Designing a Model of Crisis Management with the Approach of Moral Distress Management with a Mixed Method

Khazaei, Rasoul; Hazrati, Morteza; Ranji Jafarudi, Nima

doi:10.30473/ipom.2024.71649.4995

Document Type : Exploratory

Authors

¹ Ph.D Candidate, Department of Management, Astara Branch, Islamic Azad University, Astara, Iran.

² Assistant Professor, Department of Management, Bandar Anzali Branch, Islamic Azad University, Bandar Anzali, Iran.

https://doi.org/10.30473/ipom.2024.71649.4995

Abstract

In today's complex and dynamic world, organizations increasingly face a variety of crises, including natural, economic, social, and moral. These crises threaten the performance and survival of organizations and affect the mental health and well-being of employees. One of the key challenges organizations face after a crisis is managing moral distress among employees. Therefore, this study aimed to design a model of crisis management with the approach of moral distress management with a mixed method. This research is an applied study in terms of purpose and exploratory in terms of nature. The collected data were analyzed by using a mixed (qualitative-quantitative) approach. To identify the components of the model, qualitative method and semi-structured interviews were used. In the qualitative part, 15 experts, including top academic professors of public administration and senior managers of Iranian medical sciences, selected through a targeted sampling method, participated in the study. The Foundation's data analysis method and MaxQuda software were used to analyze the qualitative data. In the quantitative part, the structural equation modeling approach was used through PLS software to fit the designed model. The quantitative statistical population consisted of 245 managers, experts, and employees of the University of Medical Sciences who were selected by stratified random method. The data collection tool was a questionnaire developed based on the qualitative findings, whose validity and reliability were confirmed. The qualitative section showed that seven main categories, including job stress, moral distress, crisis management, coronavirus situation, organization strategy, professional ethics, and job burnout, as well as 15 sub-categories, were identified. The quantitative part showed a meaningful relationship between crisis management and the moral distress management approach and factors, and the designed model has an acceptable fit. Crisis management with the moral distress management approach can help improve the performance of organizations, increase employee satisfaction, and ultimately, increase the resilience of society

Keywords

Main Subjects

Modeling

References

Abboodi, B., Pileggi, S. F., & Bharathy, G. (2023). Social Networks in Crisis Management: A Literature Review to Address the Criticality of the Challenge. Encyclopedia, 3(3), 1157-1177. https://doi.org/10.3390/encyclopedia3030084

Aghaei, M.H., Ebadi, A., Aliakbari, F., & Vafadar, Z. (2020). The Effectiveness of Crisis Management Education Based on Inter-Professional Approach on Military Nursesâ Ability to Confront with Crisis. Journal of Military Medicine, 22(1), 54-63. (In Persian) DOI: 10.30491/JMM.22.1.46

Agheli, M., NikMenesh, S., Rashidi, H., & Jalali, P. (2023). Training on thesis writing and scientific article writing. Tehran: Dibagaran Book Institute. (In Persian)

Agheli, M., Karimi, O., & Rashidi, H. (2019). Investigating factors affecting the creation of common values and its impact on the loyalty of tourists (Case study: Foreign tourists of Damghan city). Journal of Tourism and Development, 8(2), 23-47. (In Persian) DOI: 10.22034/jtd.2019.166709.1628

Alimoradi, Z., Jafari, E., Lin, C. Y., Rajabi, R., Marznaki, Z. H., Soodmand, M., ... & Pakpour, A. H. (2023). Estimation of mor al distress among nurses: A systematic review and meta-analysis. Nursing Ethics, 30(3), 334-357. DOI: 10.1177/09697330221135212

Amos, V. K., & Epstein, E. (2022). Moral distress interventions: an integrative literature review. Nursing ethics, 29(3), 582-607. https://doi.org/10.1177/0969733021103548

Arends, S. A., Steenbergen, M., Thodé, M., Francke, A. L., & Jongerden, I. P. (2022). Moral distress among nurses involved in life-prolonging treatments in patients with a short life expectancy: a qualitative interview study. Patient Education and Counseling, 105(7), 2531-2536. https://doi.org/10.1016/j.pec.2022.01.017

Beikmoradi, A., Rabiee, S., Khatiban, M., & Cheraghi, M.A. (2012). Nurses Distress in Intensive Care Unit: A Survey in Teaching Hospitals. Journal of Medical Ethics and History of Medicine, 5(2), 53. (In Persian) http://ijme.tums.ac.ir/article-1-5044-fa.html

