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

Completed

Conditions

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

Observational

Enrollment (Actual)

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 Locations

      • Bilecik, Turkey, 11000
        • Bilecik Seyh Edebali University

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

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
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

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.

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)

February 5, 2024

Primary Completion (Actual)

February 5, 2024

Study Completion (Actual)

April 30, 2024

Study Registration Dates

First Submitted

February 6, 2024

First Submitted That Met QC Criteria

February 6, 2024

First Posted (Actual)

February 14, 2024

Study Record Updates

Last Update Posted (Actual)

May 17, 2024

Last Update Submitted That Met QC Criteria

May 16, 2024

Last Verified

February 1, 2024

More Information

Terms related to this study

Other Study ID 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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