TY - JOUR
T1 - Dealing with ethical issues in rehabilitation medicine
T2 - The relationship between managerial support and emotional exhaustion is mediated by moral distress and enhanced by positive affectivity and resilience
AU - Maffoni, Marina
AU - Sommovigo, Valentina
AU - Giardini, Anna
AU - Paolucci, Stefano
AU - Setti, Ilaria
N1 - Funding Information:
This work was (partially) supported by ?Ricerca Corrente?, funding scheme of Ministry of Health, Italy. The researchers gratefully thank the ICS Maugeri Institutes (Montescano, Pavia, Telese) and the Fondazione Santa Lucia (Rome) for allowing and fostering staff to take part in this research. Sincere gratitude is expressed to each single health care professional who contributed to this study. Finally, special thanks to Prof. Piergiorgio Argentero and Dr. Ines Giorgi who provided us precious support and gentle suggestions.
Publisher Copyright:
© 2020 John Wiley & Sons Ltd
Copyright:
Copyright 2020 Elsevier B.V., All rights reserved.
PY - 2020/7/1
Y1 - 2020/7/1
N2 - Aims: To analyse whether managerial support and ethical vision of patient care would be related to emotional exhaustion directly or through moral distress and whether these relationships would be conditional on individual levels of positive affectivity and resilience. Background: Although some studies described the effects of ethical climate, moral distress, resilience and positive affectivity on emotional exhaustion, there are no attempts of explicative models containing these variables. Methods: A total of 222 Italian professionals employed in neuro-rehabilitation medicine units participated in this cross-sectional study. Descriptive statistics, mediation and moderated mediation analyses were conducted using SPSS. Results: Managerial support and ethical vision of patient care were negatively related to emotional exhaustion, directly and through moral distress. Professionals high in resilience and positive affectivity benefited more from the protective effect of managerial support on emotional exhaustion through moral distress. Conclusion: Ethical climate represents a protective factor against moral distress and emotional exhaustion. Moreover, individual levels of positive affectivity and resilience may increase the beneficial effects deriving from managerial support in dealing with ethical issues. Implication for Nursing Management: Health organisations may consider developing strategies to improve ethical climate, enhance managers’ ability to support team in dealing with ethical issues and foster employees’ positive affectivity and resilience.
AB - Aims: To analyse whether managerial support and ethical vision of patient care would be related to emotional exhaustion directly or through moral distress and whether these relationships would be conditional on individual levels of positive affectivity and resilience. Background: Although some studies described the effects of ethical climate, moral distress, resilience and positive affectivity on emotional exhaustion, there are no attempts of explicative models containing these variables. Methods: A total of 222 Italian professionals employed in neuro-rehabilitation medicine units participated in this cross-sectional study. Descriptive statistics, mediation and moderated mediation analyses were conducted using SPSS. Results: Managerial support and ethical vision of patient care were negatively related to emotional exhaustion, directly and through moral distress. Professionals high in resilience and positive affectivity benefited more from the protective effect of managerial support on emotional exhaustion through moral distress. Conclusion: Ethical climate represents a protective factor against moral distress and emotional exhaustion. Moreover, individual levels of positive affectivity and resilience may increase the beneficial effects deriving from managerial support in dealing with ethical issues. Implication for Nursing Management: Health organisations may consider developing strategies to improve ethical climate, enhance managers’ ability to support team in dealing with ethical issues and foster employees’ positive affectivity and resilience.
KW - affectivity
KW - emotional exhaustion
KW - ethical climate
KW - moral distress
KW - rehabilitation
KW - resilience
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U2 - 10.1111/jonm.13059
DO - 10.1111/jonm.13059
M3 - Article
C2 - 32495373
AN - SCOPUS:85087151537
VL - 28
SP - 1114
EP - 1125
JO - Journal of Nursing Management
JF - Journal of Nursing Management
SN - 0966-0429
IS - 5
ER -