Is nurses’ clinical competence associated with their moral identity and injury?
Background The enhancement of nursing care quality is closely related to the clinical competence of nurses, making it a crucial component within health systems. Objective The present study investigated the relationship between nurses’ clinical competence, moral identity, and moral injury during the...
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| Veröffentlicht in: | Nursing ethics 2024-09, Vol.31 (6), p.1106-1119 |
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| creator | Teng, Yue Dehghan, Mahlagha Hossini Rafsanjanipoor, Sayed Mortaza Altwalbeh, Diala Riyahi, Zahra Farahmandnia, Hojjat Zeidabadi, Ali Zakeri, Mohammad Ali |
| description | Background
The enhancement of nursing care quality is closely related to the clinical competence of nurses, making it a crucial component within health systems.
Objective
The present study investigated the relationship between nurses’ clinical competence, moral identity, and moral injury during the COVID-19 outbreak.
Research design
This cross-sectional study was carried out among frontline nurses, using the Moral Identity Questionnaire (MIQ), the Moral Injury Symptom Scale-Healthcare Professionals version (MISS-HP), and the Competency Inventory for Registered Nurse (CIRN) as data collection tools.
Participants
and research context: The research population for this study consisted of all frontline nurses (n = 251) employed in a hospital in southern Iran. Sampling was conducted between May 1, 2021 and September 30, 2021, during the COVID-19 outbreak.
Ethical considerations
The present study received approval from the research ethics committee of Rafsanjan University of Medical Sciences, with project No. 99267 and code of ethics ID No. IR. RUMS.REC.1399.262, dated 15.02.2021.
Results
According to the study findings, 42.2% of the nurses demonstrated high clinical competence, while 51.4% exhibited moderate clinical competence. The results indicated a positive correlation between moral identity and clinical competence but a negative correlation between moral injury and clinical competence. Furthermore, the variables of moral identity and moral injury were found to predict 10% of the variance in clinical competence.
Conclusion
According to the results, moral identity and moral injury had an impact on the clinical competence of nurses. Therefore, implementing a program aimed at enhancing moral identity and providing training strategies to address moral injury during crises like the COVID-19 pandemic can lead to improvements in nurses’ clinical competence and the overall quality of care they provide. |
| doi_str_mv | 10.1177/09697330231209284 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2887474364</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_09697330231209284</sage_id><sourcerecordid>3110746855</sourcerecordid><originalsourceid>FETCH-LOGICAL-c320t-dd17cbf89d26bba7825aea5df5ce0e72e7521159287ffa1571194fc4fbf3a15c3</originalsourceid><addsrcrecordid>eNp1kMtKA0EQRRtRTIx-gBtpcONmYr8mNbMSCb4gIIKuh56eatNhHrF7BsnO3_D3_BInJCooroqizr1VdQk55mzMOcA5SycpSMmE5IKlIlE7ZMgVQMTSJN0lw_U8WgMDchDCgjEGIoF9MpCQSlBCDcnDXaB15wOGj7d3akpXO6NLappqiS3WBqkOoTFOt1jQV9fOaTtH52nV-B5zBdata1dU1wV19aLzq4tDsmd1GfBoW0fk6frqcXobze5v7qaXs8hIwdqoKDiY3CZpISZ5riERsUYdFzY2yBAEQiw4j_uvwFrNY-A8VdYom1vZt0aOyNnGd-mblw5Dm1UuGCxLXWPThUwkCShQcqJ69PQXumg6X_fXZZJzBmqSxHFP8Q1lfBOCR5stvau0X2WcZeu8sz9595qTrXOXV1h8K74C7oHxBgj6GX_W_u_4CUkaiMM</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3110746855</pqid></control><display><type>article</type><title>Is nurses’ clinical competence associated with their moral identity and injury?</title><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>MEDLINE</source><source>SAGE Journals</source><creator>Teng, Yue ; Dehghan, Mahlagha ; Hossini Rafsanjanipoor, Sayed Mortaza ; Altwalbeh, Diala ; Riyahi, Zahra ; Farahmandnia, Hojjat ; Zeidabadi, Ali ; Zakeri, Mohammad Ali</creator><creatorcontrib>Teng, Yue ; Dehghan, Mahlagha ; Hossini Rafsanjanipoor, Sayed Mortaza ; Altwalbeh, Diala ; Riyahi, Zahra ; Farahmandnia, Hojjat ; Zeidabadi, Ali ; Zakeri, Mohammad Ali</creatorcontrib><description>Background
The enhancement of nursing care quality is closely related to the clinical competence of nurses, making it a crucial component within health systems.
Objective
The present study investigated the relationship between nurses’ clinical competence, moral identity, and moral injury during the COVID-19 outbreak.
