Designing a Model of Crisis Management with the Approach of Moral Distress Management with a Mixed Method

In today's complex and dynamic world, organizations are increasingly faced with various crises, including natural, economic, social and moral crises. These crises not only threaten the performance and survival of organizations, but also affect the mental health and well-being of employees. One of the most important challenges that organizations face after a crisis is managing moral distress among employees. Therefore, the aim of the research is to design a model of crisis management with the approach of moral distress management with a mixed method. It is practical in terms of purpose and exploratory in terms of nature, which was analyzed with a mixed (qualitative-quantitative) approach. In order to identify the components of the model, qualitative method and semi-structured interviews were used. Qualitative part, 15 experts, including top academic professors of public administration and senior managers of Iranian medical sciences, who were selected in a targeted way. The analysis of the qualitative part was done using the Foundation's data analysis method and MaxQuda software. In the quantitative part, the structural equation modeling approach was used by PLS software to fit the designed model. The quantitative statistical population consisted of 245 managers, experts and employees of the University of Medical Sciences who were selected by stratified random method. The data collection tool was a questionnaire based on qualitative findings, whose validity and reliability were confirmed. The qualitative section showed that 7 main categories including: job stress, moral distress, crisis management, corona disease situation, organization strategy, professional ethics, job burnout and 15 sub-categories were identified. In the quantitative part, it was also determined that there is a meaningful relationship between the crisis management with the moral distress management approach and the factors, and the designed model has an acceptable fit. Crisis management with the moral distress management approach can help improve the performance of organizations, increase employee satisfaction, and ultimately, increase the resilience of society