三宅　映子    Department   Kawasaki college of Health Professions  ,    Position   Associate Professor
Article types	原著
Language	Japanese
Peer review	Peer reviewed
Title	Impact of moral distress and coping on emotional exhaustion in nurses
Journal	Formal name：Journal of Clinical Ehtics ISSN code：2187-6134
Domestic / Foregin	Domestic
Volume, Issue, Page	pp.5-16
Total page number	12
Author and coauthor	Sanae Manki, Kaori Inoue,Mizuko Ueno, Tomoko Koyabu, Chieko Shiraiwa, Eiko Miyake, Keiko Takeda, Sakae Mikane
Publication date	2020
Summary	This study aims to reduce nurses’ stress responses caused by moral distress by verifying a causal model based on the hypothesis that the moral distress faced by nurses is directly and indirectly associated with their emotional exhaustion via coping. The subjects of analysis were 927 nurses working at hospitals. The survey was conducted via a self-administered, anonymous questionnaire. The survey items were basic attributes, moral distress, coping, and emotional exhaustion. Confirmatory factor analysis was performed to assess the fit of the data to the hypothesized causal model. The analysis results showed that the hypothesized causal model fit the data well. A significant positive relationship was observed between moral distress and emotional exhaustion. Emotional exhaustion also had a significantly positive relationship with “avoidance and suppression” and a significantly negative relationship with “perceptional changes” in coping. These findings indicate that promoting “perceptional changes” as a coping strategy may play an important role in reducing nurses’ stress responses caused by moral distress.