Journal of Education and Health Promotion 2277-9531 10 10 2020 10 01 The association between nurses’ moral distress and sleep quality and their influencing factor in private and public hospitals in Iran 1 8 29316 EN . Zeynab Rezaei Fard . Arman Azadi Department of Nursing, Faculty of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Iran . Yousef Veisani Psychosocial Injuries Research Center, Ilam University of Medical Sciences, Ilam, Iran . Amirreza Jamshidbeigi Journal Article 2023 03 04 BACKGROUND: Nurses in their workplace, for a variety of reasons, always face moral distress that<br />is an underlying issue in the nursing profession, which can lead to problems such as reduced quality<br />and quantity of care and sleep disorder. Besides, given the increased privatization of hospitals, this<br />study aimed to explore the association between nurses’ moral distress and sleep quality and its<br />comparison among nurses in private and public hospitals.<br />MATERIALS AND METHODS: This was a descriptive‑analytical study involving 150 nurses working<br />in Ilam Province hospitals. Sampling conducted using a multistage random sampling method. Data<br />were collected through the questionnaire of sociodemographic characteristics, the Corley’s Moral<br />Distress Scale, and the Pittsburgh Sleep Quality Index. Data were analyzed using SPSS software<br />version 22. Descriptive statistics such as frequency, mean, ANOVA, independent t‑test, multiple linear<br />regression, and Pearson correlation coefficient at the significant level of P < 0.05 were calculated.<br />RESULTS: The analysis revealed that moral distress was positively associated with sleep quality.<br />Furthermore, the scores of nurses’ moral distress and sleep quality were different in private and<br />public hospitals, so that the level of moral distress in the public hospital and sleep quality in the<br />private hospital was higher and lower, respectively, but the difference was not statistically significant.<br />Moreover, sleep quality, and the type of employment was the most important predicting variables of<br />moral stress (B = 1.86) and sleep quality (B = 2.39), respectively.<br />CONCLUSION: According to the study results, a positive and significant association was found<br />between moral distress and nurses’ sleep quality. It is recommended that appropriate strategies<br />and training program be formulated by the health‑care system to increase nurses’ ability to combat<br />moral distress adverse effects.<br /><br /> https://jehp.mui.ac.ir/article_29316_7500bbe7e791e2d3a19f61cf43b87b99.pdf