Examining the role of Moral distress and Early Maladaptive Schemas in predicting the Psychological Well-being of Nurses

Identifying the effective factors in psychological well-being and promoting it is considered one of the obvious priorities in health care systems, so the purpose of this study was to investigate the role of moral distress and early incompatible schemas in predicting the psychological well-being of nurses.

Ethical considerations: 

In all stages of data documentation and analysis, ethical considerations including informed consent, privacy protection, and anonymity of respondents and confidentiality of information about the subjects have been observed.

The research method was descriptive-correlation. The research community consisted of all the nurses of Nikan Hospital in Tehran who were members in social networks in the spring of 2022, and 100 of them were selected through convenience sampling. And they responded to Hamric ​​et al.'s (2012) moral distress questionnaires, Young & Brown (1994) early maladaptive schemas, and Ryff (1989) psychological well-being. To analyze the data, mean, standard deviation, Pearson correlation test and multiple regressions were used simultaneously using SPSS version 22 software.

The results showed that the correlation coefficients between moral distress and initial in compatible schemas with psychological well-being were negative and significant (p<0.01). Also early maladaptive schemas explain 65.9% and moral distress 44.2% of the variance of nurses' psychological well-being.

Based on the results of the research, it seems necessary to plan measures to train nurses and provide optimal solutions to resolve moral distress and initial incompatible schemas in order to improve the psychological well-being of nurses.