Journal of Holistic Nursing And Midwifery
مجله پرستاری و مامایی جامع نگر
JHNM
Literature & Humanities
http://hnmj.gums.ac.ir
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admin
2588-3712
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jalali
1401
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gregorian
2022
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The Relationship Between Anger, Moral Distress, and Self-esteem in Nurses
تخصصي
Special
پژوهشي
Research
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="text-autospace:none"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Abstract </span></span></b></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Introduction</span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">: Due to stressful work conditions, nurses are constantly exposed to various emotions and stressors such as anger and moral distress that threaten their mental health. On the other hand, self-esteem is one of the personality traits essential for people's mental health and improving their performance.</span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Objective:</span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> The present study investigates the relationship between anger, moral distress, and self-esteem in nurses.</span></span></span></span></span>
<div style="border-right:solid #c746e6 4.5pt; padding:0in 8.0pt 0in 0in">
<h2 style="border:none; text-align:justify; padding:0in"><span style="background:white"><span style="font-size:13pt"><span style="background:white"><span style="line-height:normal"><span style="vertical-align:baseline"><span style="font-family:Cambria,serif"><span style="color:#4f81bd"><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">Materials and Methods</span></span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"><span style="font-weight:normal">: This <a name="_Hlk103390789">analytical correlational </a>study was conducted on nurses working in the hospitals affiliated with the non-profit organization of Mazandaran Social Security Insurance from August to November 2018. Two hundred nurses were selected for this study via </span></span></span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"><span style="font-weight:normal">stratified random</span></span></span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"><span style="font-weight:normal"> sampling</span></span></span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"><span style="font-weight:normal">. The study data were collected using the Cooper-Smith self-esteem inventory, Hamric moral distress scale, and state-trait anger expression inventory. The collected data were analyzed using the Mann-Whitney and Kruskal-Wallis tests, and path analysis was used for testing the conceptual model.</span></span></span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="font-weight:normal"></span></span></span></span></span></span></span></span></span></span></h2>
</div>
<span style="font-size:11pt"><span style="line-height:normal"><span style="text-autospace:none"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> Results</span></span></b><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">:</span></span> <span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">The </span></span><a name="_Hlk104166072"><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">mean±</span></span></a><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">SD age of the </span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">nurses was <span style="background:yellow">36.24±5.37</span> years. </span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">The mean ±SD anger, self-esteem, and moral distress scores were 113.68 ± 15.04, 26.61 ± 3.49, and 65.66 ± 35.88, respectively. The results of the path analysis model suggested an inverse causal relationship between self-esteem and moral distress (<i>P</i><0.05). This model also indicated a significant inverse relationship between self-esteem and anger (<i>P</i>=0.01).</span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="text-autospace:none"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Conclusion:</span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> As the results show, the nurses' self-esteem can mitigate the adverse effects of moral distress and anger. These results show the significant psychological interventions in controlling anger and promoting self-esteem and reducing moral distress among nurses.</span></span><span lang="EN-GB" style="font-size:12.0pt"><span style="font-family:"Times New Roman",serif"></span></span></span></span></span></span><br>
Anger, Moral distress, Self-Esteem, Nurse
243
253
http://hnmj.gums.ac.ir/browse.php?a_code=A-10-1408-2&slc_lang=en&sid=1
Tahereh
Heidari
0000-0001-6502-8168
No
PhD Candidate of Nursing, Department of Nursing, School of Nursing and Midwifery, Golestan University of Medical Sciences, Gorgan, Iran.
Vida
Shafipour
0000-0002-0636-699X
No
Associate Professor, Department of Medical-Surgical Nursing, Nasibeh School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran.
Samae
Shamshiri
No
Student Research Committee, Nasibeh School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran.
Seyed-Nouraddin
Mousavinasab
4-0000-0002-0631-4233
No
Associate Professor, Department of Biostatistics, Faculty of Health, Mazandaran University of Medical Sciences, Sari, Iran.
Yadollah
Jannati
0000-0001-7574-5873
Yes
Assistant Professor, Psychiatry and Behavioral Sciences Research Center, Nasibeh School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran.