Structural Empowerment and Moral Distress of Nurses in Private Hospitals

Authors

  • Khwanchanok Hjalmarsson Faculty of Nursing, Chiang Mai University
  • Petsunee Thungjaroenkul Faculty of Nursing, Chiang Mai University
  • Apiradee Nantsupawat Faculty of Nursing, Chiang Mai University

Keywords:

Structural Empowerment, Moral Distress, Nurses in Private Hospitals

Abstract

          Structural empowerment is one of the factors that will assist nurses to perceive their self-efficacy, to be able to control their work and to face ethical situations. The purpose of this study was to examine the structural empowerment and moral distress of nurses, and their relationship. The study sample was comprised of 266 nurses who were working in Chiang Mai private hospitals and who were randomly selected using multistage random sampling. The research instruments consisted of 3 parts: 1) Demographic form, 2) Moral Distress for Healthcare Professionals: MMD-HP (Epstein et al., 2019), and 3) The Conditions for Work Effectiveness Questionnaire II: CWEQ-II (Laschinger et al., 2001 as cited in Laschinger, 2012) which was translated into Thai by Nuchpong (2019). The reliability of the second and third parts of the instruments were .96 and .85, respectively. Data were analyzed using descriptive statistics and Spearman’s rank correlation analysis.

The results of the study revealed that the nurses in this study had a moderate level of moral distress ( =74.96, SD =67.88) and perceived structural empowerment at a moderate level ( = 22.58, SD = 3.50). The findings also showed that structural empowerment was negatively statistically correlated with the moral distress of nurses (r = 0.148, p-value = .016).

Based on the findings of this study, it is recommended that structural empowerment is one approach to reduce moral distress of nurses in private hospitals. Therefore, nurse administrators should create work structures which could enhance nurses’empowerment,
in order to handle morally distressing situations.

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Published

2022-06-30

Issue

Section

Research Article