Predictors of moral distress among nurses working in Jimma University Medical Center, South West Ethiopia
, oraz | 05 sty 2021
O artykule
Article Category: Original article
Data publikacji: 05 sty 2021
Zakres stron: 369 - 377
Otrzymano: 01 maj 2020
Przyjęty: 11 cze 2020
DOI: https://doi.org/10.2478/fon-2020-0046
Słowa kluczowe
© 2020 Habtam Abebaw Beyaffers et al., published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Figure 1
Socio-demographic characteristics of the study participants in the study of predictors of moral distress among nurses working at JUMC, South West Ethiopia, April 2019 (n = 248).
| Variables | % | |
|---|---|---|
| Young adult (18–35) | 211 | 85.1 |
| Adult (36–45) | 31 | 12.5 |
| Middle age (45–60) | 6 | 2.4 |
| Male | 78 | 31.5 |
| Female | 170 | 68.5 |
| Orthodox | 126 | 50.8 |
| Muslim | 79 | 31.9 |
| Protestant | 40 | 16.1 |
| Others | 3 | 1.2 |
| Single | 100 | 40.3 |
| Married | 138 | 55.7 |
| Divorced | 6 | 2.4 |
| Windowed | 4 | 1.6 |
| Diploma | 61 | 24.6 |
| Degree | 175 | 70.6 |
| MSc and above | 12 | 4.8 |
| 0–2 | 76 | 30.6 |
| 2–4 | 125 | 50.4 |
| 4–6 | 47 | 19.0 |
| 42 h/week | 181 | 73.0 |
| 84 h/week | 67 | 27.0 |
| 2,628–5,000 | 165 | 66.5 |
| 5,001–9,028 | 83 | 33.5 |
Bivariate analysis of socio-demographic variables among nurses working at Jimma University Medical Center, Jimma Zone, Jimma Town, South West Ethiopia, April 2019 (n = 248).
| Variables | Level of moral distress | COR (95% CI) | ||
|---|---|---|---|---|
| High ( | Low ( | |||
| Young adult | 156 (73.9) | 55 (26.1) | 1.42 (0.25–7.96) | 0.691 |
| Adult | 14 (45.2) | 17 (54.8) | 0.41 (0.07–2.59) | 0.344 |
| Middle age | 4 (66.7) | 2 (33.3) | 1 | |
| Male | 63 (80.8) | 15 (19.2) | 2.23 (1.17–4.26) | 0.015 |
| Female | 111 (65.3) | 59 (34.7) | 1 | |
| Orthodox | 69 (54.8) | 57 (45.2) | 0.00 (0.00) | 0.999 |
| Muslim | 68 (86.1) | 11 (13.9) | 0.00 (0.00) | 0.999 |
| Protestant | 34 (85.0) | 6 (15.0) | 0.00 (0.00) | 0.999 |
| Others | 3 (100.0) | 0 (0.0) | 1 | |
| Single | 70 (70.0) | 30 (30.0) | 1.00 (0.24–4.13) | 1 |
| Married | 97 (70.3) | 41 (29.7) | 1.01 (0.25–4.12) | 0.985 |
| Divorced | 4 (66.7) | 2 (33.3) | 1.03 (0.58–6.75) | 0.879 |
| Windowed | 3 (75) | 1 (25) | 1 | |
| Diploma | 45 (73.8) | 16 (26.2) | 14.10 (2.80–71.20) | 0.001 |
| Degree | 127 (72.6) | 48 (27.4) | 13.20 (2.80–62.60) | 0.001 |
| MSc and above | 2 (16.7) | 10 (83.3) | 1 | |
| 0–2 | 29 (38.2) | 47 (61.9) | 0.45 (0.07–2.66) | 0.375 |
