Levels of generalized anxiety, moral distress, and moral courage among nurses: A comparative study in COVID-19 and non-COVID-19 wards
Background: During the COVID-19 pandemic, nurses faced high levels of anxiety and moral distress. Nurses need moral courage to uphold proper moral performance. Objectives: This study aimed to compare the levels of anxiety, moral distress, and moral courage of nurses working in COVID-19 and non-COV...
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| Format: | Article |
| Language: | English |
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Zanjan University of Medical Sciences and Health Services
2024-11-01
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| Series: | Preventive Care in Nursing and Midwifery Journal |
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| Online Access: | https://nmcjournal.zums.ac.ir/article-1-901-en.html |
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| author | Seyede Fatemeh Gheiasi Ahmad Reza Abedi Mahboobeh Khosravani Fatemeh Rafiei Andrew Fournier Maryam Ebrahimabadi |
| author_facet | Seyede Fatemeh Gheiasi Ahmad Reza Abedi Mahboobeh Khosravani Fatemeh Rafiei Andrew Fournier Maryam Ebrahimabadi |
| author_sort | Seyede Fatemeh Gheiasi |
| collection | DOAJ |
| description | Background: During the COVID-19 pandemic, nurses faced high levels of anxiety and moral distress. Nurses need moral courage to uphold proper moral performance.
Objectives: This study aimed to compare the levels of anxiety, moral distress, and moral courage of nurses working in COVID-19 and non-COVID-19 wards.
Methods: This descriptive comparative study was conducted on 107 nurses working in COVID-19 (n=53) and non-COVID-19 (n=54) wards at Zanjan University of Medical Sciences. Participants were selected using a convenience method. Data were collected using the Generalized Anxiety Disorder (GAD), Moral Distress Scale (MDS), and Professional Moral Courage (PMC) questionnaires. Data analysis was performed using descriptive and inferential statistics in SPSS 16 software.
Results: The majority of participants in the study were female (66%) and married (54.7%). There was no statistically significant difference in the mean (SD) generalized anxiety score between nurses in COVID-19 and non-COVID-19 wards [5.51 (2.53) vs. 4.83 (2.50), p=0.168]. The comparison of the mean (SD) moral distress score in nurses in COVID-19 and non-COVID-19 wards did not show a statistically significant difference [1.48 (0.71) vs. 1.70 (0.58), p=0.078]. Similarly, no significant difference was found in the mean (SD) score of moral courage between the two groups caring for COVID-19 and non-COVID-19 patients [59.66 (8.28) vs. 60.46 (6.06), p=0.983].
Conclusion: The study reveals elevated generalized anxiety in COVID-19 ward nurses compared to non-COVID-19 counterparts. No significant differences in moral distress severity or moral courage highlight shared resilience and commitment, emphasizing tailored support for nurses in varied environments.
