Moral Distress in Nursing Students

May 16, 2024 updated by: Bilecik Seyh Edebali Universitesi

The Effect of Moral Distress on Attitudes Towards Clinical Practice in Nursing Students

Moral Distress (MD), also known as moral distress, was first defined by Jameton in 1984 as "the distress experienced by a person in situations where it is almost impossible to follow the correct course of action due to institutional constraints, despite knowing the correct action to take." Like all health professionals, nursing students can observe conflicts, ethical dilemmas, ethical and moral problems at the individual, clinical and managerial levels during clinical practice, and can even be directly involved in these problems. This study aimed to investigate the effect of MD on attitudes towards clinical practices in nursing students who have started to provide clinical experience. The study will be conducted with 2nd, 3rd and 4th year students studying in the nursing department of a university.

Study Overview

Status

Status

Indicates the current recruitment status or the expanded access status.
Completed

Conditions

Conditions

The disease, disorder, syndrome, illness, or injury that is being studied. On ClinicalTrials.gov, conditions may also include other health-related issues, such as lifespan, quality of life, and health risks.

Detailed Description

Competence in the nursing profession is of great importance in quality care practices, nurse leadership in teamwork, academic and clinical performance, both in terms of professionalism and the quality of life of patients. Competence in the profession is possible through clinical practices that allow gaining bedside experience after evidence-based theoretical knowledge. While clinical practices are of great importance for students to gain professional knowledge and skills, they also appear as a cause of stress. Care of the sick individual, not being able to find an adequate guide, lack of a role model, negative relationships with healthcare professionals in the clinic, clinical conditions being inadequate for students' knowledge and skills for practice, fear of making mistakes and failure in students, ethical dilemmas they witness in clinical practices and negative emotions as a result of ethical dilemmas. Many situations such as this increase stress in students. Adding moral distress to students' existing stress sources reduces clinical motivation. In this context, determining nursing students; attitudes towards clinical practices has an important place in improving students; motivation and perceptions of their professional lives. It is impossible to eliminate MD in the nursing profession, which focuses on people and touches people;s quality of life. In this case, it is of great importance to understand MD both in professional life and in nursing education, to agree on precautions and to ensure that students are strengthened in terms of MD. It will also affect the attitudes of students who are successful in MD management towards clinical practices at the desired level, and this will strengthen the quality of life of the individual and the society. This study aimed to investigate the effect of MD on attitudes towards clinical practices in nursing students who have started to provide clinical experience. It is anticipated that the results of this research will contribute to the literature and faculty members who take an active role in nursing education.

Study Type

Study Type

Describes the nature of a clinical study. Study types include interventional studies (also called clinical trials), observational studies (including patient registries), and expanded access.
Observational

Enrollment (Actual)

Enrollment

The number of participants in a clinical study. The "anticipated" enrollment is the target number of participants that the researchers need for the study.
237

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Contact

The name and contact information for the person who can answer enrollment questions for a clinical study. Each location where the study is being conducted may also have a specific contact, who may be better able to answer those questions.

Study Locations

  • Turkey
      • Bilecik, Turkey, 11000
        • Bilecik Şeyh Edebali Üniversity

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Eligibility Criteria

The key requirements that people who want to participate in a clinical study must meet or the characteristics they must have. Eligibility criteria consist of both inclusion criteria (which are required for a person to participate in the study) and exclusion criteria (which prevent a person from participating). Types of eligibility criteria include whether a study accepts healthy volunteers, has age or age group requirements, or is limited by sex.

Ages Eligible for Study

  • Child
  • Adult

Accepts Healthy Volunteers

Yes

Sampling Method

Non-Probability Sample

Study Population

2nd, 3rd and 4th year students studying in the nursing department with clinical practice experience.

Description

Inclusion Criteria:

  • Being a 2nd, 3rd and 4th year student studying in the nursing department.
  • Having clinical practice experience.
  • Volunteering to participate in the study.