Boin, A., & Rhinard, M. (2023). Crisis management performance and the European Union: the case of COVID-19. Journal of European Public Policy, 30(4), 655-675. https://doi.org/10.1080/13501763.2022.2141304

Borhani, F., Esmaeli Abdar, M., Razban, F., & Roshanzadeh, M. (2013). Moral distress in the nursing and relationship With job burnout, Quarterly Journal of Medical Ethics, 7(25), 123-144. (In Persian) https://doi.org/10.22037/mej.v7i25.5159

Castelblanco, G., Guevara, J., & De Marco, A. (2024). Crisis management in public-private partnerships: lessons from the global crises in the XXI century. Built Environment Project and Asset Management, 14(1), 56-73. https://doi.org/10.1108/BEPAM-11-2022-0174

Clark, P., Hulse, B., & Polivka, B. J. (2022). Resilience, Moral Distress, and Job Satisfaction Driving Engagement in Emergency Department Nurses: A Qualitative Analysis. JONA: The Journal of Nursing Administration, 52(2), 112-117. DOI: 10.1097/NNA.0000000000001111

Dodek, P. M., Norena, M., Ayas, N.,& Wong, H.(2019). Moral distress is associated with general workplace distress in intensive care unit personnel. Journal of Critical Care, 50(2019), 122-125. DOI: 10.1016/j.jcrc.2018.11.030

Edwin, H. S., Trinkoff, A. M., & Mills, M. E. (2023). Moral distress in nurse leaders—A scoping review of the literature. Nursing Outlook, 71(5), 102026. Doi: 10.1016/j.outlook.2023.102026.

Eslami-Panah, M., Torabi, M., Borhani, F., Abbaszadeh, A. (2020). Relationship of Moral Climate and Moral Distress with Job Involvement among Nurses Working in Hospitals Affiliated with Hamadan University of Medical Sciences in 2020. Avicenna Journal of Nursing and Midwifery Care has been accepted for Scopus, 30(4), 259-269. (In Persian) DOI:‎ 10.32592/ajnmc.30.4.259

Fantus, S., Cole, R., Usset, T. J., & Hawkins, L. E. (2024). Multi-professional perspectives to reduce moral distress: A qualitative investigation. Nursing Ethics, 0(0). DOI: 10.1177/09697330241230519

Giannetta, N., Villac, G., Pennestrì, Federico., Sala, Roberta., Mordacci, R., Fiorenzo Manara, D.(2020). Instruments to assess moral distress among healthcare workers: A systematic review of measurement properties. International Journal of Nursing Studies, 111(2020) 103767. https://doi.org/10.1016/j.ijnurstu.2020.103767

Heng, T. J. T., & Shorey, S. (2023). Experiences of moral distress in nursing students–A qualitative systematic review. Nurse Education Today, 129, 105912. DOI: 10.1016/j.nedt.2023.105912

Kanaris, C. (2021). Moral distress in the intensive care unit during the pandemic: the burden of dying alone. Intensive Care Medicine, 47(1), 141-143. DOI: 10.1007/s00134-020-06194-0

Kovanci, M. S., & Atli Özbaş, A. (2023). Examining the effect of Moral Resilience on Moral Distress. Nursing Ethics, 30(7-8), 1156-1170. DOI: 10.1177/09697330231177420

Lake, E. T., Narva, A. M., Holland, S., Smith, J. G., Cramer, E., Rosenbaum, K. E. F., ... & Rogowski, J. A. (2022). Hospital nurses' moral distress and mental health during COVID‐19. Journal of advanced nursing, 78(3), 799-809. DOI: 10.1111/jan.15013

Leta, S. D., & Chan, I. C. C. (2021). Learn from the past and prepare for the future: A critical assessment of crisis management research in hospitality. International Journal of Hospitality Management, 95, 102915. 10.1016/j.ijhm.2021.102915

Liu-Lastres, B., & Cahyanto, I. P. (2023). Are we always ready? Examining event professionals approaches to risk and crisis management and resilience. Tourism management perspectives, 46, 101073. https://doi.org/10.1016/j.tmp.2023.101073

Mirsafian, H.R., & Rasekh, N. (2019). Developing Model of Staffs Psychological Empowerment Effect on Crisis Management regarding Role of Management Change in Sport and Youth Departments in Isfahan Province. Journal of Human Resource Management in Sports, 6(1), 51-67. (In Persian) https://doi.org/10.22044/shm.2019.6668.1687

Morley, G., & Horsburgh, C. C. (2021, January). Reflective debriefs as a response to moral distress: Two case study examples. In HEC Forum (pp. 1-20). Springer Netherlands.

