The causal relationship between moral leadership and moral climate on the fatigue of nurses with the mediating role of perceived stress

Musaie, Mohammad Amin; Abbasi, Mohammad

doi:10.22098/jrp.2024.16045.1260

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	The causal relationship between moral leadership and moral climate on the fatigue of nurses with the mediating role of perceived stress
Journal of Research in Psychopathology
مقاله 6، دوره 6، شماره 4 - شماره پیاپی 22، 2025، صفحه 40-45 اصل مقاله (584.78 K)
نوع مقاله: Original Article
شناسه دیجیتال (DOI): 10.22098/jrp.2024.16045.1260
نویسندگان
mohammad Amin Musaie¹؛ Mohammad Abbasi^* ²
¹Ph.d. in Educational Psychology, Lorestan University, Khorramabad, Iran.
²Associate Professor, Department of Psychology, Lorestan University, Khorramabad, Iran.
چکیده
The present study aimed to test the structural model of the effect of ethical leadership and ethical climate on nurses' fatigue, with an emphasis on the mediating role of perceived stress. In the form of a correlational design, 161 participants from the study population, including nursing staff working in teaching hospitals affiliated with Khorramabad University of Medical Sciences in 1402-1403, were selected using a cluster random sampling method in the form of dividing hospitals into two groups: city centers and suburbs. The data was collected using the Fatigue Assessment Questionnaire (MFI), Perceived Stress Scale (PSS), Spocker's Ethical Climate Scale, and Brown et al.'s Ethical Leadership Questionnaire. Structural equation modeling (SEM) was used as a statistical method to analyze the study data, and Amos software was used to analyze the data. The results showed that ethical leadership and ethical climate have a significant relationship with fatigue. Also, a mediation test using the bootstrap method showed the importance of perceived stress in the relationship between ethical leadership and ethical climate as well as fatigue. The research findings indicate that nurses' fatigue and perceived stress are influenced by ethical leadership and ethical climate. Therefore, strategies and solutions such as creating ethical leadership and creating the necessary ethical climate for them can be used to reduce fatigue and perceived stress in nurses.
کلیدواژه‌ها
Ethical climate؛ Ethical leadership؛ Nurses' fatigue؛ Perceived stress

مراجع
Al-Mugheed, K., Bayraktar, N., Al-Bsheish, M., AlSyouf, A., Jarrar, M., AlBaker, W., & Aldhmadi, B. K. (2022). Patient Safety Attitudes among Doctors and Nurses: Associations with Workload, Adverse Events, Experience. Healthcare, 10(4), 631. doi:10.3390/healthcare10040631 Asl, R. G., Taghinejad, R., Parizad, N., & Jasemi, M. (2022). The Relationship Between Professional Autonomy and Job Stress Among Intensive Care Unit Nurses: A Descriptive Correlational Study. Iranian journal of nursing and midwifery research, 27(2), 119–124. doi:10.4103/ijnmr.ijnmr_375_20 Babapour, A. R., Gahassab-Mozaffari, N., & Fathnezhad-Kazemi, A. (2022). Nurses' job stress and its impact on quality of life and caring behaviors: a cross-sectional study. BMC nursing, 21(1), 75. doi:10.1186/s12912-022-00852-y Baharlo M., Beshlideh K., Naami AB., Hashemisheikhshabani S. (2015). Analysis of the Relationship between Ethical Leadership and Organizational Citizenship Behavior. 3. 