الفهرس 
: Moral distress
• Actions promote a positive ethical climateOnly 14 pages are availabe for public view
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Abstract
The aim of this study was to assess moral distress of nurses working in pediatric intensive care unit. Design a descriptive design was used. Settings this study was conducted in pediatric intensive care unit at children hospital affiliated to Ain Shams University and Tanta University. Subject all available nurses working at the previously mentioned settings regardless their characteristics (No=60). Tools of data collection involved 3 tools. 1)- Pre-designed questionnaire sheet which included two parts: part I included Socio-demographic characteristics of the nurses and part II included knowledge of nurses about moral distress and hospital ethical climate, 2)- Moral Distress Scale and 3)- Hospital Ethical Climate Survey. Results the main results of the current study showed that all of the studied nurses had a poor level of total knowledge about moral distress and hospital ethical climate and more than half of them had a moderate level of both moral distress and hospital ethical climate. More than half of studied nurses considered quitting a clinical position because of their moral distress. There was a statistical significance difference between studied nurses’ level of moral distress and their level of hospital ethical climate. Conclusion from the findings of the current study it can be concluded that all studied nurses had a poor level of total knowledge about moral distress and hospital ethical climate, and more than half of them had moderate level of total moral distress. Studied nurses’ level of moral distress mainly affected by their age, level of education and years of experience. Moreover, more than half of studied nurses had moderate level of total hospital ethical climate. Studied nurses’ level of hospital ethical climate affected by their age and years of experience. In addition to, there was a statistical significance difference between studied nurses’ level of moral distress and their level of hospital ethical climate. Recommendations this study recommended that: Provide continuous training courses about moral distress for pediatric ICU nurses where nurses be aware of moral distress, causes and coping mechanisms. Further researches are needed to measure moral distress in Egypt and its effect on the patient care because almost all of our understandings about moral distress are from western international literature except one study in Egypt, one study in Jordan and fewstudies in Iran.