Moral distress and work satisfaction: what is their relation in nursing work?

Autor: Wachholz A; Faculdade Integrada de Santa Maria. Santa Maria, RS, Brasil., Dalmolin GL; Universidade Federal de Santa Maria, Departamento de Enfermagem, Santa Maria, RS, Brasil., Silva AMD; Universidade Federal de Santa Maria, Departamento de Estatística, Santa Maria, RS, Brasil., Andolhe R; Universidade Federal de Santa Maria, Departamento de Enfermagem, Santa Maria, RS, Brasil., Barlem ELD; Universidade Federal do Rio Grande, Escola de Enfermagem, Rio Grande, RS, Brasil., Cogo SB; Universidade Federal de Santa Maria, Departamento de Enfermagem, Santa Maria, RS, Brasil.
Jazyk: Portuguese; English
Zdroj: Revista da Escola de Enfermagem da U S P [Rev Esc Enferm USP] 2019 Oct 14; Vol. 53, pp. e03510. Date of Electronic Publication: 2019 Oct 14 (Print Publication: 2019).
DOI: 10.1590/S1980-220X2018024303510
Abstrakt: Objective: To verify relations between moral distress and work satisfaction in nursing work in the hospital context.
Method: A cross-sectional study carried out in a university hospital with nurses by applying a sociodemographic questionnaire, the "Index of Work Satisfaction" and the Brazilian Version of the "Moral Distress Scale". Descriptive statistics and Spearman's correlation were used for the analysis.
Results: 141 nurses participated in the study. "Autonomy" was the component of greater work satisfaction, appearing as fragile in the greater intensity issues of moral distress. Autonomy was followed by "interaction" and "remuneration" as components of satisfaction, and "lack of competence in the team" and "insufficient working conditions" as having greater intensity and frequency of moral distress, respectively.
Conclusion: Comparing these two constructs denoted inverse relationships between them, especially while autonomy, a component of greater satisfaction, also appears as a trigger of moral distress when insufficiently exercised. Thus, it is considered necessary to strengthen nursing work environments for ethical and satisfactory performance.
Databáze: MEDLINE
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