فهرست نشریات علمی دسترسی آزاد ایران

AbstractBackground & Aim:Ethics is an integral part of nursing practice. Nurses and other professionalcaregivers are increasingly recognizing the issue of moral distress. The aim of this study is todescribe Iranian nurses' experiences in moral distress.Materials and Method: In this study the qualitative phenomenological approach was used. 11nurses from teaching hospitals of Hamadan University of Medical Sciences participated in thestudy. The data were collected by in-depth interviews. Transcripts were analysed by constantcomparative contant analysis.Result:The results sorted into 4 content areas: individual characteristics of team care (includingknowledge, ability, experience, responsibility and…), mental-affective reactions (including faulty,defensive reactions, lack of motivation and…), laws and officials (including, limitation of laws andcontradictory of laws with ethics, religion, knowledge and ability) and circumstances of workplace(including physical circumstances, manpower, facilities and equipments).Conclusion:It is necessary that nurses become familiar with ethical problems, nursing code ofethics and promote the skills for encounter to moral distress.Key words:Ethics, Moral distress, Nursing practice, Experience, PhenomenologyCorresponding Author:Parkhideh Hasani, Faculty Lecturer, Department of Anesthesiology,Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences,Tehran, IranEmail: p_hasani@sbmu.ac.ir REFERENCES- Forum. 17 (1) 33–48.- - - - - - - - - - - - - - - - - - - edition. Philadelphia: Lippincott.- Wilkinson JM (1987). Moral distress in nursing practice: Experience and effect. Nursing Forum. 23(1) 16-29.Streubert HJ Carpenter DR (2007). Qualitative Research in Nursing Advancing the Humanistic Imperative. 3rdVan Manen M (2001). Researching Lived Experience. Action Sensitive Pedagogy 3rd edition. Ontario: Althouse Press.Silen Marit et al (2008). Workplace distress and ethical dilemmas in neuroscience nursing. Journal of NeuroscienceNursing. 40(4) 222-231.Pijl-Zieber EM et al (2008). Moral distress: An emerging problem for nurses in long-term care. Quality in Ageing andOlder Adults. 9(2) 39- 48.Oskouie F pairovi H (2005). [Qualitative Research in Nursing]. 1st edition. Tehran: Iran University of MedicalSciences Press. (Persian).Oberle k Hughes D (2001). Doctors and nurses perceptions of ethical problems in end-of-life decisions. Journal ofAdvanced Nursing. 33(6) 707-715.Nathaniel A (2002). Ethics and human rights. The American Nurses Association Issues Update. 1(2) 3-8.Mitchell GJ (2002). Policy, procedure and routine: Masters of moral influence. Nursing Science Quarterly. 14(2) 109-114McVicar A (2003). Workplace stress in nursing: A Literature review. Journal of Advanced Nursing. 44(6) 633-642.Mauleon AL Palo Bengtsson L Ekman SL (2005). Anaesthesia care of older patients as experienced by nurseanaesthetists. Nursing Ethics. 12(3) 263–272.Herting A et al (2004). Downsizing and reorganization: Demands, challenges and ambiguity for registered nurses.Journal of Advanced Nursing. 45(2) 145-154.Jameton A (1993). Dilemmas of moral distress: Moral responsibility and nursing practice. AWONN’s Clinical Issuesin Prenatal and Women Health Nursing. 4(4) 542-551.Gutierrez KM (2005). Critical care nurses’ perceptions of and responses to moral distress. Dimensions of CriticalCare Nursing. 24(5) 229–241.Chitty Kay K Beth BP (2007). Professional Nursing Concepts.Challenge. Saunders ElsevierEbrahimi H et al (2007). [Stress: Major reaction of nurses to the context of ethical decision making]. Journal of IranUniversity of Medical Sciences. 14(54) 7-15 (Persian).Cronqvist A Lutzen K Nystrom M (2006). Nurses’ lived experience of moral stress support in the intensive carecontext. Journal of Nursing Management. 14(5) 405-413.Corley M et al (2001). Development and evaluation of a moral distress scale. Journal of Advanced Nursing. 33(2)250-256.Corley M (2002). Moral distress: A proposed theory and research agenda. Nursing Ethics. 9 (6) 636-650.Canadian Nursing Association (2002). Code of ethics for registered nurses. Ottawa: Author. [On line].http://www.nurses.ab.ca/Carna-Admin/Uploads/CNAcodeofEthics.pdfCanadian Nurses Association (2003). Ethics in Practice for Registered Nurses. [On line]. http://www2.cnaaiic.ca/CNA/documents/pdf/publication/Ethics_in_Practice.Austin W et al (2005). Moral distress in healthcare practice: the situation of nurses. Health care ethics committee