| Background: Decreased autonomy of nurses lead to limited ability to decide and intervention. Limited independence may restrict nurses' opportunity to use their own ethical reasoning which may lead to moral distress. So, the relationship between independence and the occurrence of moral distress requires further studies.
Purpose: To investigate the relationship between professional independence and moral distress in emergency nurses.
Methods: This descriptive correlative study conducted on 173 emergency department nurses in Tabriz, Iran. Data were collected through a professional autonomy questionnaire as well as a moral distress questionnaire, then analyzed using SPSS 13 software with descriptive and inferential statistics.
Results: The results showed that the level of professional autonomy of emergency nurses was in low level (83.20±16.90), and the moral distress was moderate (7.43±3.52). The results also indicated a significant negative relationship between professional independence and the frequency of moral distress (p=0.018). Bi-variate analysis showed the professional autonomy was significant with the frequency and intensity of moral distress. Also three multiple regression showed that age significantly predicted frequency, intensity and total moral distress.
Conclusion: Lack of autonomy make it difficult for nurses to function effectively and efficiently, which leads to moral distress. Increasing the professional independence as well as, using elder experienced nurses as the mentors in emergency settings to support younger naive nurses may reduce the moral distress. |