Scholarlink

Objectives <p>This study aimed to evaluate the effect of moral distress experienced by intensive care nurses on their attitudes toward end-of-life care and their care behaviors.</p> Methods <p>This cross-sectional and correlational study was conducted with 121 nurses working in intensive care units (ICUs). Data collection tools included the ICU Nurse Information Form, the Moral Distress Scale-Revised (MDS-R), the Caring Behaviors Inventory-24 (CBI-24), and the Nurses’Attitudes and Behaviors of Intensive Care Nurses Toward End-of-Life Care (EoLC) Scale.</p> Results <p>The moral distress mean score of ICU nurses was 76.61 ± 22.72, attitudes and behaviors toward EoLC mean score 51.56 ± 10.39, and CBI-24 mean score was 122.72 ± 16.39.The correlation coefficients between the Distress subscale of the MDS-R and the mean scores of EoLC Attitudes were found to be positive and significant. (<i>r</i> = 0.200; <i>p</i> &lt; 0.05; <i>p</i> = 0.028). The correlation coefficients between the CBI-24 and the EoLC Attitudes (<i>r</i> = 0.253, <i>p</i> &lt; 0.01, <i>p</i> = 0.005) and Behaviors (<i>r</i> = 0.186, <i>p</i> &lt; 0.05, <i>p</i> = 0.041) subscale were found to be positive and significant. Moral distress did not directly affect attitudes and behaviors toward EoLC, and care behaviour (<i>p</i> &lt; 0.05).</p> Conclusion <p>In this study, ICU nurses were found to experience moderate levels of moral distress, have good perceptions of caring behaviors, and exhibit moderate levels of attitudes and behaviors toward end-of-life care. However, moral distress was found to have no significant effect on their attitudes toward end-of-life care or on their caring behaviors.</p> Clinical trial number <p>Not applicable.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

The effect of moral distress experienced by intensive care nurses on end-of-life care attitudes and care behaviours: a single-centre cross-sectional and correlational study

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年2月12日

查看全文
  • Pakize Özyürek,
  • İbrahim Kılıç,
  • Ahmet Akarsu,
  • Öznur Gürlek Kısacık

摘要

Objectives

This study aimed to evaluate the effect of moral distress experienced by intensive care nurses on their attitudes toward end-of-life care and their care behaviors.

Methods

This cross-sectional and correlational study was conducted with 121 nurses working in intensive care units (ICUs). Data collection tools included the ICU Nurse Information Form, the Moral Distress Scale-Revised (MDS-R), the Caring Behaviors Inventory-24 (CBI-24), and the Nurses’Attitudes and Behaviors of Intensive Care Nurses Toward End-of-Life Care (EoLC) Scale.

Results

The moral distress mean score of ICU nurses was 76.61 ± 22.72, attitudes and behaviors toward EoLC mean score 51.56 ± 10.39, and CBI-24 mean score was 122.72 ± 16.39.The correlation coefficients between the Distress subscale of the MDS-R and the mean scores of EoLC Attitudes were found to be positive and significant. (r = 0.200; p < 0.05; p = 0.028). The correlation coefficients between the CBI-24 and the EoLC Attitudes (r = 0.253, p < 0.01, p = 0.005) and Behaviors (r = 0.186, p < 0.05, p = 0.041) subscale were found to be positive and significant. Moral distress did not directly affect attitudes and behaviors toward EoLC, and care behaviour (p < 0.05).

Conclusion

In this study, ICU nurses were found to experience moderate levels of moral distress, have good perceptions of caring behaviors, and exhibit moderate levels of attitudes and behaviors toward end-of-life care. However, moral distress was found to have no significant effect on their attitudes toward end-of-life care or on their caring behaviors.

Clinical trial number

Not applicable.