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| Fältnamn | Indikatorer | Metadata |
|---|---|---|
| 000 | 04552naa a2200445 4500 | |
| 001 | oai:DiVA.org:hj-59818 | |
| 003 | SwePub | |
| 008 | 230214s2023 | |||||||||||000 ||eng| | |
| 024 | 7 | a https://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-598182 URI |
| 024 | 7 | a https://doi.org/10.1177/096973302211352122 DOI |
| 040 | a (SwePub)hj | |
| 041 | a engb eng | |
| 042 | 9 SwePub | |
| 072 | 7 | a ref2 swepub-contenttype |
| 072 | 7 | a art2 swepub-publicationtype |
| 100 | 1 | a Alimoradi, Zainabu Qazvin University of Medical Sciences, Qazvin, Iran4 aut |
| 245 | 1 0 | a Estimation of moral distress among nurses :b A systematic review and meta-analysis |
| 264 | c 2023-01-27 | |
| 264 | 1 | b Sage Publications,c 2023 |
| 338 | a print2 rdacarrier | |
| 520 | a Background: Moral distress is a common challenge among professional nurses when caring for their patients, especially when they need to make rapid decisions. Therefore, leaving moral distress unconsidered may jeopardize patient quality of care, safety, and satisfaction. Aim: To estimate moral distress among nurses.Methods: This systematic review and meta-analysis conducted systematic search in Scopus, PubMed, ProQuest, ISI Web of Knowledge, and PsycInfo up to end of February 2022. Methodological quality of included studies was assessed using the Newcastle Ottawa checklist. Data from included studies were pooled by meta-analysis with random effect model in STATA software version 14. The selected key measure was mean score of moral distress total score with its’ 95% Confidence Interval was reported. Subgroup analyses and meta-regressions were conducted to identify possible sources of heterogeneity and potentially influencing variables on moral distress. Funnel plots and Begg’s Tests were used to assess publication bias. The Jackknife method was used for sensitivity analysis.Ethical consideration: The protocol of this project was registered in the PROSPERO database under decree code of CRD42021267773.Results: Eighty-six manuscripts with 19,537 participants from 21 countries were included. The pooled estimated mean score of moral distress was 2.55 on a 0–10 scale [95% Confidence Interval: 2.27–2.84, I2: 98.4%, Tau2:0.94]. Publication bias and small study effect was ruled out. Moral distress significantly decreased in the COVID-19 pandemic versus before. Nurses working in developing countries experienced higher level of moral distress compared to their counterparts in developed countries. Nurses' workplace (e.g., hospital ward) was not linked to severity of moral disturbance.Conclusion: The results of the study showed a low level of pooled estimated score for moral distress. Although the score of moral distress was not high, nurses working in developing countries reported higher levels of moral distress than those working in developed countries. Therefore, it is necessary that future studies focus on creating a supportive environment in hospitals and medical centers for nurses to reduce moral distress and improve healthcare. | |
| 650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Omvårdnad0 (SwePub)303052 hsv//swe |
| 650 | 7 | a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Nursing0 (SwePub)303052 hsv//eng |
| 653 | a COVID-19 pandemic | |
| 653 | a meta-analysis | |
| 653 | a Moral distress | |
| 653 | a nurses | |
| 653 | a systematic review | |
| 700 | 1 | a Jafari, Elaheu Qazvin University of Medical Sciences, Qazvin, Iran4 aut |
| 700 | 1 | a Lin, Chung-Yingu Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Taiwan4 aut |
| 700 | 1 | a Rajabi, Rahelehu Kerman University of Medical Sciences, Iran4 aut |
| 700 | 1 | a Marznaki, Zohreh H.u Mazandaran University of Medical Sciences, Iran4 aut |
| 700 | 1 | a Soodmand, Mostafau Guilan University of Medical Sciences, Iran4 aut |
| 700 | 1 | a Potenza, Marc N.u Yale University, United States4 aut |
| 700 | 1 | a Pakpour, Amir H.u Jönköping University,HHJ, Avdelningen för omvårdnad,The Jönköping Academy for Improvement of Health and Welfare4 aut0 (Swepub:hj)pakpam |
| 710 | 2 | a Qazvin University of Medical Sciences, Qazvin, Iranb Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Taiwan4 org |
| 773 | 0 | t Nursing Ethicsd : Sage Publicationsg 30:3, s. 334-357q 30:3<334-357x 0969-7330x 1477-0989 |
| 856 | 4 | u https://doi.org/10.1177/09697330221135212y Fulltext |
| 856 | 4 8 | u https://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-59818 |
| 856 | 4 8 | u https://doi.org/10.1177/09697330221135212 |
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