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- Title
Health care reform in Iran: Implications for nurses' moral distress, patient rights, satisfaction and turnover intention.
- Authors
Hatamizadeh, Maryam; Hosseini, Mohammadali; Bernstein, Colleen; Ranjbar, Hadi
- Abstract
Aim: The aim of the present study was to assess the implications of Iran's recent health care reforms on nurses' experience of moral distress, their perceptions of the respect for patient rights and the relationship of these variables to job and income dissatisfaction and turnover intention. Background: Health systems around the world are reforming themselves to adapt to meeting the future needs of increasing patient care to an ever‐growing population. Methods: This was a cross‐sectional correlational study. The participants were 276 nurses at six large private and public hospitals in Tehran, Iran. Findings: Negative correlations were reported between turnover intention and respecting patient rights (r = −0.560, p < 0.001), satisfaction with job (r = −0.710, p < 0.001) and satisfaction with income (r = −0.226, p < 0.001). The correlation between moral distress intensity (r = 0.626, p < 0.001) and frequency (r = 0.701, p < 0.001) was positive with turnover intention. Conclusions: Moral distress was significantly correlated to poor respect for patient rights, poor job satisfaction and income satisfaction and was a major predictor of turnover intention. Implications for Nursing Management: Health system reform must take into account the concomitant increasing workload and its negative impact in order to ensure that reform does not lead to unintentional detrimental outcomes of increased moral distress, decreased satisfaction and increased turnover rates among nursing personnel.
- Subjects
IRAN; WAGES -- Psychological aspects; ANALYSIS of variance; STATISTICAL correlation; ETHICS; HEALTH care reform; WORKING hours; INTENTION; JOB satisfaction; JOB stress; LABOR turnover; RESEARCH methodology; NURSES; NURSES' attitudes; PSYCHOLOGY of nurses; RESEARCH evaluation; RESEARCH funding; STATISTICAL sampling; SCALE analysis (Psychology); T-test (Statistics); PATIENTS' rights; MULTIPLE regression analysis; SOCIOECONOMIC factors; EDUCATIONAL attainment; CROSS-sectional method; DATA analysis software; DESCRIPTIVE statistics
- Publication
Journal of Nursing Management, 2019, Vol 27, Issue 2, p396
- ISSN
0966-0429
- Publication type
Article
- DOI
10.1111/jonm.12699