Intensity and frequency of moral distress in mental health nurses in Brazil.

IF 1.2 4区医学 Q3 NURSING Revista da Escola de Enfermagem da U S P Pub Date : 2023-09-04 eCollection Date: 2023-01-01 DOI:10.1590/1980-220X-REEUSP-2023-0122en

Mario Sergio Bruggmann, Dulcinéia Ghizoni Schneider, Flávia Regina Souza Ramos, Graziele de Lima Dalmolin, Jeferson Rodrigues, Ácmon Bhering

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Abstract

Objective: To assess the intensity and frequency of moral distress in mental health nurses in Brazil.

Method: Cross-sectional study with 173 nurses from the Psychosocial Care Network in Brazil. The Brazilian Scale of Moral Distress in Nurses, adapted for the context of mental health, was used. For data processing, descriptive and inferential statistical analysis was used.

Results: Mostly moderate levels of intensity and frequency of moral distress (medians between 2.25 - 3.73 and 2.00 - 3.22, respectively) were observed, with emphasis on the factors working conditions and social conflicts.

Conclusion: The level of moral distress evidenced in mental health nurses in Brazil reflects the dimension and amplitude of the phenomenon in different points of the Psychosocial Care Network. The relevance of discussions on coping strategies for moral distress is highlighted, articulating elements such as sensitivity, resilience, and moral courage, so that ethical deliberation is applied in care and management settings.

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巴西心理健康护士道德困扰的强度和频率。

目的评估巴西心理健康护士道德困扰的强度和频率：方法：对巴西社会心理护理网络的 173 名护士进行横断面研究。研究采用了巴西护士道德困扰量表，该量表针对精神卫生领域进行了改编。数据处理采用了描述性和推论性统计分析：结果：观察到的精神压力强度和频率大多处于中等水平（中位数分别为 2.25 - 3.73 和 2.00 - 3.22），重点是工作条件和社会冲突因素：结论：巴西心理健康护士的精神痛苦程度反映了社会心理护理网络中不同点的精神痛苦现象的程度和范围。讨论道德困扰的应对策略，阐明敏感性、复原力和道德勇气等要素，从而在护理和管理环境中应用伦理审议，具有重要意义。

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来源期刊

Revista da Escola de Enfermagem da U S P 医学-护理

CiteScore

1.70

自引率

11.10%

发文量

254

审稿时长

3-8 weeks

期刊介绍： The University of São Paulo Nursing School Journal (Revista da Escola de Enfermagem da USP, REEUSP) is a bimonthly periodical revised by fellow nurses, which has the objective of publishing empirical or theoretical articles that represent a significant advance for the professional practice or for the fundaments of Nursing Mission: to stimulate knowledge production and dissemination in Nursing and related areas, focusing on international interlocution to advance Nursing science. Areas of Interest: Nursing and Health Its abbreviated title is Rev Esc Enferm USP, which should be used in bibliographies, footnotes and bibliographical references and strips.