The Effect of Implementing Self-Compassion Program on Moral Injury of Nursing Students
Abstract
Background: Self-compassion can have a significant role and impact on moral damage, and the positive components of self-compassion (self-kindness, common human sense, and mindfulness) reduce the negative effects of moral damage, so using self-compassion methods can reduce the moral damage caused to nursing students during their studies. Therefore, the present study was conducted with the aim of determining the effect of the self-compassion program on the moral damage of nursing students in 2024.
Methods: In this clinical trial study, 150 nursing students of the 7th and 8th semesters in the intership course of Zahedan School of Nursing in 2023 were randomly selected in two groups of 75, intervention and control. 8 sessions of face-to-face educational program were designed and implemented for students and the degree of application of the programs by them was followed up under the supervision of the researcher. Before and 2 months after the implementation of the intervention, students' moral damage was measured using the moral damage questionnaire. Data were analyzed using independent t, paired t and chi square statistical tests under SPSS 21 statistical software.
Results: The results showed a statistically significant difference for the average score of moral injury between the control and intervention groups (P=0.001). On the other hand, the t-pair test shows a significant increase in the mean score of moral injury two months after the completion of the educational intervention in the intervention group (P=0.001).
Conclusion: The results of the present study showed that the current self-compassion training program can reduce the moral damage of nursing students during the 7th and 8th semesters, before entering the hospital as a professional nurse; Therefore, it is necessary to use it in future planning for nursing students during the 7th and 8th semester.
[2] Zhang N, Li J, Bu X, Gong Z-X. The relationship between ethical climate and nursing service behavior in public and private hospitals: a cross-sectional study in China. BMC nursing. 2021; 20(1):1-10.
[3] Kalantari S, Jouybari L, Sanagoo A, Hekamt Afshar M, Nouhi E. A comparison of the views of nursing students and clinical educators on students’ ethical sensitivity. J Research Health. 2017; 7(1):647-52.
[4] Khaki S, Esmaeilpourzanjani S, Mashoof S. The relationship of ethical observance of nurses with quality of care from patients’ point of view. J Clin Nurs and Midwifery. 2016;5(1):1-11.
[5] Dehghani A, Radbeh F, Parviniannasab A, Khaki S, Shamsizadeh M, Beyramijam M. Enactment of professional ethics standards compliance in patients and nurses prospective. J Holist Nurs Midwifer. 2015; 25(4):64-72.
[6] Shafipour V, Ghasemi Charati F. Moral Distress and Related Factors in Undergraduate Nursing Students. J Mazandaran Univ Med Sci. 2022; 32(209):104-13.
[7] Renno H, Ramos F, Brito M. Moral distress of nursing undergraduates: Myth or reality? Nurs Ethics. 2018; 25(3):304-12.
[8] Jang E. Mediating role of self-compassion in the association between moral injury and depression among Korean youths. Heliyon. 2022:e09429.
[9] Shay J. Casualties. Daedalus. 2011:179-88.
[10] Vaziri M, Merghati-Khoei E, Tabatabaei S. Moral distress among Iranian nurses. Iranian journal of psychiatry. 2015; 10(1):32.
[11] Jameton A. Nursing practice: The ethical issues1984.
[12] de Veer A, Francke A, Struijs A, Willems D. Determinants of moral distress in daily nursing practice: A cross sectional correlational questionnaire survey. International journal of nursing studies. 2013; 50(1):100-8.
[13] Bayat M, Shahriari M, Keshvari M. The relationship between moral distress in nurses and ethical climate in selected hospitals of the Iranian social security organization. J Med Ethics Hist Med. 2019; 12:8.
[14] Cavaliere T, Daly B, Dowling D, Montgomery K. Moral distress in neonatal intensive care unit RNs. Adv Neonatal Care. 2010; 10(3):145-56.
[15] Corley M, Minick P, Elswick R, Jacobs M. Nurse moral distress and ethical work environment. Nursing Ethics. 2005; 12(4):381-90.
[16] Williamson V, Murphy D, Phelps A, Forbes D, Greenberg N. Moral injury: the effect on mental health and implications for treatment. The Lancet Psychiatry. 2021; 8(6):453-5.
[17] Jang E. Mediating role of self-compassion in the association between moral injury and depression among Korean youths. Heliyon. 2022; 8(e09429).
[18] Kotera Y, Cockerill V, Chircop J, Kaluzeviciute G, Dyson S. Predicting self-compassion in UK nursing students: Relationships with resilience, engagement, motivation, and mental wellbeing. Nurse Education in Practice. 2021; 51:102989.
[19] Ferrari M, Dal Cin M, Steele M. Educational and psychological aspects Self-compassion is associated with optimum self-care behaviour, medical outcomes and psychological well-being in a cross-sectional sample of adults with diabetes. Diabetic Medicine. 2017; 34(11).
[20] Neff KD. Self-Compassion: An alternative conceptualization of a healthy attitude toward oneself. self and identity. 2003; 2:85–101.
[21] Raes F, Pommier E, Neff KD, Van Gucht D. Construction and Factorial Validation of a Short Form of the Self-Compassion Scale. Clin Psychol Psychother. 2011; 18:250-5.
[22] Nery-Hurwit M, Yun J, Ebbeck V. Examining the roles of self-compassion and resilience on health-related quality of life for individuals with Multiple Sclerosis. Disabil Health J. 2018; 11(2):256-261.
[23] Taheri M, ShomaliNasab E, Asadi Z, Esmaeili M, Jahagirimehr A. Investigating the Relationship between Moral Injury in Nurses with Ethical Climate in Critical Care Departments of Selected Hospitals of Tabriz University of Medical Sciences in 2022: A Crosssectional Stud. J Crit Care Nurs. 2023; 16(2):9-17.
[24] Malakoutikhah A, Zakeri M, Koenig H, Dehghan M. The psychometric properties of the Persian version of the moral injury symptoms scale-health care professionals version. Front Psychol. 2022; 13(978572).
[25] Manalo M. The role of self-compassion in the relationship between moral injury and psychological distress among military veterans. Electronic Theses, Projects, and Dissertations.2019.
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