10 (1):20-27. http://ethicsjournal.ir/article-1-57-en.html Balaoing G. Nursing Burnout and Preventative Measures [Senior Thesis]. School of Health and Natural Sciences; 2023; p.11. doi:10.33015/dominican.edu/2023.NURS.ST.05 Bardhan, R., Heaton, K., Davis, M., Chen, P., Dickinson, D. A., & Lungu, C. T. (2019). A Cross Sectional Study Evaluating Psychosocial Job Stress and Health Risk in Emergency Department Nurses. International journal of environmental research and public health, 16(18), 3243. doi:10.3390/ijerph16183243 Bell, T., Sprajcer, M., Flenady, T., & Sahay, A. (2023). Fatigue in nurses and medication administration errors: A scoping review. Journal of Clinical Nursing, 32(17–18), 5445–5460. doi:10.1111/jocn.16620 Billones, R., Liwang, J. K., Butler, K., Graves, L., & Saligan, L. N. (2021). Dissecting the fatigue experience: A scoping review of fatigue definitions, dimensions, and measures in non-oncologic medical conditions. Brain, Behavior, & Immunity. Health, 15, 100266. doi:10.1016/j.bbih.2021.100266 Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S., Greenberg, N., & Rubin, G. J. (2020). The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet, 395(10227), 912–920. doi:10.1016/s0140-6736(20)30460-8 Brown ME, Treviño LK, Harrison DA. Ethical leadership: A social learning perspective for construct development and testing. Organizational behavior and human decision processes. 2005;97(2):117-34. doi:10.1016/j.obhdp.2005.03.002 Canadian Nurses Association. (2012). Nurse Fatigue. Taking Action on Nurse Fatigue [serial on the Internet]. 12: Available from: http://cna-aiic.ca/en/on-the-issues/better-care/patient-safety/nurse-fatigue-and-patient-safety Clark P, Crawford TN, Hulse B, Polivka BJ, Resilience. Moral Distress, and Workplace Engagement in Emergency Department Nurses. West J Nurs Res. 2021;43:442–51. doi:10.1177/0193945920956970 Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior/Journal of Health & Social Behavior, 24(4), 385. doi:10.2307/2136404 Dopolani, F. N., Arefi, M. F., Pirposhteh, E. A., Zaveh, Z. G., Salehi, A. S., Khajehnasiri, F., Hami, M., Poursadeqiyan, M., & Khammar, A. (2022). Investigation of occupational fatigue and safety climate among nurses using the structural equation model. Work, 72(3), 1129–1139. doi:10.3233/wor-213648 Ducharlet, K., Philip, J., Gock, H., Brown, M., Gelfand, S. L., Josland, E. A., & Brennan, F. (2020). Moral Distress in Nephrology: Perceived Barriers to Ethical Clinical care. American Journal of Kidney Diseases, 76(2), 248–254. doi:10.1053/j.ajkd.2019.09.018 Fouladi, A., Khademi, A., & Shaker Dioulagh, A. (2023). The effectiveness of compassion therapy and meta-cognitive therapy on the level of nurses' meta-emotion. Journal of Research in Psychopathology, 4(11), 23–32. doi:10.22098/jrp.2022.11300.1131 Ghaffari, M. , Esmali, A. , aligolipour, M. and Ramazani, Z. (2021). Designing a model of nurses' vulnerability to stress based on attachment to God, positive and negative perfectionism and personal intelligence. Journal of Research in Psychopathology, 2(6), 24-30. doi: 10.22098/jrp.2022.10150.1051 Gonçalves T, Curado C. The role of ethical leadership and social networks in the promotion of workplace happiness and quality of care: A cross‐sectional study. The International Journal of Health Planning and Management. 