Moral caring competency and moral distress among Ghanaian nurses in adult care settings: A descriptive-correlational study
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Keywords

moral caring competency
moral distress
moral dilemmas
Ghana
nurses
hospitals
patient care
descriptive-correlational study

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Antwi, R. S., & Galanza, J. (2024). Moral caring competency and moral distress among Ghanaian nurses in adult care settings: A descriptive-correlational study. Belitung Nursing Journal, 10(2), 134–142. https://doi.org/10.33546/bnj.3168
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Accepted for publication: 2024-02-17
Peer reviewed: Yes

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Abstract

Background: Nurses in adult care settings frequently encounter moral distress due to the daily ethical obligations they must fulfill. In contrast to other healthcare professionals, nurses often grapple with a heightened frequency of moral dilemmas, resulting in increased moral distress.

Objective: This study aimed to explore the levels and relationship between moral caring competency and moral distress among Ghanaian nurses in adult care settings.

Methods: This quantitative study utilized a descriptive-correlational design. A multistage sampling was used to select three public hospitals. Simple random sampling was used to recruit 231 nurses from the three public hospitals. Data were collected from June to July 2023 using validated questionnaires. The study utilized frequency and percentages, mean and standard deviation, and Spearman’s Correlation.

Results: The nurses had a low level of moral caring competency (M = 2.18, SD = 0.340). The composite moral distress score was 227.31, indicating a high level of moral distress among the nurses. Furthermore, there was a moderate, negative significant relationship between moral caring competency and moral distress (rs= -.474, N = 231, p <0.001). 

Conclusions: Nurses in public hospitals had limited personal cognitive, affective, and psychomotor abilities to address patient moral issues. The nurses also experience significant moral distress when delivering patient care. Furthermore, to decrease the level of moral distress, moral caring competency should be strengthened among nurses. Therefore, it is recommended that nurse administrators provide adequate organizational support and implement continuous moral training to improve nurses’ moral caring competency and mitigate their moral distress. Healthcare policymakers are encouraged to develop or refine policies to navigate moral dilemmas and reduce moral distress among nurses. Future studies employing qualitative designs can explore the influence of culture on moral caring competency within the Ghanaian setting.

https://doi.org/10.33546/bnj.3168
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Copyright (c) 2024 Rachel Serwaah Antwi, Jefferson Galanza

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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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Declaration of Conflicting Interest

The authors have declared no conflict of interest in this study.

Acknowledgment

The authors acknowledge and express gratitude to the School of Advanced Studies nursing faculty of Saint Louis University, Philippines. The authors also thank the research assistants and all study participants.

Authors’ Contributions

RA and JG made substantial contributions to conceptualizing the topic area, literature review, data collection and interpretations, revisions, and preparation of the final version. RA and JG approve of the final version to be published. RA and JG agree to be accountable for all aspects of the work.

Data Availability

The datasets generated and analyzed during the current study are available from the corresponding author upon reasonable request.

Declaration of Use of AI in Scientific Writing

There is nothing to disclose.


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