جستجوی مقالات مرتبط با کلیدواژه "moral injury" در نشریات گروه "پزشکی"

Veterans are one of the sections of society that suffer various injuries in different dimensions of life due to physical problems, therefore their quality of life is affected more than any other factor. Therefore, the present research was conducted to investigate the model of predicting the quality of life of veterans based on schema modes, moral injury, and existential anxiety. The current research is descriptive and correlational type. The statistical population studied included all the veterans covered by Shahid Foundation of Isfahan, and 320 veterans were selected from that. Quality of life questionnaire, schema modes, questionnaire, moral injury questionnaire, and existential anxiety questionnaire were used to measure research variables. Finally, the data were analized in SPSS software version 24, Lisrel version 11, and Amos version 26. The model for predicting the quality of life of veterans based on schema modes, moral injury, and existential anxiety is appropriate (P>0.01). Therefore, based on the results, it can be stated that the most important effective, and significant factor that has reduced the quality of life of the veterans in the 8 years of the holy defense is existential anxiety. According to the results of the research, it can be inferred that by examining and developing treatment packages to reduce existential anxiety, it is possible to help improve the quality of life of veterans.

Intensive Care Units (ICUs) are considered as one of the most complex hospital units due to their high sensitivity and special conditions. Therefore, nurses in special care departments experience many challenges such as moral injury and conflict with management elements that can affect their performance and health. Moral injury is defined as guilt, social isolation and emotional numbness, which can affect the performance and physical and mental health of nurses. Therefore, the present study was conducted with the aim of investigating the relationship between moral injury in nurses and the ethical climate of critical care units.

The present study was a cross sectional research that was conducted in 2022 in the ICU and Critical Care Unit (CCU) departments of hospitals affiliated to Tabriz University of Medical Sciences. The study population included 266 nurses working in CCUs who were selected by simple random method. Research tools included demographic questionnaire, moral injury questionnaire and ethical climate.

According to the findings of the present study, the average score of the ethical climate of special care units in general was 77.31 ± 6.84 and the average score of moral injury among nurses was 40.67 ± 3.93, which indicates the favorable ethical climate of ICUs and severe moral injury in nurses working in these departments. Among the different dimensions of Ethical climate, the highest score was related to the instrumental dimension with an average of 22.65 ± 3.57 and the lowest score was related to the independent dimension with an average of9.11 ± 2.13. By using the Pearson's correlation coefficient, no significant relationship was observed between ethical climate and moral injury. However, moral injury had a significant and inverse relationship with the organization's ethical climate rules and regulations subscale (P = 0.24, r = -1.38) and had no statistically significant relationship with the other ethical climate subscales (P>0.05).

The findings showed that there is no significant relationship between the moral injury of nurses and the ethical climate of CCUs. Therefore, moral injury in nurses includes complex components and concepts that can be influenced by several factors. Also, the findings showed that the increase in organizational rules and regulations in CCUs will reduce the moral injury in nurses working in CCUs, so managers and trustees of medical systems should pay attention to this issue and take measures. Practices can reduce moral injury and also increase health and job satisfaction in nurses.

Working at different levels of the military may cause a person not to follow moral standards properly, so it is necessary to use efficient tools to detect the signs of moral injury. In this regard, the present study was conducted to investigate the psychometric properties of the Persian version of the scale of moral injury symptoms in a military unit. This study was a descriptive evaluation consisting of 402 soldiers of a military unit in Tehran in 2022-2023, who were selected by the available sampling method. Soldiers completed a demographic checklist, moral injury symptom scale (MISS), post-traumatic stress disorder scale (PTSD), and mental health scale (MHC-SF). The psychometric properties of the moral injury symptoms scale were analyzed by confirmatory factor analysis test and Cronbach's alpha coefficient in SPSS version 24 and R software version 4.1 at a significance level of 0.05. The content validity of the questionnaire items was found to be satisfactory in terms of quality. The factor analysis results indicated the existence of a ten-factor structure for the scale of moral injury symptoms. The RMSEA of the model was equal to 0.04 and the SRMR index was equal to 0.07, indicating the model's appropriateness. The calculated values of other indices (GFI, CFI, NFI, NNFI, and IFI) were 0.96, 0.98, 0.95, 0.98, and 0.97 respectively, which indicates the acceptability of the model. Cronbach's alpha coefficient was also 0.96. The findings indicate the construct validity and acceptable validity of the moral injury symptoms scale in the military and the structure of this scale can be used to screen the moral injury symptoms in the military and soldiers.