦怠和消极行为量表修订版的平均得分分别为91.02 +/- 35.26、79.9 +/- 18.27和45.4 +/- 15.39。结果证实了我们的假设模型。所有研究潜变量在预测方向上均显著相关。道德困扰和欺负对倦怠有显著的预测作用。欺负感知部分中介道德困扰和倦怠之间的关系。欺负的中介作用表明，道德困扰增加倦怠，直接和间接。结论：护理管理者应意识到护理工作场所的道德困扰和欺凌在增加职业倦怠中的作用。
Background: Moral distress and workplace bullying are important issues in the nursing workplace that appear to affect nurse's burnout. Aim: To investigate the relationship between moral distress and burnout in Iranian nurses, as mediated by their perceptions of workplace bullying. Ethical considerations: The research was approved by the committee of ethics in research of the Urmia University of Medical Sciences. Method: This is a correlation study using a cross-sectional design with anonymous questionnaires as study instruments (i.e. Moral Distress Scale-Revised, Maslach Burnout Inventory and The Negative Acts Questionnaire-Revised). Data were collected from 278 nurses from five teaching hospitals in Urmia, the capital of Western Azerbaijan, northwest of Iran. Structural equation modeling and bootstrapping procedures were employed to recognize the mediating role of their perceptions of workplace bullying. Results: The mean score of moral distress, burnout, and the Negative Acts Questionnaire-Revised Scale among the participants were 91.02 +/- 35.26, 79.9 +/- 18.27, and 45.4 +/- 15.39, respectively. The results confirmed our hypothesized model. All the latent variables of study were significantly correlated in the predicted directions. The moral distress and bullying were significant predictors of burnout. Perception of bullying partially mediated the relationship between moral distress and burnout. The mediating role of the bullying suggests that moral distress increases burnout, directly and indirectly. Conclusion: Nursing administrators should be conscious of the role of moral distress and bullying in the nursing workplace in increasing burnout.