The Relationship Between Anger, Moral Distress, and Self-esteem in Nurses

Introduction: Due to stressful work conditions, nurses are constantly exposed to various emotions and stressors such as anger and moral distress that threaten their mental health. On the other hand, self-esteem is one of the personality traits essential for people's mental health and improving...

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Main Authors: Tahereh Heidari, Vida Shafipour, Samae Shamshiri, Seyed-Nouraddin Mousavinasab, Yadollah Jannati
Format: Article
Language:English
Published: Guilan University of Medical Sciences 2022-08-01
Series:Journal of Holistic Nursing and Midwifery
Online Access:https://hnmj.gums.ac.ir/article-1-1947-en.pdf
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author Tahereh Heidari
Vida Shafipour
Samae Shamshiri
Seyed-Nouraddin Mousavinasab
Yadollah Jannati
author_facet Tahereh Heidari
Vida Shafipour
Samae Shamshiri
Seyed-Nouraddin Mousavinasab
Yadollah Jannati
author_sort Tahereh Heidari
collection DOAJ
description Introduction: Due to stressful work conditions, nurses are constantly exposed to various emotions and stressors such as anger and moral distress that threaten their mental health. On the other hand, self-esteem is one of the personality traits essential for people's mental health and improving their performance. Objective: The present study investigates the relationship between anger, moral distress, and self-esteem in nurses. Materials and Methods: This analytical correlational study was conducted on nurses working in the hospitals affiliated with the non-profit organization of Mazandaran Social Security Insurance from August to November 2018. Two hundred nurses were selected for this study via stratified random sampling. The study data were collected using the Cooper-Smith self-esteem inventory, Hamric moral distress scale, and state-trait anger expression inventory. The collected data were analyzed using the Mann-Whitney and Kruskal-Wallis tests, and path analysis was used for testing the conceptual model. Results: The mean±SD age of the nurses was 36.24±5.37 years. The mean ±SD anger, self-esteem, and moral distress scores were 113.68 ± 15.04, 26.61 ± 3.49, and 65.66 ± 35.88, respectively. The results of the path analysis model suggested an inverse causal relationship between self-esteem and moral distress (P<0.05). This model also indicated a significant inverse relationship between self-esteem and anger (P=0.01). Conclusion: As the results show, the nurses' self-esteem can mitigate the adverse effects of moral distress and anger. These results show the significant psychological interventions in controlling anger and promoting self-esteem and reducing moral distress among nurses.
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spelling doaj-art-d9267bd6535f4cdfbbb2e32c34b7d08f2024-12-02T06:15:02ZengGuilan University of Medical SciencesJournal of Holistic Nursing and Midwifery2588-37122588-37202022-08-0132410.32598/jhnm.32.4.2216The Relationship Between Anger, Moral Distress, and Self-esteem in NursesTahereh HeidariVida ShafipourSamae ShamshiriSeyed-Nouraddin MousavinasabYadollah JannatiIntroduction: Due to stressful work conditions, nurses are constantly exposed to various emotions and stressors such as anger and moral distress that threaten their mental health. On the other hand, self-esteem is one of the personality traits essential for people's mental health and improving their performance. Objective: The present study investigates the relationship between anger, moral distress, and self-esteem in nurses. Materials and Methods: This analytical correlational study was conducted on nurses working in the hospitals affiliated with the non-profit organization of Mazandaran Social Security Insurance from August to November 2018. Two hundred nurses were selected for this study via stratified random sampling. The study data were collected using the Cooper-Smith self-esteem inventory, Hamric moral distress scale, and state-trait anger expression inventory. The collected data were analyzed using the Mann-Whitney and Kruskal-Wallis tests, and path analysis was used for testing the conceptual model. Results: The mean±SD age of the nurses was 36.24±5.37 years. The mean ±SD anger, self-esteem, and moral distress scores were 113.68 ± 15.04, 26.61 ± 3.49, and 65.66 ± 35.88, respectively. The results of the path analysis model suggested an inverse causal relationship between self-esteem and moral distress (P<0.05). This model also indicated a significant inverse relationship between self-esteem and anger (P=0.01). Conclusion: As the results show, the nurses' self-esteem can mitigate the adverse effects of moral distress and anger. These results show the significant psychological interventions in controlling anger and promoting self-esteem and reducing moral distress among nurses.https://hnmj.gums.ac.ir/article-1-1947-en.pdf
spellingShingle Tahereh Heidari
Vida Shafipour
Samae Shamshiri
Seyed-Nouraddin Mousavinasab
Yadollah Jannati
The Relationship Between Anger, Moral Distress, and Self-esteem in Nurses
Journal of Holistic Nursing and Midwifery
title The Relationship Between Anger, Moral Distress, and Self-esteem in Nurses
title_full The Relationship Between Anger, Moral Distress, and Self-esteem in Nurses
title_fullStr The Relationship Between Anger, Moral Distress, and Self-esteem in Nurses
title_full_unstemmed The Relationship Between Anger, Moral Distress, and Self-esteem in Nurses
title_short The Relationship Between Anger, Moral Distress, and Self-esteem in Nurses
title_sort relationship between anger moral distress and self esteem in nurses
url https://hnmj.gums.ac.ir/article-1-1947-en.pdf
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