Melissa Hawkins, Sarah Irvine Belson, Robin McClave, Lauren Kohls, Sarah Little, Anastasia Snelling
Healthy Schoolhouse 2.0 Health Promotion Intervention to Reduce Childhood Obesity in Washington, DC: A Feasibility Study
Nutrients
research shown moral distress negatively impacts nurses patients organizations however several scholars argued opportunity positive outcomes thus factors may mitigate moral distress catalyze positive change need explored purpose study explore relationships among structural psychological empowerment psychiatric staff nurses experience moral distress strategies coping moral distress descriptive crosssectional correlational study total 180 registered nurses working psychiatric hospitals japan participated study examined relationships among key variables using four questionnaires assess structural psychological empowerment moral distress psychiatric nurses coping strategies statistical analyses correlations multiple regressions conducted study approved institutional review board authors affiliated university psychiatric nurses perceived moderate levels structural psychological empowerment experiences moral distress related low staffing structural empowerment negatively related frequency moral distress intensity contrary expectations psychological empowerment found mitigate nurses moral distress multivariate regression analyses revealed significant predictors moral distress leaving issues unresolved coping style problemsolving coping style lack formal power explained 35 22 variance frequency intensity moral distress respectively psychiatric hospitals japan nurses experience moral distress compromises quality care provide therefore formal support nurses voicing investigating moral concerns required bestow formal power establishing ward culture includes shared governance