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KMID : 1172020050060020031
Journal of Korean Bioethics Association
2005 Volume.6 No. 2 p.31 ~ p.47
The Moral Distress Experienced by Hospital Nurses
Han Sung-Suk

Abstract
The sample population for this research is based on 300 employees ranging from general nurses to unit managers at the University Hospital. The survey was conducted to measure moral distress in descriptive way that nurses experience at clinical practice. Myung-Sook Yu(2003) developed the tool used for this moral distress research and there were total number of 66 questions on the survey. In terms of the reliability rate, the circumstances aspect was at.93(Cronbach¡¯s a score), cognition aspect at .90, behavior aspect at .60, and emotional aspect was at .91.
The results were as follows:
1. As we look at the scores on each aspects of moral distress, the average score of circumstances was 2.89, cognition average at 3.06, behavior at 2.69, and emotion average was at 3.80.
2. In circumstances aspect, a significant difference was found only in nursing practice area(F=3.94, p=0.00).
3. There was no significant difference in cognition aspect. However, a marginal difference was found between age and nursing practice area by Duncan Test.
4. In behavior aspect, length of practice was the only difference shown(F=4.49, p=0.01)
5. Emotion aspect resulted in no sufficient difference.
6. As we looked at the circumstance aspect, depending on practice type, a significant difference was found in two categories, general ward and special ward.(t=3.94, p=0.00).
7. As we looked at the behavior aspect, depending on practice type, a significant difference was found in two categories, general ward and special ward.(t= -2.40, p=0.02).
8. There was significant positive correlation among all aspects of moral distress As a result, we can conclude that there were differences in each aspects of moral distress and the scores were above average. However, since the sample population was collected from one specific hospital setting, the reliability issue is certainly a concern. Thus, similar researches need to be conducted repeatedly, and use of larger sample population is particularly recommended to represent various regional areas.
KEYWORD
Moral distress, Moral sensitivity, Nurse
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