Exclusion Criteria:

  • Not volunteering to participate in the study.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

Cohorts and Interventions

Group / Cohort

Group / Cohort

A group or subgroup of participants in an observational study that is assessed for biomedical or health outcomes.
Nursing 2st year
second year nursing students
Nursing 3st year
third year nursing students
Nursing 4st year
fourth year nursing students

What is the study measuring?

Primary Outcome Measures

Primary Outcome Measures

In a clinical study's protocol, the planned outcome measure that is the most important for evaluating the effect of an intervention/treatment. Most clinical studies have one primary outcome measure, but some have more than one.
Outcome Measure
Time Frame
Moral distress
Time Frame: 05/02/2024-20/02/2024
05/02/2024-20/02/2024

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Sponsor

The organization or person who initiates the study and who has authority and control over the study.
Bilecik Seyh Edebali Universitesi

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

Study Start

The actual date on which the first participant was enrolled in a clinical study. The "anticipated" study start date is the date that the researchers think will be the study start date.
February 5, 2024

Primary Completion (Actual)

Primary Completion

The date on which the last participant in a clinical study was examined or received an intervention to collect final data for the primary outcome measure. Whether the clinical study ended according to the protocol or was terminated does not affect this date. For clinical studies with more than one primary outcome measure with different completion dates, this term refers to the date on which data collection is completed for all the primary outcome measures. The "anticipated" primary completion date is the date that the researchers think will be the primary completion date for the study.
February 5, 2024

Study Completion (Actual)

Study Completion

The date on which the last participant in a clinical study was examined or received an intervention/treatment to collect final data for the primary outcome measures, secondary outcome measures, and adverse events (that is, the last participant's last visit). The "anticipated" study completion date is the date that the researchers think will be the study completion date.
April 30, 2024

Study Registration Dates

First Submitted

First Submitted

The date on which the study sponsor or investigator first submitted a study record to ClinicalTrials.gov. There is typically a delay of a few days between the first submitted date and the record's availability on ClinicalTrials.gov (the first posted date).
February 6, 2024

First Submitted That Met QC Criteria

First Submitted That Met QC Criteria

The date on which the study sponsor or investigator first submits a study record that is consistent with National Library of Medicine (NLM) quality control (QC) review criteria. The sponsor or investigator may need to revise and submit a study record one or more times before NLM's QC review criteria are met. It is the responsibility of the sponsor or investigator to ensure that the study record is consistent with the NLM QC review criteria.
February 6, 2024

First Posted (Actual)

First Posted

The date on which the study record was first available on ClinicalTrials.gov after National Library of Medicine (NLM) quality control (QC) review has concluded. There is typically a delay of a few days between the date the study sponsor or investigator submitted the study record and the first posted date.
February 14, 2024

Study Record Updates

Last Update Posted (Actual)

Last Update Posted

The most recent date on which changes to a study record were made available on ClinicalTrials.gov. There may be a delay between when the changes were submitted to ClinicalTrials.gov by the study's sponsor or investigator (the last update submitted date) and the last update posted date.
May 17, 2024

Last Update Submitted That Met QC Criteria

Last Update Submitted That Met QC Criteria

The most recent date on which the study sponsor or investigator submitted changes to a study record that are consistent with National Library of Medicine (NLM) quality control (QC) review criteria. It is the responsibility of the sponsor or investigator to ensure that the study record is consistent with the NLM QC review criteria.
May 16, 2024

Last Verified

Last Verified

The most recent date on which the study sponsor or investigator confirmed the information about a clinical study on ClinicalTrials.gov as accurate and current. If a study with a recruitment status of recruiting; not yet recruiting; or active, not recruiting has not been confirmed within the past 2 years, the study's recruitment status is shown as unknown.
February 1, 2024

More Information

Terms related to this study

Keywords

Other Study ID Numbers

Other Study ID Numbers

Identifiers or ID numbers other than the NCT number that are assigned to a clinical study by the study's sponsor, funders, or others. These numbers may include unique identifiers from other trial registries and National Institutes of Health grant numbers.
  • Aysun Acun 3

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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