Research design
This cross-sectional study was carried out among frontline nurses, using the Moral Identity Questionnaire (MIQ), the Moral Injury Symptom Scale-Healthcare Professionals version (MISS-HP), and the Competency Inventory for Registered Nurse (CIRN) as data collection tools.
Participants
and research context: The research population for this study consisted of all frontline nurses (n = 251) employed in a hospital in southern Iran. Sampling was conducted between May 1, 2021 and September 30, 2021, during the COVID-19 outbreak.
Ethical considerations
The present study received approval from the research ethics committee of Rafsanjan University of Medical Sciences, with project No. 99267 and code of ethics ID No. IR. RUMS.REC.1399.262, dated 15.02.2021.
Results
According to the study findings, 42.2% of the nurses demonstrated high clinical competence, while 51.4% exhibited moderate clinical competence. The results indicated a positive correlation between moral identity and clinical competence but a negative correlation between moral injury and clinical competence. Furthermore, the variables of moral identity and moral injury were found to predict 10% of the variance in clinical competence.
Conclusion
According to the results, moral identity and moral injury had an impact on the clinical competence of nurses. Therefore, implementing a program aimed at enhancing moral identity and providing training strategies to address moral injury during crises like the COVID-19 pandemic can lead to improvements in nurses’ clinical competence and the overall quality of care they provide.</description><identifier>ISSN: 0969-7330</identifier><identifier>ISSN: 1477-0989</identifier><identifier>EISSN: 1477-0989</identifier><identifier>DOI: 10.1177/09697330231209284</identifier><identifier>PMID: 37937424</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Adult ; Clinical competence ; Clinical Competence - standards ; Clinical Competence - statistics & numerical data ; Clinical nursing ; Clinical skills ; Codes of conduct ; Competence ; COVID-19 ; COVID-19 - nursing ; Cross-Sectional Studies ; Ethics ; Female ; Health status ; Humans ; Identity ; Injuries ; Iran ; Male ; Medical personnel ; Middle Aged ; Moral injury ; Morality ; Morals ; Nurses ; Nurses - psychology ; Nurses - statistics & numerical data ; Nursing care ; Nursing Staff, Hospital - ethics ; Nursing Staff, Hospital - psychology ; Nursing Staff, Hospital - statistics & numerical data ; Pandemics ; Quality of care ; Research ethics ; SARS-CoV-2 ; Surveys and Questionnaires</subject><ispartof>Nursing ethics, 2024-09, Vol.31 (6), p.1106-1119</ispartof><rights>The Author(s) 2023</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c320t-dd17cbf89d26bba7825aea5df5ce0e72e7521159287ffa1571194fc4fbf3a15c3</cites><orcidid>0000-0003-1500-391X ; 0000-0002-4205-829X ; 0000-0002-7548-5618</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/09697330231209284$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/09697330231209284$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,30999,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37937424$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Teng, Yue</creatorcontrib><creatorcontrib>Dehghan, Mahlagha</creatorcontrib><creatorcontrib>Hossini Rafsanjanipoor, Sayed Mortaza</creatorcontrib><creatorcontrib>Altwalbeh, Diala</creatorcontrib><creatorcontrib>Riyahi, Zahra</creatorcontrib><creatorcontrib>Farahmandnia, Hojjat</creatorcontrib><creatorcontrib>Zeidabadi, Ali</creatorcontrib><creatorcontrib>Zakeri, Mohammad Ali</creatorcontrib><title>Is nurses’ clinical competence associated with their moral identity and injury?</title><title>Nursing ethics</title><addtitle>Nurs Ethics</addtitle><description>Background
The enhancement of nursing care quality is closely related to the clinical competence of nurses, making it a crucial component within health systems.
Objective
The present study investigated the relationship between nurses’ clinical competence, moral identity, and moral injury during the COVID-19 outbreak.
Research design
This cross-sectional study was carried out among frontline nurses, using the Moral Identity Questionnaire (MIQ), the Moral Injury Symptom Scale-Healthcare Professionals version (MISS-HP), and the Competency Inventory for Registered Nurse (CIRN) as data collection tools.
Participants
and research context: The research population for this study consisted of all frontline nurses (n = 251) employed in a hospital in southern Iran. Sampling was conducted between May 1, 2021 and September 30, 2021, during the COVID-19 outbreak.
Ethical considerations
The present study received approval from the research ethics committee of Rafsanjan University of Medical Sciences, with project No. 99267 and code of ethics ID No. IR. RUMS.REC.1399.262, dated 15.02.2021.
Results
According to the study findings, 42.2% of the nurses demonstrated high clinical competence, while 51.4% exhibited moderate clinical competence. The results indicated a positive correlation between moral identity and clinical competence but a negative correlation between moral injury and clinical competence. Furthermore, the variables of moral identity and moral injury were found to predict 10% of the variance in clinical competence.
