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Ethical Climate and Moral Distress among Neonatal Intensive Care Unit RNs

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KMID : 1033320190090010028
ÀüÀ¯Á¤ ( Jeon Yu-Jeong ) - ±¹¸³Áß¾ÓÀÇ·á¿ø Áß¾ÓÀÀ±ÞÀÇ·á¼¾ÅÍ

±è¿µÇý ( Kim Young-Hae ) - ºÎ»ê´ëÇб³ °£È£´ëÇÐ
¼ÕÇö¹Ì ( Son Hyun-Mi ) - ºÎ»ê´ëÇб³ °£È£´ëÇÐ

Abstract

Purpose: The purposes of this study were to evaluate the levels of ethical climate and moral distress and to identify factors that affect moral distress among clinical nurses who work in neonatal intensive care unit(NICU).

Methods: Correlation study was conducted on 152 NICU nurses of 7 university hospitals. The collected data from October to November 2013 were surveyed using a self-reported questionnaire. The data were analyzed with SPSS/WIN version 20.0.

Results: The average of ethical climate score was 86.82, and the average of moral distress score was 5.16. For moral distress, there was a significant difference between marital status and number of years of experience. Ethical climate were negatively correlated with moral distress(r=-.54, p<.001). Factors Influencing on moral distress explained 45.1% of the variance in clinical career of NICU and the ethical climate.

Conclusion: The results suggest that the educational programs and strategies for NICU nurse should be developed to decrease their moral distress.
KeyWords
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Moral distress, Ethical climate, Neonatal intensive care units, Nurses
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