• The Journal of the Korea Contents Association
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• v.15 no.5
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• pp.403-413
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• 2015

The purpose of this study was to examine the degree of moral distress and turnover intention in nurses. Participants were 129 nurses working at a university hospital. Data were collected using a structured questionnaire survey from July 1 to August 8, 2014. Total mean score of moral distress was 3.18 and that of turnover intention was 3.20. There was a statistically significant differences on turnover intention between the group with high moral distress and the group with low moral distress (t = -2.11, p = .037). Further researches are needed to develop and provide ethics education program and moral distress management program to reduce the degree of moral distress of nurses in nursing practice.

• The Journal of the Convergence on Culture Technology
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• v.5 no.3
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• pp.119-124
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• 2019

The study aimed to identify the relationship between moral distress and ethical values among nursing student. The participants were 150 nursing students. The data were analyzed with SPSS 21.0 program. In the results, moral distress and ethical values showed positive correlations. Statistically significant differences were found in moral distress according to grade, select the reason for department and ethical values according to age, grade, select the reason, one's associate for department. Moral distress was positively correlated with ethical values. The findings suggest that programs aimed at decreasing moral distress and ethical values intention should be developed. Furthermore, future studies should explore variables that influence moral distress.

• Journal of the Korea Convergence Society
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• v.10 no.7
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• pp.383-390
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• 2019

This study was done to evaluate current spiritual distress assessment tools and to assess nursing research adapted this spiritual distress assessment tools. Spiritual distress assessment tools were identified through systematic review. Ten studies about spiritual distress assessment tools were identified. In these studies, three international and one domestic standardized assessment tools were found. The purpose of developing these tools was to provide spiritual care through assessing spiritual distress. Domestic assessment tool had low reliability, was not proved by constructive validity, and did not include multidimensional spiritual concepts. International assessment tools may take into account cultural and religious backgrounds in the context for cultural adaptation of instruments. Based on these results, the development of Korean version of spiritual distress assessment tool is recommended.

• The Journal of the Korea Contents Association
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• v.12 no.3
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• pp.276-284
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• 2012

This study aimed to identify the relationship between moral distress and turnover intention among hospital nurses. The participants were 281 hospitals nurses. The moral distress scale and the turnover intention scale for nurses were used. Data were analyzed using SPSS/WIN 15.0 program. The mean score of moral distress was 3.08 and that of turnover intention was 5.09. Statistically significant differences were found in moral distress according to age (F = 5.87, p = .003), education level (F = 11.50, p < .001), nursing experience (F = 7.00, p <. 001) and department of duty (F = 3.81, p =. 005). Statistically significant differences were found in turnover intention according to age (F = 11.54, p <. 001) and nursing experience (F = 5.87, p = .001). Moral distress was positively correlated with turnover intention (r = .29, p < .001). The findings suggest that programs aimed at decreasing moral distress and turnover intention should be developed. Furthermore, future studies should explore variables that influence moral distress.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.6
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• pp.240-251
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• 2018

This study was conducted to evaluate the moral distress, moral sensitivity, and the factors that influence moral distress and the experience of moral distress among nurse working in a long-term care hospital. Overall, 180 nurses working in long-term care hospital in G Province were evaluated. Date were collected from March 21 to April 8, 2016 and analyzed using the SPSS/WIN 23.0 program. The mean of moral distress among nurses was 3.57 and the moral sensitivity was 4.82, and these factors was significantly and positively correlated (r=0.494, p<0.001). Regression analysis revealed that the factors that significantly influenced moral distress were moral sensitivity and ethical dilemmas when conducting nursing practices. Situations that caused nurses to experience moral distress included inappropriate care behavior was not guaranteed the quality of nursing care, conditions related to unethical the human rights, conditions related to the lack of nursing staff and conditions related to the lack of support at the organizational and national level. Therefore, to reduce moral distress, nursing intervention programs that improve the moral sensitivity and ability to solve ethical-problems are needed for nurses working in long-term care facilities.

• Journal of the Korean Applied Science and Technology
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• v.37 no.6
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• pp.1790-1797
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• 2020

This study was conducted to evaluate the nursing practice environment, moral distress, and the factors that influence person-centered care and the experience of person-centered care among nurses working in a long-term care hospitals. 154 nurses who was working in long-term care hospitals in D city and G province were evaluated. Date were collected from May 1st to 31th, 2020 and analyzed using the SPSS/WIN 25.0 program. The mean score of nursing practice environment was 2.42, the moral distress was 3.27, and person-centered care was 3.60. Person-centered care showed significantly positive correlations with moral distress(r=.53, p<.001) and showed significantly positive correlations with nursing practice environment(r=.32, p<.001). Regression analysis revealed that the factors which significantly influenced person-centered care were nursing practice environment and moral distress. Therefore, in order to increase person-centered care, nursing intervention programs that improve the nursing practice environment and reduce moral disgtress are required for nurses working in long-term care hospitals.

