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Effect of nurses' moral distress associated with organizational characteristics on nurses' turn over intention in acute care hospitals

Research Project

Project/Area Number 25463330
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Fundamental nursing
Research InstitutionKobe City College of Nursing

Principal Investigator

Ishihara Itsuko  神戸市看護大学, 看護学部, 教授 (30221071)

Co-Investigator(Kenkyū-buntansha) 松葉 祥一  神戸市看護大学, 看護学部, 教授 (00295768)
川上 由香  神戸市看護大学, 看護学部, 講師 (30364053)
玉田 雅美  神戸市看護大学, 看護学部, 講師 (70511228)
赤田 いづみ  川崎医療福祉大学, 医療福祉学部, 助教 (40735875)
Project Period (FY) 2013-04-01 – 2017-03-31
Project Status Completed (Fiscal Year 2016)
Budget Amount *help
¥5,200,000 (Direct Cost: ¥4,000,000、Indirect Cost: ¥1,200,000)
Fiscal Year 2016: ¥2,990,000 (Direct Cost: ¥2,300,000、Indirect Cost: ¥690,000)
Fiscal Year 2015: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2014: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2013: ¥520,000 (Direct Cost: ¥400,000、Indirect Cost: ¥120,000)
Keywords看護師の倫理的悩み / 燃えつき / 離職意図 / 病院組織の特徴 / 看護倫理研修 / マグネット環境 / 倫理研修 / 看護師 / 急性期病院 / 倫理的悩み / 質問紙調査 / マグネットホスピタル / 燃え尽き / 離職意図と離職 / 看護管理 / 組織風土 / 看護管理職 / バーンアウト
Outline of Final Research Achievements

The purpose of this study was to investigate nurses' moral distress in relation to hospital organizational characteristics and nurses’turn over intention in acute care hospitals. A cross sectional study was conducted in 2013 & 2015 and a questionnaire was consisted of demographics, the Japanese version of Moral Distress Scale-Revised(JMDS-R), and the Japanese version of Nurse Work Index-Revised(JNWI-R), and Japanese version of Copenhagen Burn Out Inventory (JCBI). The result of nurses’ respondents indicated a weak negative correlation between three factors of hospital organizational characteristics and the mean score of nurses’ moral distress on the contrary to a positive correlation between the mean score of nurses’ moral distress and the mean score of nurses’ burn out. Furthermore, the logistic regression analysis between JMDS-R and nurses’ turn over intention revealed four significant items of JMDS-R led nurses to increase a turn-over risk in the greater intention group.

Report

(5 results)
  • 2016 Annual Research Report   Final Research Report ( PDF )
  • 2015 Research-status Report
  • 2014 Research-status Report
  • 2013 Research-status Report
  • Research Products

    (10 results)

All 2017 2016 2015 2014 2013

All Journal Article (1 results) (of which Peer Reviewed: 1 results) Presentation (7 results) Book (1 results) Funded Workshop (1 results)

  • [Journal Article] Effect of organaizational factors and work environments on newly graduated nurses' untention to leave.2013

    • Author(s)
      Ishihara,I. Ishibashi, Y., Tahahashi, K., & Nakashima, M.
    • Journal Title

      The Japan Journal of Nursing Science

      Volume: on line 10, June Issue: 3 Pages: 1-20

    • DOI

      10.1111/jjns.12021

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Presentation] Effect of hospital organizational characteristics on nurses'moral distress in advanced acute care and acute care hospitals2016

    • Author(s)
      石原逸子
    • Organizer
      19th EAFONS
    • Place of Presentation
      千葉幕張メッセ
    • Year and Date
      2016-03-14
    • Related Report
      2015 Research-status Report
  • [Presentation] Effect of moral distress on nurse turnover at acute hospital2016

    • Author(s)
      赤田いづみ
    • Organizer
      19th EAFONS
    • Place of Presentation
      千葉幕張メッセ
    • Year and Date
      2016-03-14
    • Related Report
      2015 Research-status Report
  • [Presentation] 急性期病院に勤務する看護師の倫理的悩みへの影響因子2016

    • Author(s)
      赤田いづみ、玉田雅美、後藤由紀子、福重春菜、石原逸子
    • Organizer
      第36回 日本看護科学学会
    • Place of Presentation
      東京国際フォーラム
    • Related Report
      2016 Annual Research Report
  • [Presentation] 管理職に対する倫理研修が看護師の倫理的悩みに及ぼす影響2016

    • Author(s)
      玉田雅美、赤田いづみ、後藤由紀子、福重春菜、石原逸子
    • Organizer
      第36回 日本看護科学学会
    • Place of Presentation
      東京国際フォーラム
    • Related Report
      2016 Annual Research Report
  • [Presentation] 急性期病院における看護師の労働環境と倫理的悩みとの関連2015

    • Author(s)
      赤田いずみ
    • Organizer
      第35回日本看護科学学会学術集会
    • Place of Presentation
      広島国際会議場
    • Year and Date
      2015-12-05
    • Related Report
      2015 Research-status Report
  • [Presentation] 看護師の倫理的悩みと労働環境およびバーンアウトに関する実態調査2015

    • Author(s)
      谷川千佳子
    • Organizer
      第35回日本看護科学学会学術集会
    • Place of Presentation
      広島国際会議場
    • Year and Date
      2015-12-05
    • Related Report
      2015 Research-status Report
  • [Presentation] 看護師の倫理的悩み尺度(JMDS-R)改訂版日本語版の信頼性と妥当性の検討2015

    • Author(s)
      玉田雅美
    • Organizer
      第35回日本看護科学学会学術集会
    • Place of Presentation
      広島国際会議場
    • Year and Date
      2015-12-05
    • Related Report
      2015 Research-status Report
  • [Book] 看護倫理2014

    • Author(s)
      松葉祥一、石原逸子、吉田みつ子他6名
    • Total Pages
      220
    • Publisher
      医学書院
    • Related Report
      2013 Research-status Report
  • [Funded Workshop] 看護師の労働環境と産業保健国際シンポジウム2017

    • Place of Presentation
      神戸市看護大学ホール
    • Related Report
      2016 Annual Research Report

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Published: 2014-07-25   Modified: 2019-07-29  

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