Moral distress in nurses in oncology and haematology units

One of the difficulties nurses experience in clinical practice in relation to ethical issues in connection with young oncology patients is moral distress. In this descriptive correlational study, the Moral Distress Scale-Paediatric Version (MDS-PV) was translated from the original language and teste...

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Bibliographic Details
Published in:Nursing ethics 2012-03, Vol.19 (2), p.183-195
Main Authors: Lazzarin, Michela, Biondi, Andrea, Di Mauro, Stefania
Format: Article
Language:English
Subjects:
Adult
Ethics
Female
Hematology
Hospitals
Hospitals, Pediatric
Humans
Intensive care
Italy
Job satisfaction
Male
Middle Aged
Moral aspects
Morals
Nurses
Nursing
Nursing Care - ethics
Nursing Care - psychology
Nursing Care - standards
Nursing Staff, Hospital - psychology
Nursing Staff, Hospital - statistics & numerical data
Oncology
Oncology Nursing - methods
Oncology Nursing - standards
Pain management
Patients
Pediatrics
Physician-Nurse Relations
Professional Autonomy
Professional Competence
Psychological distress
Psychometrics
Qualitative research
Reproducibility of Results
Stress, Psychological - diagnosis
Stress, Psychological - epidemiology
Surveys and Questionnaires
Work Schedule Tolerance - psychology
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Summary:One of the difficulties nurses experience in clinical practice in relation to ethical issues in connection with young oncology patients is moral distress. In this descriptive correlational study, the Moral Distress Scale-Paediatric Version (MDS-PV) was translated from the original language and tested on a conventional sample of nurses working in paediatric oncology and haematology wards, in six north paediatric hospitals of Italy. 13.7% of the total respondents claimed that they had changed unit or hospital due to moral distress. The items with the highest mean intensity in the sample were almost all connected with medical and nursing competence and have considerably higher values than frequency. The instrument was found to be reliable. The results confirmed the validity of the MDS-PV (Cronbach’s alpha = 0.959). This study represents the first small-scale attempt to validate MDS-PV for use in paediatric oncology-ematology nurses in Italy.
ISSN:0969-7330
1477-0989
DOI:10.1177/0969733011416840