Balancing ethics, burnout and job satisfaction: the challenges facing nurses in teaching hospitals.

Malihe Javidpour, Farhad Ramezani-Badr, Leyla Hamidi, Kourosh Amini
Author Information
  1. Malihe Javidpour: Department of Pediatric Nursing, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran.
  2. Farhad Ramezani-Badr: Department of Critical Care Nursing, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran.
  3. Leyla Hamidi: Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran.
  4. Kourosh Amini: Department of Psychiatric Nursing, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Mahdavi St, Zanjan, 4515789589, Iran. korosh@zums.ac.ir.

Abstract

BACKGROUND: Nowadays, nurses face many situations in practice that make them suffer from moral distress and ethical dilemmas, which in turn may reduce their job satisfaction and increase the risk of burnout. This research studied the moral sensitivity of nurses working in teaching hospitals in Zanjan, Iran, and analyzed its relationship with their job satisfaction and burnout.
METHODS: This cross-sectional study was carried out in the year 2023 on 261 nurses who were chosen through systematic random sampling. Tools for data collection included Minnesota Satisfaction Scale, Maslach Burnout Inventory, and Lutzen's Moral Sensitivity Questionnaire. The obtained data were analyzed through SPSS-26 using descriptive and inferential statistics. Significance level was considered less than 0.05 for all variables.
RESULTS: The moral sensitivity of subjects had a moderate degree in 71% of the respondents. Similarly, in 71.6%, the degree of job satisfaction was found to be moderate, but a high percentage showed burnout. No significant correlations were found between moral sensitivity and either job satisfaction or burnout. However, an interesting negative correlation was observed between job satisfaction and burnout. Among the demographic variables, age and working ward were observed to be related significantly with moral sensitivity (p < 0.05).
CONCLUSIONS: The findings showed that nurses had high levels of burnout besides having average moral sensitivity and job satisfaction. Moral sensitivity is highly correlated with age and work ward; therefore, young nurses and those working in high-stress and specialized departments need special attention.

Keywords

References

BMC Nurs. 2024 Feb 6;23(1):99 [PMID: 38321462]
J Adv Nurs. 2022 Aug;78(8):2290-2303 [PMID: 35533090]
Rev Lat Am Enfermagem. 2015 May-Jun;23(3):543-52 [PMID: 26155012]
Nurs Ethics. 2020 May;27(3):855-867 [PMID: 31631767]
J Adv Nurs. 2020 Jul;76(7):1498-1508 [PMID: 32128864]
J Perianesth Nurs. 2023 Oct;38(5):768-772 [PMID: 37269273]
BMC Nurs. 2023 Sep 7;22(1):308 [PMID: 37674203]
Nurs Crit Care. 2023 Mar;28(2):261-271 [PMID: 35821613]
Nurs Ethics. 2007 Mar;14(2):141-55 [PMID: 17425144]
Int J Nurs Stud. 2015 Feb;52(2):649-61 [PMID: 25468279]
Kennedy Inst Ethics J. 1998 Mar;8(1):43-69 [PMID: 11656753]
Iran J Nurs Midwifery Res. 2016 Jul-Aug;21(4):424-9 [PMID: 27563328]
Nurs Ethics. 2005 Nov;12(6):595-605 [PMID: 16312088]
Intensive Crit Care Nurs. 2024 Jun;82:103660 [PMID: 38394983]
J Hosp Palliat Nurs. 2018 Aug;20(4):377-384 [PMID: 30063631]
Ann Ig. 2016 Jan-Feb;28(1):58-69 [PMID: 26980510]
Nurs Ethics. 2019 Jun;26(4):1186-1198 [PMID: 29268659]
Psicothema. 2012 May;24(2):271-6 [PMID: 22420356]
Nurs Ethics. 2019 May;26(3):809-822 [PMID: 28814140]
Nurs Open. 2023 Aug;10(8):5252-5260 [PMID: 37073584]
Nurs Ethics. 2017 Jun;24(4):474-482 [PMID: 26419438]
Int J Environ Res Public Health. 2021 Jan 12;18(2): [PMID: 33445764]
Int J Environ Res Public Health. 2021 Feb 06;18(4): [PMID: 33562016]
Nurs Open. 2021 Nov;8(6):3538-3546 [PMID: 33945661]
Nurs Open. 2021 Mar;8(2):607-619 [PMID: 33570299]
Int J Environ Res Public Health. 2022 Sep 16;19(18): [PMID: 36141970]
Nurs Ethics. 2021 Mar;28(2):179-189 [PMID: 32787609]

MeSH Term

Humans
Job Satisfaction
Burnout, Professional
Hospitals, Teaching
Cross-Sectional Studies
Female
Iran
Adult
Male
Nursing Staff, Hospital
Surveys and Questionnaires
Middle Aged
Morals
Ethics, Nursing

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