| 2–4 | 68 (54.4) | 57 (45.6) | 0.88 (0.41–1.89) | 0.453 |
| 4–6 | 27 (57.5) | 20 (42.6) | 1 | |
| 42 h/week | 97 (53.6) | 84 (45.4) | 2.36 (1.35–4.18) | 0.063 |
| 84 h/week | 22 (32.8) | 45 (67.2) | 1 | |
| 2,628–5,000 | 123 (74.5) | 42 (25.5) | 1.84 (1.02–3.13) | 0.042 |
| 5,001–9,028 | 51 (61.5) | 32 (38.5) | 1 | |
| Not committed | 93 (75) | 31 (25) | 1.59 (0.92–2.73) | 0.077 |
| Committed | 81 (65.3) | 43 (34.7) | 1 | |
| Not committed | 88 (70.4) | 37 (29.6) | 1.10 (0.66–1.97) | 0.637 |
| Committed | 84 (68.3) | 39 (31.7) | 1 | |
| Not autonomous | 81 (59.6) | 55 (40.5) | 2.75 (1.74–4.57) | 0.068 |
| Autonomous | 39 (34.8) | 73 (65.2) | 1 | |
| Not empowered | 103 (74.6) | 35 (25.4) | 1.6 (0.94–2.79) | 0.086 |
| Empowered | 71 (64.5) | 39 (35.5) | 1 | |
| Not satisfied | 97 (74.6) | 33 (25.4) | 1.57 (0.91–2.71) | 0.109 |
| Satisfied | 77 (65.3) | 41 (34.7) | 1 | |
| Not conducive | 96 (74.4) | 33 (25.6) | 1.5 (0.89–2.64) | 0.128 |
| Conducive | 78 (65.5) | 41 (34.5) | 1 | |
| Poor perception | 100 (72.5) | 38 (27.5) | 1.28 (0.74–2.21) | 0.375 |
| Good perception | 74 (67.3) | 36 (32.7) | 1 | |
| Poor perception | 92 (70.2) | 39 (29.8) | 1.01 (0.60–1.74) | 0.980 |
| Good perception | 82 (70.1) | 35 (29.9) | 1 | |
Multivariable logistic regression analysis of predictors of moral distress among nurses working at Jimma University Medical Center, Jimma Zone, Jimma Town, South West Ethiopia, April 2019 (n = 248).
| Variables | Level of moral distress | COR | AOR (95% CI) | ||
|---|---|---|---|---|---|
| High | Low | ||||
| Male | 63 | 15 | 2.23 | 2.42 (1.13–1.88) | 0.023 |
| Female | 111 | 59 | 1 | 1 | |
| 2,628–5,000 | 123 | 42 | 1.84 | 0.52 (0.15–1.75) | 0.288 |
| 5,001–9,028 | 51 | 32 | 1 | 1 | |
| Diploma | 45 | 16 | 14.10 | 0.89 (0.08–10.29) | 0.925 |
| Degree | 127 | 48 | 13.20 | 0.87 (0.10–7.22) | 0.893 |
| MSc and above | 2 | 10 | 1 | 1 | |
| 42 h/week | 97 | 84 | 2.40 | 1.96 (1.85–2.93) | 0.041 |
| 84 h/week | 22 | 45 | 1 | 1 | |
| Not satisfied | 97 | 33 | 1.57 | 1.36 (0.71–2.62) | 0.358 |
| Satisfied | 77 | 41 | 1 | 1 | |
| Not committed | 93 | 31 | 1.59 | 2.01 (1.08–1.92) | 0.029 |
| Committed | 81 | 43 | 1 | 1 | |
| Not autonomous | 81 | 55 | 2.75 | 3.20 (1.89–2.64) | 0.015 |
| Autonomous | 39 | 73 | 1 | 1 | |
| Not empowered | 103 | 35 | 1.62 | 1.74 (0.91–3.34) | 0.095 |
| Empowered | 71 | 39 | 1 | 1 | |
| Negative | 96 | 33 | 1.53 | 1.98 (1.05–3.72) | 0.035 |
| Positive | 78 | 41 | 1 | 1 | |