Conclusion
According to the results, moral identity and moral injury had an impact on the clinical competence of nurses. Therefore, implementing a program aimed at enhancing moral identity and providing training strategies to address moral injury during crises like the COVID-19 pandemic can lead to improvements in nurses’ clinical competence and the overall quality of care they provide.</description><subject>Adult</subject><subject>Clinical competence</subject><subject>Clinical Competence - standards</subject><subject>Clinical Competence - statistics & numerical data</subject><subject>Clinical nursing</subject><subject>Clinical skills</subject><subject>Codes of conduct</subject><subject>Competence</subject><subject>COVID-19</subject><subject>COVID-19 - nursing</subject><subject>Cross-Sectional Studies</subject><subject>Ethics</subject><subject>Female</subject><subject>Health status</subject><subject>Humans</subject><subject>Identity</subject><subject>Injuries</subject><subject>Iran</subject><subject>Male</subject><subject>Medical personnel</subject><subject>Middle Aged</subject><subject>Moral injury</subject><subject>Morality</subject><subject>Morals</subject><subject>Nurses</subject><subject>Nurses - psychology</subject><subject>Nurses - statistics & numerical data</subject><subject>Nursing care</subject><subject>Nursing Staff, Hospital - ethics</subject><subject>Nursing Staff, Hospital - psychology</subject><subject>Nursing Staff, Hospital - statistics & numerical data</subject><subject>Pandemics</subject><subject>Quality of care</subject><subject>Research ethics</subject><subject>SARS-CoV-2</subject><subject>Surveys and Questionnaires</subject><issn>0969-7330</issn><issn>1477-0989</issn><issn>1477-0989</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNp1kMtKA0EQRRtRTIx-gBtpcONmYr8mNbMSCb4gIIKuh56eatNhHrF7BsnO3_D3_BInJCooroqizr1VdQk55mzMOcA5SycpSMmE5IKlIlE7ZMgVQMTSJN0lw_U8WgMDchDCgjEGIoF9MpCQSlBCDcnDXaB15wOGj7d3akpXO6NLappqiS3WBqkOoTFOt1jQV9fOaTtH52nV-B5zBdata1dU1wV19aLzq4tDsmd1GfBoW0fk6frqcXobze5v7qaXs8hIwdqoKDiY3CZpISZ5riERsUYdFzY2yBAEQiw4j_uvwFrNY-A8VdYom1vZt0aOyNnGd-mblw5Dm1UuGCxLXWPThUwkCShQcqJ69PQXumg6X_fXZZJzBmqSxHFP8Q1lfBOCR5stvau0X2WcZeu8sz9595qTrXOXV1h8K74C7oHxBgj6GX_W_u_4CUkaiMM</recordid><startdate>20240901</startdate><enddate>20240901</enddate><creator>Teng, Yue</creator><creator>Dehghan, Mahlagha</creator><creator>Hossini Rafsanjanipoor, Sayed Mortaza</creator><creator>Altwalbeh, Diala</creator><creator>Riyahi, Zahra</creator><creator>Farahmandnia, Hojjat</creator><creator>Zeidabadi, Ali</creator><creator>Zakeri, Mohammad Ali</creator><general>SAGE Publications</general><general>SAGE PUBLICATIONS, INC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-1500-391X</orcidid><orcidid>https://orcid.org/0000-0002-4205-829X</orcidid><orcidid>https://orcid.org/0000-0002-7548-5618</orcidid></search><sort><creationdate>20240901</creationdate><title>Is nurses’ clinical competence associated with their moral identity and injury?</title><author>Teng, Yue ; Dehghan, Mahlagha ; Hossini Rafsanjanipoor, Sayed Mortaza ; Altwalbeh, Diala ; Riyahi, Zahra ; Farahmandnia, Hojjat ; Zeidabadi, Ali ; Zakeri, Mohammad Ali</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c320t-dd17cbf89d26bba7825aea5df5ce0e72e7521159287ffa1571194fc4fbf3a15c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Clinical competence</topic><topic>Clinical Competence - standards</topic><topic>Clinical Competence - statistics & numerical data</topic><topic>Clinical nursing</topic><topic>Clinical skills</topic><topic>Codes of conduct</topic><topic>Competence</topic><topic>COVID-19</topic><topic>COVID-19 - nursing</topic><topic>Cross-Sectional Studies</topic><topic>Ethics</topic><topic>Female</topic><topic>Health status</topic><topic>Humans</topic><topic>Identity</topic><topic>Injuries</topic><topic>Iran</topic><topic>Male</topic><topic>Medical personnel</topic><topic>Middle Aged</topic><topic>Moral injury</topic><topic>Morality</topic><topic>Morals</topic><topic>Nurses</topic><topic>Nurses - psychology</topic><topic>Nurses - statistics & numerical data</topic><topic>Nursing care</topic><topic>Nursing Staff, Hospital - ethics</topic><topic>Nursing Staff, Hospital - psychology</topic><topic>Nursing Staff, Hospital - statistics & numerical data</topic><topic>Pandemics</topic><topic>Quality of care</topic><topic>Research