The Relationship between Health Anxiety and Perceived Stress with Moral Distress in Emergency Nurses: The Mediating Role of Distress Tolerance

Background: Nurses in emergency departments are exposed to stress and ethical issues due to the specific nature of their job. Therefore, the aim of the present study was to present a relationship between health anxiety and perceived stress with Moral distress and mediation of turmoil tolerance in em...

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Main Authors: Ziba Soltani, Hadi Ebrahimi, Sara Mousa Niai Maddah, Ali Jahanian
Format: Article
Language:English
Published: Negah Institute for Scientific Communication 2022-04-01
Series:Health in Emergencies & Disasters Quarterly
Subjects:
Online Access:http://hdq.uswr.ac.ir/article-1-358-en.html
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author Ziba Soltani
Hadi Ebrahimi
Sara Mousa Niai Maddah
Ali Jahanian
author_facet Ziba Soltani
Hadi Ebrahimi
Sara Mousa Niai Maddah
Ali Jahanian
author_sort Ziba Soltani
collection DOAJ
description Background: Nurses in emergency departments are exposed to stress and ethical issues due to the specific nature of their job. Therefore, the aim of the present study was to present a relationship between health anxiety and perceived stress with Moral distress and mediation of turmoil tolerance in emergency department nurses. Methods: This descriptive correlational study was performed on 230 emergency nurses in Tehran in 1399 using available sampling method. In this study, the Cohen, Kamark and Marmelstein (1983) Perceived Stress Questionnaire, Salkowski and Warwick (2002), Simmons and Gahr (2005) Perturbation Tolerance, and Jamton's Moral Perturbation Questionnaire were used. Data analysis was performed by path analysis using SPSS-24 and Amos-24 software. Results: The findings of the study showed that perceived stress (t = 5.58) and health anxiety (t = 7.1) had a positive and direct effect on Moral distress and distress Tolerance(t = 8.33) on Moral distress. The effect is negative and direct (P <0.01). The results also showed that disturbance tolerance has a mediating role in the relationship between perceived fear and health anxiety with moral distress (P <0.01). Conclusion: distress Tolerance mediates the relationship between perceived stress and health anxiety with Moral distress. The findings of this study can be used to improve the degree of distress Tolerance and improve the level of work ethic and reduce the Moral distress of emergency department nurses.
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spelling doaj.art-96a14d07770448e7aa5e4e45dc1c02232022-12-22T01:41:29ZengNegah Institute for Scientific CommunicationHealth in Emergencies & Disasters Quarterly2345-42102022-04-0173127134The Relationship between Health Anxiety and Perceived Stress with Moral Distress in Emergency Nurses: The Mediating Role of Distress ToleranceZiba Soltani0Hadi Ebrahimi1Sara Mousa Niai Maddah2Ali Jahanian3 Department of Psychology and Educational Sciences, Payame Noor University, Tehran, Iran. Department of Counseling, Faculty of Educational Sciences and Psychology, Mohaghegh Ardabili University, Ardabil, Iran. Department Psychology, Faculty of Human Sciences, Bandar Abbas Branch, Islamic Azad University, Bandar Abbas, Iran. Department of Counseling, Faculty of Educational Sciences and Psychology, Kharazmi University, Tehran, Iran. Background: Nurses in emergency departments are exposed to stress and ethical issues due to the specific nature of their job. Therefore, the aim of the present study was to present a relationship between health anxiety and perceived stress with Moral distress and mediation of turmoil tolerance in emergency department nurses. Methods: This descriptive correlational study was performed on 230 emergency nurses in Tehran in 1399 using available sampling method. In this study, the Cohen, Kamark and Marmelstein (1983) Perceived Stress Questionnaire, Salkowski and Warwick (2002), Simmons and Gahr (2005) Perturbation Tolerance, and Jamton's Moral Perturbation Questionnaire were used. Data analysis was performed by path analysis using SPSS-24 and Amos-24 software. Results: The findings of the study showed that perceived stress (t = 5.58) and health anxiety (t = 7.1) had a positive and direct effect on Moral distress and distress Tolerance(t = 8.33) on Moral distress. The effect is negative and direct (P <0.01). The results also showed that disturbance tolerance has a mediating role in the relationship between perceived fear and health anxiety with moral distress (P <0.01). Conclusion: distress Tolerance mediates the relationship between perceived stress and health anxiety with Moral distress. The findings of this study can be used to improve the degree of distress Tolerance and improve the level of work ethic and reduce the Moral distress of emergency department nurses.http://hdq.uswr.ac.ir/article-1-358-en.htmlhealth anxietyperceived stressmoral distressdistress toleranceemergency nurses
spellingShingle Ziba Soltani
Hadi Ebrahimi
Sara Mousa Niai Maddah
Ali Jahanian
The Relationship between Health Anxiety and Perceived Stress with Moral Distress in Emergency Nurses: The Mediating Role of Distress Tolerance
Health in Emergencies & Disasters Quarterly
health anxiety
perceived stress
moral distress
distress tolerance
emergency nurses
title The Relationship between Health Anxiety and Perceived Stress with Moral Distress in Emergency Nurses: The Mediating Role of Distress Tolerance
title_full The Relationship between Health Anxiety and Perceived Stress with Moral Distress in Emergency Nurses: The Mediating Role of Distress Tolerance
title_fullStr The Relationship between Health Anxiety and Perceived Stress with Moral Distress in Emergency Nurses: The Mediating Role of Distress Tolerance
title_full_unstemmed The Relationship between Health Anxiety and Perceived Stress with Moral Distress in Emergency Nurses: The Mediating Role of Distress Tolerance
title_short The Relationship between Health Anxiety and Perceived Stress with Moral Distress in Emergency Nurses: The Mediating Role of Distress Tolerance
title_sort relationship between health anxiety and perceived stress with moral distress in emergency nurses the mediating role of distress tolerance
topic health anxiety
perceived stress
moral distress
distress tolerance
emergency nurses
url http://hdq.uswr.ac.ir/article-1-358-en.html
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