Moral Distress and Its Relationship to Demographics in Military Nursing (75295)

Session Information: Mind, Brain & Psychology: Human Emotional & Cognitive Development & Outcomes within Educational Contexts
Session Chair: Daisy Mae Bialba

Thursday, 23 November 2023 15:35
Session: Session 4
Room: Room 708
Presentation Type: Oral Presentation

All presentation times are UTC + 9 (Asia/Tokyo)

Moral distress is a psychological disequilibrium resulting from knowing the ethical action to take but not taking it due to an inhibiting medical power structure or institutional policy. Moral distress is particularly significant in military nursing services wherein a critical care environment such as a battlefield or soldier camp is a highly dynamic patient care environment. The study’s main thrust is to determine the level of moral distress and its relationship to the variables of rank, years of service, and area of assignment. A descriptive-correlational study was conducted among 120 randomly selected military nurses from military hospitals. Informed consent was secured, and a moral distress scale questionnaire was validated and utilized after pilot testing. Multivariate regression and statistics were utilized in the analysis. The study showed that the highest level of moral distress is evident in the first five years of military nursing, with the lowest level during the 21st-25th year of service. In terms of rank, the highest moral distress can be observed from the 2nd lieutenants, with the 1st class colonel experiencing the lowest level of moral distress. Lastly, those assigned to Mindanao, the southern main island of the Philippines, experienced the highest level of moral distress, while those on the central island of Visayas had the lowest level. The result of the work suggests the need for revising institutional constraints on autonomy and cultural differences, training for personal and professional growth, as well as orientation programs for sensitivity and ethical climate to address problems of moral distress.

Authors:
Daisy Mae Bialba, National University, Philippines
Ronald Reyes, National University, Philippines


About the Presenter(s)
Dr. Daisy Mae R. Bialba is currently an Associate Professor of the Science and Mathematics Department, National University, Philippines. Her research interests include health care, nursing, and science education.

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Posted by Clive Staples Lewis

Last updated: 2023-02-23 23:45:00