ethics</topic><topic>SARS-CoV-2</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Teng, Yue</creatorcontrib><creatorcontrib>Dehghan, Mahlagha</creatorcontrib><creatorcontrib>Hossini Rafsanjanipoor, Sayed Mortaza</creatorcontrib><creatorcontrib>Altwalbeh, Diala</creatorcontrib><creatorcontrib>Riyahi, Zahra</creatorcontrib><creatorcontrib>Farahmandnia, Hojjat</creatorcontrib><creatorcontrib>Zeidabadi, Ali</creatorcontrib><creatorcontrib>Zakeri, Mohammad Ali</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Nursing ethics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Teng, Yue</au><au>Dehghan, Mahlagha</au><au>Hossini Rafsanjanipoor, Sayed Mortaza</au><au>Altwalbeh, Diala</au><au>Riyahi, Zahra</au><au>Farahmandnia, Hojjat</au><au>Zeidabadi, Ali</au><au>Zakeri, Mohammad Ali</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Is nurses’ clinical competence associated with their moral identity and injury?</atitle><jtitle>Nursing ethics</jtitle><addtitle>Nurs Ethics</addtitle><date>2024-09-01</date><risdate>2024</risdate><volume>31</volume><issue>6</issue><spage>1106</spage><epage>1119</epage><pages>1106-1119</pages><issn>0969-7330</issn><issn>1477-0989</issn><eissn>1477-0989</eissn><abstract>Background
The enhancement of nursing care quality is closely related to the clinical competence of nurses, making it a crucial component within health systems.
Objective
The present study investigated the relationship between nurses’ clinical competence, moral identity, and moral injury during the COVID-19 outbreak.
Research design
This cross-sectional study was carried out among frontline nurses, using the Moral Identity Questionnaire (MIQ), the Moral Injury Symptom Scale-Healthcare Professionals version (MISS-HP), and the Competency Inventory for Registered Nurse (CIRN) as data collection tools.
Participants
and research context: The research population for this study consisted of all frontline nurses (n = 251) employed in a hospital in southern Iran. Sampling was conducted between May 1, 2021 and September 30, 2021, during the COVID-19 outbreak.
Ethical considerations
The present study received approval from the research ethics committee of Rafsanjan University of Medical Sciences, with project No. 99267 and code of ethics ID No. IR. RUMS.REC.1399.262, dated 15.02.2021.
Results
According to the study findings, 42.2% of the nurses demonstrated high clinical competence, while 51.4% exhibited moderate clinical competence. The results indicated a positive correlation between moral identity and clinical competence but a negative correlation between moral injury and clinical competence. Furthermore, the variables of moral identity and moral injury were found to predict 10% of the variance in clinical competence.
Conclusion
According to the results, moral identity and moral injury had an impact on the clinical competence of nurses. Therefore, implementing a program aimed at enhancing moral identity and providing training strategies to address moral injury during crises like the COVID-19 pandemic can lead to improvements in nurses’ clinical competence and the overall quality of care they provide.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>37937424</pmid><doi>10.1177/09697330231209284</doi><tpages>14</tpages><orcidid>https://orcid.org/0000-0003-1500-391X</orcidid><orcidid>https://orcid.org/0000-0002-4205-829X</orcidid><orcidid>https://orcid.org/0000-0002-7548-5618</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0969-7330 |
| ispartof | Nursing ethics, 2024-09, Vol.31 (6), p.1106-1119 |
| issn | 0969-7330 1477-0989 1477-0989 |
| language | eng |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; SAGE Journals |
| subjects | Adult Clinical competence Clinical Competence - standards Clinical Competence - statistics & numerical data Clinical nursing Clinical skills Codes of conduct Competence COVID-19 COVID-19 - nursing Cross-Sectional Studies Ethics Female Health status Humans Identity Injuries Iran Male Medical personnel Middle Aged Moral injury Morality Morals Nurses Nurses - psychology Nurses - statistics & numerical data Nursing care Nursing Staff, Hospital - ethics Nursing Staff, Hospital - psychology Nursing Staff, Hospital - statistics & numerical data Pandemics Quality of care Research ethics SARS-CoV-2 Surveys and Questionnaires |
| title | Is nurses’ clinical competence associated with their moral identity and injury? |
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