• Journal of Convergence for Information Technology
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• v.9 no.9
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• pp.78-86
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• 2019

In the study, the moral sensitivity, moral distress, and biomedical ethics awareness levels of hospital nurses are examined, and the mediating effect of biomedical ethics awareness in the relationship between moral sensitivity and moral distress is verified. As the study subjects, 153 hospital nurses were selected from both university hospitals and general hospitals in S city and J city. Using the SPSS WIN 21.0 system, data analysis was conducted via t-tests, the Sheffe test, correlation analysis, multiple regression analyses, Sobel test. The average level of moral sensitivity experienced by the hospital nurses was 4.70(out of 7), moral distress was 62.80(out of 336), and biomedical ethics awareness was 2.21(out of 4). Moral distress had a static correlation with moral sensitivity and biochemical ethics awareness, and moral sensitivity had a static correlation with biomedical ethics awareness. Finally, biomedical ethics awareness showed a partial mediating effect in the relationship between moral sensitivity and moral distress. It is important to develop a biomedical ethics education program that can help hospital nurses to resolve moral issues, thereby improving moral sensitivity and diminishing their moral distress.

• Korean Journal of Medical Ethics
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• v.21 no.4
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• pp.360-376
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• 2018

Nursing students experience ethical conflicts that lead to moral distress and moral sensitivity in clinical practice. Most nursing students have some difficulty in speaking up when faced with morally challenging situations. Hence, increasing moral courage of these students is important to improve the quality of practice, and carry out nursing responsibilities. However, research on the moral distress, moral sensitivity, and moral courage of nursing students has not been reported in South Korea. The purposes of this study were to (a) identify the levels of moral distress, moral sensitivity, and moral courage of nursing students and (b) examine the influence of moral distress and moral sensitivity on moral courage. Data were collected through a survey using self-reported questionnaires sent to senior nursing students at two nursing colleges in Seoul and Gyeonggido. A total of 138 senior nursing students participated in the survey. The data were analyzed using the IBM SPSS Statistics 23 program by Pearson's correlation coefficients and multiple regression analysis. The mean scores of the moral distress thermometer, moral distress, moral sensitivity, and moral courage were $3.53{\pm}2.18$, $57.33{\pm}43.35$, $134.98{\pm}13.98$, and $56.33{\pm}12.75$, respectively. The significant factors influencing moral courage were the moral distress thermometer and patient-centered nursing, which was a subcomponent of moral sensitivity. The explanatory power of the model was 5%. This study confirms that nursing students, like nurses, experience moral distress. It is therefore important to create organizational environments that support the moral courage of nursing students.

• The Journal of the Convergence on Culture Technology
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• v.9 no.3
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• pp.67-74
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• 2023

The purpose of this study is to find relationships between the moral distress of nursing college students and career maturity, and between the moral distress of them and career preparation behavior by using a descriptive correlation methodology. Analysis is done using t-test, ANOVA, Pearson correlation coefficient, and Multiple regression with IBM SPSS WIN/22.0. According to the general characteristics, the there is a significant difference in the subjects with an outgoing personality (F=-2.82, p=.001), who suffered from moral distress at an older age (F=.4.85, p=.029). There is a significant difference in career maturity among subjects with an extroverted personality (F=3.63, p=.001). The average score of the subjects' moral distress is 72.51±53.75, and by sub-area, futile care was the highest with 23.36±19.04, and the lowest with 7.61±8.56 in physician practice. The average of career maturity was 3.74(±.56), and by sub-area, career attitude was the highest with 3.98±.54, and the lowest with 3.61±.43 in professionalism. The average of career preparation behavior was 2.67(±.60). In this study, it was confirmed that the moral stress of nursing students is a factor affecting career maturity (r=-.510, p=.000) and career preparation behavior (r=-.353, p=.001). Therefore, It can be seen that it is necessary to develop an intervention program that can positively enhance the career maturity and career preparation behavior of nursing students through intervention for the moral anguish experienced by nursing students.

• The Korean Publising Journal, Monthly
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• s.230
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• pp.18-19
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• 1998