Morality in perioperative nurses
Table 1
STUDY VARIABLES
Fantasy
Perspective taking
Emotional concern
Personal distress
Generalized self-efficacy
Nurse activism
Unit characteristics
Level of nursing competence
Idealism
Relativism
Perceived work-related stress
Religion
Strength of spiritual beliefs
Education
Years in perioperative nursing
Certification status
Full-time status
Number of ORs
Likelihood to stay in nursing
Teaching affiliation
Quality of care in institution
Table 2
SCORES OF CONSTRUCT FOR MAJOR MODEL VARIABLES
Standard
Construct Range Mean deviation
Moral motivation
Fantasy 0-28 14.12 5.46
Emotional concern 8-28 21.48 3.77
Perspective taking 3-28 18.46 4.15
Personal distress 0-21 8.00 4.00
Moral character 62-133 99.48 9.96
Moral action 15-55 36.27 7.37
Nurse characteristics/
ethical ideology
Idealism 1.7-5.0 3.95 0.58
Relativism 1.0-4.8 2.79 0.64
Institutional characteristics 13-45 31.90 6.30
Nurse outcomes 1.38-6.14 2.87 6.30
Table 3
CORRELATION MATRIX OF PREDICTOR AND OUTCOME VARIABLES
Variable 1 2
Moral motivation
* Fantasy (1) --
* Emotional
concern (2) .28 [double dagger] --
* Perspective
taking (3) .15 [double dagger] .42 [double dagger]
* Personal
distress (4) .16 [double dagger] -.10 [dagger]
Moral character (5) .08 * .24 [double dagger]
Moral action (6) .13 [double dagger] .17 [double dagger]
Institutional NS .10 [dagger]
characteristics (7)
Nurse characteristics
* Level of nursing
practice (8) NS NS
* Spiritual
beliefs (9) .09 [dagger] .19 [double dagger]
* Years of
experience (10) -.08 * NS
* Ethics
education (11) NS NS
Variable 3 4
Moral motivation
* Fantasy (1)
* Emotional
concern (2)
* Perspective
taking (3) --
* Personal
distress (4) -.20 [double dagger] --
Moral character (5) .27 [double dagger] -.44 [double dagger]
Moral action (6) .21 [double dagger] -.19 [double dagger]
Institutional
characteristics (7) .10 [dagger] -.10 [dagger]
Nurse characteristics
* Level of nursing
practice (8) NS -.28 [double dagger]
* Spiritual
beliefs (9) .12 [double dagger] NS
* Years of
experience (10) NS NS
* Ethics
education (11) NS NS
Variable 5 6
Moral motivation
* Fantasy (1)
* Emotional
concern (2)
* Perspective
taking (3)
* Personal
distress (4)
Moral character (5) --
Moral action (6) .31 [double dagger] --
Institutional
characteristics (7) .20 [double dagger] .10 [dagger]
Nurse characteristics
* Level of nursing
practice (8) .19 [double dagger] .16 [double dagger]
* Spiritual
beliefs (9) .10 [dagger] .10 [dagger]
* Years of
experience (10) NS NS
* Ethics
education (11) -.11 [dagger] -.13 [double dagger]
Variable 7 8
Moral motivation
* Fantasy (1)
* Emotional
concern (2)
* Perspective
taking (3)
* Personal
distress (4)
Moral character (5)
Moral action (6)
Institutional
characteristics (7) --
Nurse characteristics
* Level of nursing
practice (8) NS --
* Spiritual
beliefs (9) .15 [double dagger] NS
* Years of
experience (10) NS .20 [double dagger]
* Ethics
education (11) NS NS
Variable 9 10 11
Moral motivation
* Fantasy (1)
* Emotional concern (2)
* Perspective taking (3)
* Personal distress (4)
Moral character (5)
Moral action (6)
Institutional
characteristics (7)
Nurse characteristics
* Level of nursing
practice (8)
* Spiritual beliefs (9) --
* Years of experience (10) .10 [dagger] --
* Ethics education (11) NS NS --
* P [less than or equal to] .05
[dagger] P [less than or equal to] .01
[double dagger] [less than or equal to] .001
NS--not significant
Table 4
CORRELATION MATRIX OF PREDICTOR VARIABLES WITH NURSE OUTCOME
Variable 1 2
Moral motivation
* Fantasy (1) --
* Emotional
concern (2) .28 [double dagger] --
* Perspective
taking (3) .15 [double dagger] .42 [double dagger]
* Personal
distress (4) .16 [double dagger] -.10 [dagger]
Moral character (5) .08 * .24 [double dagger]
Institutional/unit
characteristics (6) NS .10 [dagger]
Patient outcome
* Quality of care (7) .12 [double dagger] .11 [dagger]
Nurse characteristic
* Spiritual
beliefs (8) .09 [dagger] .19 [double dagger]
General moral
action (9) NS .17 [double dagger]
Nurse outcome
* Perceived
work-related
stress (10) .09 * NS
Variable 3 4
Moral motivation
* Fantasy (1)
* Emotional
concern (2)
* Perspective
taking (3) --
* Personal
distress (4) .20 [double dagger] --
Moral character (5) .27 [double dagger] -.44 [double dagger]
Institutional/unit
characteristics (6) .10 [dagger] -.10 [dagger]
Patient outcome
* Quality of care (7) .10 [dagger] NS
Nurse characteristic
* Spiritual
beliefs (8) .12 [double dagger] NS
General moral
action (9) .25 [double dagger] -.26 [double dagger]
Nurse outcome
* Perceived
work-related
stress (10) -.12 [double dagger] .26 [double dagger]
Variable 5 6
Moral motivation
* Fantasy (1)
* Emotional
concern (2)
* Perspective
taking (3)
* Personal
distress (4)
Moral character (5) --
Institutional/unit
characteristics (6) .20 [double dagger] --
Patient outcome
* Quality of care (7) .09 * .47 [double dagger]
Nurse characteristic
* Spiritual
beliefs (8) .10 [dagger] .15 [double dagger]
General moral
action (9) .24 [double dagger] .10 [dagger]
Nurse outcome
* Perceived
work-related
stress (10) -.23 [double dagger] -.47 [double dagger]
Variable 7 8
Moral motivation
* Fantasy (1)
* Emotional
concern (2)
* Perspective
taking (3)
* Personal
distress (4)
Moral character (5)
Institutional/unit
characteristics (6)
Patient outcome
* Quality of care (7) --
Nurse characteristic
* Spiritual
beliefs (8) .08 * --
General moral
action (9) NS NS
Nurse outcome
* Perceived
work-related
stress (10) -.26 [double dagger] -.09 [dagger]
Variable 9 10
Moral motivation
* Fantasy (1)
* Emotional concern (2)
* Perspective taking (3)
* Personal distress (4)
Moral character (5)
Institutional/unit
characteristics (6)
Patient outcome
* Quality of care (7)
Nurse characteristic
* Spiritual beliefs (8)
General moral action (9) --
Nurse outcome
* Perceived work-related
stress (10) -.14 [double dagger] --
* P [less than or equal to] .05
[dagger] P [less than or equal to] .01
[double dagger] P [less than or equal to] .001
NS--not significant