Korean nurses’ ethical dilemmas,professional values and professional quality of life

Abstract

Background:

In the changing medical environment, professional stress continuously increases as the individual’s quality of life suffers. Of all the healthcare professions, nursing is especially prone to burnout, compassion fatigue and reduced compassion satisfaction, due to the tensions resulting from the physical and psychological stress of caring for extremely ill patients.

Objectives:

This study examined the professional quality of life of clinical nurses in Korea and the relationship between their experiences in ethical dilemmas and professional values.

Methods:

This was a cross-sectional study of a convenience sample consisting of 488 clinical nurses. We used four questionnaires to measure the participants’ demographic characteristics, experiences in ethical dilemmas, professional nursing values and professional quality of life (ProQOL assessment, Version 5). Ethical considerations: This study received approval from the Institutional Review Board of Bronco Memorial Hospital. Written informed consent was given by all participants.

Results:

The nurses’ professional quality of life was affected by ethical dilemmas and professional nursing values. The factors influencing compassion satisfaction were age, client domain of ethical dilemmas, social awareness, professionalism of nursing and the roles of nursing services in professional values. The factors influencing burnout were marital status (married), religion (yes), human life domain, professional work domain of ethical dilemmas, social awareness and the role of nursing services in nursing professional values. The factors influencing secondary traumatic stress were human life domain, client domain and the professional work domain of ethical dilemmas.

Conclusion:

Intervention to help nurses increase their professional quality of life will have a greater chance of success if they are based on the nurses’ values and beliefs about the ethical dilemmas they face and foster the establishment of positive professional values.

Keywords

Compassion fatigue compassion satisfaction ethical dilemma professional nursing values professional quality of life

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References

Stamm

. Professional quality of life: compassion satisfaction and fatigue subscales-III, http://www.proqol.org (2002, accessed 20 September 2013).

Stamm

. The concise ProQOL manual. 2nd ed. Pocatello, ID: ProQOL.org, 2010.

Bruce

Conaglen

. Burnout in physicians: a case for peer-support. Intern Med J 2005; 35: 272–278.

Conrad

Kellar-Guenther

. Compassion fatigue, burnout, and compassion satisfaction among Colorado child protection workers. Child Abuse Rev 2006; 30: 1071–1080.

Hooper

Craig

Janvrin

Compassion satisfaction, burnout, and compassion fatigue among emergency nurses compared with nurses in other selected inpatient specialties. J Emerg Nurs 2010; 36: 420–427.

Sprang

Clark

Whitt-Woosley

. Compassion fatigue, compassion satisfaction, and burnout: factor impacting a professional’s quality of life. J Loss Trauma 2007; 212: 259–280.

Severn

Searchfield

Huggard

. Occupational stress amongst audiologists: compassion satisfaction, compassion fatigue, and burnout. Int J Audiol 2012; 51: 3–9.

Mizuno

Kinefuchi

Kimura

Professional quality of life of Japanese nurses/midwives providing abortion/childbirth care. Nurs Ethics 2013; 20: 539–550.

Joinson

. Coping with compassion fatigue. Nursing 1992; 22: 116–120.

10.

Figley

. Treating compassion fatigue. New York: Brunner-Routledge, 2002.

11.

Kim

Choi

. Emergency nurses’ professional quality of life: compassion satisfaction, burnout, and secondary traumatic stress. J Korean Acad Nurs Admin 2012; 18: 320–328.

12.

Kim

Park

Oncology nurses’ professional quality of life in tertiary hospital. J Korean Clin Nurs Res 2010; 16: 145–155.

13.

Potter

Deshields

Divanbeigi

Compassion fatigue and burnout. Clin J Oncol Nurs 2010; 14: E56–E62.

14.

DeKeyser Ganz

Berkovitz

. Surgical nurses’ perceptions of ethical dilemmas, moral distress and quality of care. J Adv Nurs 2012; 68: 1516–1525.

15.

Kopala

Burkhart

. Ethical dilemma and moral distress: proposed new NANDA diagnoses. Int J Nurs Terminol Classif 2005; 16: 3–13.

16.

Lee

Yoo

. Relationships between nurses’ ethical dilemma, coping types, job satisfaction and turnover intention in Korea. J Korean Clin Nurs Res 2011; 17: 1–15.

17.

Casterlé

Dierckx

Izumi

Nurses’ responses to ethical dilemmas in nursing practice: meta-analysis. J Adv Nurs 2008; 63: 540–549.

18.

Ganz

Wagner

Toren

. Nurse middle manager ethical dilemmas and moral distress. Nurs Ethics 2014; 21: 1–9.

19.

Maluwa

Andre

Ndebele

Moral distress in nursing practice in Malawi. Nurs Ethics 2012; 19: 196–207.

20.

Park

. Ethical dilemma of nurses. J Korean Acad Nurs Admin 2009; 15: 128–135.

21.

Shahriari

Mohammadi

Abbaszadeh

Nursing ethical values and definitions: a literature review. Iran J Nurs Midwifery Res 2013; 18: 1–8.

22.

Horton

Tschudin

Forget

. The value of nursing: a literature review. Nurs Ethics 2007; 14: 716–740.

23.

Malee

Arnamong

Apinya

. Factor influencing happiness in personnel working at Boromarajonani College of Nursing, Bangkok Thailand, http://www.statssa.gov.za/isi2009/ScientificProgramme/IPMS/0602.pdf (2009, accessed 22 September 2013).

24.

Nam

Kwon

. Factors influencing happiness index of hospital nurses. J Korean Acad Nurs Admin 2013; 19: 329–339.

25.

Yeun

Kown

Ahn

. Development of a nursing professional values scale. J Korean Acad Nurs 2005; 35: 1091–1100.

26.

Altun

. Burnout and nurses’ personal and professional values. Nurs Ethics 2002; 9: 269–278.

27.

Hallin

Danielson

. Registered nurses’ perceptions of their work and professional development. J Adv Nurs 2008; 61: 62–70.

28.

Han

. Nature of ethical dilemmas and decision making in hospital nursing practice. Unpublished Doctoral Thesis, Seoul National University, Seoul, 1992.

29.

Poghosyan

Clarke

Finlayson

Nurse burnout and quality of care: cross-national investigation in six countries. Res Nurs Health 2010; 33: 288–298.

30.

Rossi

Cetrano

Pertile

Burnout, compassion fatigue, and compassion satisfaction among staff in community-based mental health services. Psychiatry Res 2012; 200: 933–938.

31.

Hampton

. Relationship of professionalism, rewards, market orientation and job satisfaction among medical professionals: the case of certified nurse–midwives. J Bus Res 2004; 57: 1042–1053.

32.

Han

Kim

Yun

. Factors affecting nursing professionalism. J Korean Acad Soc Nurs Edu 2008; 14: 73–79.

33.

Beck

. Secondary traumatic stress in nurses: a systematic review. Arch Psychiatr Nurs 2011; 25: 1–10.

34.

Benson

Dundis

. Understanding and motivating health care employees: integrating Maslow’s hierarchy of needs, training and technology. J Nurs Manag 2003; 11: 315–320.

35.

Burtson

Stichler

. Nursing work environment and nurse caring: relationship among motivational factors. J Adv Nurs 2010; 66: 1819–1831.