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| format | Article |
| id | doaj-art-2c47907115dc4b19b2893a8f62bc1deb |
| institution | Kabale University |
| issn | 2588-4441 2588-445X |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Zanjan University of Medical Sciences and Health Services |
| record_format | Article |
| series | Preventive Care in Nursing and Midwifery Journal |
| spelling | doaj-art-2c47907115dc4b19b2893a8f62bc1deb2025-02-04T07:07:28ZengZanjan University of Medical Sciences and Health ServicesPreventive Care in Nursing and Midwifery Journal2588-44412588-445X2024-11-0114411010.61186/pcnm.14.4.1Levels of generalized anxiety, moral distress, and moral courage among nurses: A comparative study in COVID-19 and non-COVID-19 wardsSeyede Fatemeh Gheiasi0https://orcid.org/0000-0002-9191-4283Ahmad Reza Abedi1https://orcid.org/0000-0001-7123-104XMahboobeh Khosravani2https://orcid.org/0000-0002-7846-4775Fatemeh Rafiei3https://orcid.org/0000-0002-1303-8660Andrew Fournier4https://orcid.org/0000-0003-2988-1713Maryam Ebrahimabadi5https://orcid.org/0000-0002-8508-3962Department of Operating Room and Anesthesiology, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran Traditional and Complementary Medicine Research Center (TCMRC), Infectious Diseases Research Center (IDRC), Department of Medical-Surgical, Nursing School, Arak University of Medical Sciences, Arak, IranDepartment of Surgical Technology, School of Allied Medical Sciences, Arak University of Medical Sciences, Arak, IranDepartment of Epidemiology and Biostatistics, School of Public Health, Student Scientific Research Center, Tehran University of Medical Sciences, Tehran, IranLewis and Clark Trail, National Park Service, Arizona, USADepartment of Nursing, Arak Branch, Islamic Azad University, Arak, IranBackground: During the COVID-19 pandemic, nurses faced high levels of anxiety and moral distress. Nurses need moral courage to uphold proper moral performance. Objectives: This study aimed to compare the levels of anxiety, moral distress, and moral courage of nurses working in COVID-19 and non-COVID-19 wards. Methods: This descriptive comparative study was conducted on 107 nurses working in COVID-19 (n=53) and non-COVID-19 (n=54) wards at Zanjan University of Medical Sciences. Participants were selected using a convenience method. Data were collected using the Generalized Anxiety Disorder (GAD), Moral Distress Scale (MDS), and Professional Moral Courage (PMC) questionnaires. Data analysis was performed using descriptive and inferential statistics in SPSS 16 software. Results: The majority of participants in the study were female (66%) and married (54.7%). There was no statistically significant difference in the mean (SD) generalized anxiety score between nurses in COVID-19 and non-COVID-19 wards [5.51 (2.53) vs. 4.83 (2.50), p=0.168]. The comparison of the mean (SD) moral distress score in nurses in COVID-19 and non-COVID-19 wards did not show a statistically significant difference [1.48 (0.71) vs. 1.70 (0.58), p=0.078]. Similarly, no significant difference was found in the mean (SD) score of moral courage between the two groups caring for COVID-19 and non-COVID-19 patients [59.66 (8.28) vs. 60.46 (6.06), p=0.983]. Conclusion: The study reveals elevated generalized anxiety in COVID-19 ward nurses compared to non-COVID-19 counterparts. No significant differences in moral distress severity or moral courage highlight shared resilience and commitment, emphasizing tailored support for nurses in varied environments. https://nmcjournal.zums.ac.ir/article-1-901-en.htmlmoral distress; generalized anxiety; moral courage; nurse |
| spellingShingle | Seyede Fatemeh Gheiasi Ahmad Reza Abedi Mahboobeh Khosravani Fatemeh Rafiei Andrew Fournier Maryam Ebrahimabadi Levels of generalized anxiety, moral distress, and moral courage among nurses: A comparative study in COVID-19 and non-COVID-19 wards Preventive Care in Nursing and Midwifery Journal moral distress; generalized anxiety; moral courage; nurse |
| title | Levels of generalized anxiety, moral distress, and moral courage among nurses: A comparative study in COVID-19 and non-COVID-19 wards |
| title_full | Levels of generalized anxiety, moral distress, and moral courage among nurses: A comparative study in COVID-19 and non-COVID-19 wards |
| title_fullStr | Levels of generalized anxiety, moral distress, and moral courage among nurses: A comparative study in COVID-19 and non-COVID-19 wards |
| title_full_unstemmed | Levels of generalized anxiety, moral distress, and moral courage among nurses: A comparative study in COVID-19 and non-COVID-19 wards |
| title_short | Levels of generalized anxiety, moral distress, and moral courage among nurses: A comparative study in COVID-19 and non-COVID-19 wards |
| title_sort | levels of generalized anxiety moral distress and moral courage among nurses a comparative study in covid 19 and non covid 19 wards |
| topic | moral distress; generalized anxiety; moral courage; nurse |
| url | https://nmcjournal.zums.ac.ir/article-1-901-en.html |
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