2023;38(5):1330-44. doi:10.1002/hpm.3663 Groves, P. S., Farag, A., & Bunch, J. L. (2020). Strategies for and barriers to fatigue management among acute care Nurses. Journal of Nursing Regulation, 11(2), 36–43. doi:10.1016/s2155-8256(20)30108-3 Henson, J. S. (2020). Burnout or compassion fatigue: A comparison of concepts. Medsurg Nursing, 29(2). https://www.proquest.com/scholarly-journals/burnout-compassion-fatigue-comparison-concepts/docview/2388933188/se-2 Khani Jazani R., Saremi M., Kavousi A., Shirzad H., Rezapour T, (2012). Different Scales of Fatigue in Traffic Policemen, Journal of Police Medicine, 1(1), 2. https://www.magiran.com/p1108315 Kim, M., Oh, Y., & Kong, B. (2020). Ethical conflicts experienced by nurses in geriatric hospitals in South Korea: “If you can’t stand the heat, get out of the kitchen.” International Journal of Environmental Research and Public Health/International Journal of Environmental Research and Public Health, 17(12), 4442. doi:10.3390/ijerph17124442 Kim, Y. H., Kang, Y., Ok, J. H., & Choe, K. (2021). Expert nurses’ coping strategies in ethically challenging situations: a qualitative study. BMC Nursing, 20(1). doi:10.1186/s12912-021-00709-w Lazarus RS, Folkman S. (1984). Stress, appraisal, and coping: Springer publishing company. https://search.worldcat.org/title/Stress-appraisal-and-coping/oclc/609341596 Masa’deh, R., Masadeh, O. M., Momani, A., Jarrah, S., Shabatat, S. H. A., Alshawabkeh, G. A., & Hamaideh, S. H. (2021). The effect of anger management program on perceived stress of healthcare professionals: a quasi-experimental study. Nursing Practice Today. doi:10.18502/npt.v8i4.6706 McKenna, J., & Jeske, D. (2021). Ethical leadership and decision authority effects on nurses' engagement, exhaustion, and turnover intention. Journal of advanced nursing, 77(1), 198–206. doi:10.1111/jan.14591 Mohammadi M, Vaisi-Raygani A, Jalali R, Salari N. Prevalence of job stress in nurses working in Iranian hospitals: a systematic review, meta-analysis and meta-regression study. JHSW. 2020;10(2):119-28. http://jhsw.tums.ac.ir/article-1-6295-en.html Raesi, R., Abbasi, Z., Saghari, S., Bokaie, S., Raei, M., Kiavash, & Hoshmandi (2021). Evaluation of Factors Affecting Job Stress in Nurses Caring for COVID-19 Patients. http://jmarmed.ir/article-1-193-en.html Schwepker CH. (2001). Ethical climate's relationship to job satisfaction, organizational commitment, and turnover intention in the salesforce. Journal of business research.54(1):39-52. doi:10.1016/S0148-2963(00)00125-9 Shamsi M, Hazarian S. (2016). Investigate of the Relationship between Ethical Leadership and Workplace Deviance Behaviors: Mediating Role of Affective Commitment and Ethical Climate. Organizational Culture Management.;14(1):137-53. doi:10.18502/jebhpme.v6i3.10862 Shamsi, F., Pakdaman, M., & Malekpour, N. (2022). The relationship between spiritual health and job stress of nurses in selected teaching hospitals in Yazd in 2020. Evidence Based Health Policy, Management and Economics. doi:10.18502/jebhpme.v6i3.10862 Si X, Xue H, Song X, Liu X, Zhang F. The relationship between ethical leadership and nurse well‐being: The mediating role of workplace mindfulness. Journal of Advanced Nursing. 2023;79(10):4008-21. doi:10.1111/jan.15719 Smets, E., Garssen, B., Bonke, B., & De Haes, J. (1995). The multidimensional Fatigue Inventory (MFI) psychometric qualities of an instrument to assess fatigue. Journal of Psychosomatic Research, 39(3), 315–325. doi:10.1016/0022-3999(94)00125-o Stewart D, Kennedy A, Schober M, Duignan M. International council of nurses. Advanced practice nursing leadership: A Global perspective. 2020:15-23. doi:10.1007/978-3-030-20550-8_2 Tajnia, S., Iranmanesh, S., Asadi, N., & McDermott, M. (2022). Investigating the effect of inquiry-based stress reduction on mortality awareness and interpersonal problems among intensive care unit nurses. BMC psychiatry, 22(1), 106. doi:10.1186/s12888-022-03764-y
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The causal relationship between moral leadership and moral climate on the fatigue of nurses with the mediating role of perceived stress