Morley, G., Bradbury‐Jones, C., & Ives, J. (2022). The moral distress model: An empirically informed guide for moral distress interventions. Journal of Clinical Nursing, 31(9-10), 1309-1326. https://doi.org/10.1111/jocn.15988

Morley, G., Field, R., Horsburgh, C. C., & Burchill, C. (2021). Interventions to mitigate moral distress: A systematic review of the literature. International Journal of Nursing Studies, 121, 103984. DOI: 10.1016/j.ijnurstu.2021.103984

Mosalanezhad, L., Abiri, S., & Kalani, N. (2020). Moral distress level in nurses and physicians caring for patients with COVID-19: A cross-sectional descriptive study in 2020. Education & Ethics In Nursing, 9(3), 1-8. (In Persian) DOI: 10.52547/ethicnurs.9.3.4.1

Mũrage, A., Morgan, R., Samji, H., & Smith, J. (2024). Gendered and racial experiences of moral distress: A scoping review. Journal of Advanced Nursing, 80(4), 1283-1298. Doi: 10.1111/jan.15901. Epub 2023 Oct 17.

Petrikov, S. S., Kholmogorova, A. B., Suroegina, A. Y., Mikita, O. Y., Roy, A. P., & Rakhmanina, A. A. (2020). Professional burnout, symptoms of emotional disorders and distress among healthcare professionals during the COVID-19 epidemic. Counseling Psychology and Psychotherapy, 28(2), 8-45. DOI: https://doi.org/10.17759/cpp.2020280202

Rahmanian, A., Mirzaei, T., & Sabzevari, S. (2019). The relationship between moral development and moral distress in Bam. Education & Ethics In Nursing, 8(3), 37-43. (In Persian) DOI: 10.52547/ethicnurs.8.3.4.37

Redmann, A. J., Smitha, M., Benscoter, D., Hart, C. K.(2020). Moral distress in pediatric otolaryngology: A pilot study. International Journal of Pediatric Otorhinolaryngology, 136(2020),110-138. DOI: 10.1016/j.ijporl.2020.110138

Riedel, P. L., Kreh, A., Kulcar, V., Lieber, A., & Juen, B. (2022). A scoping review of moral stressors, moral distress and moral injury in healthcare workers during COVID-19. International Journal of Environmental Research and Public Health, 19(3), 1666. Doi: 10.3390/ijerph19031666.

Riedel, P. L., Kreh, A., Kulcar, V., Lieber, A., & Juen, B. (2022). A Scoping Review of Moral Stressors, Moral Distress and Moral Injury in Healthcare Workers during COVID-19. International Journal of Environmental Research and Public Health, 19(3), 1666. DOI: 10.3390/ijerph19031666

Saeedi, E., Bekmaz, K., & Bahram Nezhad, F. (2023). Investigating the Relationship between Moral Distress and Professional Stress of Nurses of Tehran University of Medical Sciences in Caring for Covid 19 Patients. Faṣlnāmah-I akhlāq-I Pizishkī - i.E., Quarterly Journal of Medical Ethics, 16(47), 1–12. (In Persian) https://doi.org/10.22037/mej.v16i47.39136

Shahcheragh, S.H., & Fekri, N., & Rad, M. (2024). Investigating the Level of Moral Distress and Factors Affecting it in the Nurses of Accidents and Emergency Department. Journal of Sabzevar University of Medical Sciences, 30(5), 632-644. (In Persian) https://doi.org/10.30468/jsums.2023.1593

Sharifi, Z., & Nehi, M. (2023). Nurses distress in intensive International conference of humanities, educational sciences, law and social sciences, HELS 2023. https://civilica.com/doc/1669153

Shaw, M. (2023). Unplanned change and crisis management. In Global Encyclopedia of public administration, public policy, and governance (pp. 13045-13049). Cham: Springer International Publishing.

Sheather, J., & Fidler, H. (2021). Covid-19 has amplified moral distress in medicine. bmj, 372. doi: https://doi.org/10.1136/bmj.n28

Silverman, H. J., Kheirbek, R. E., Moscou-Jackson, G., & Day, J. (2021). Moral distress in nurses caring for patients with Covid-19. Nursing Ethics, 28(7-8), 1137-1164. https://doi.org/10.1177/09697330211003217

Vittone, S., & Sotomayor, C. R. (2021, December). Moral distress entangled: Patients and providers in the COVID-19 era. In HEC forum (Vol. 33, No. 4, pp. 415-423). Springer Netherlands.

Public Organizations Management

Designing a Model of Crisis Management with the Approach of Moral Distress Management with a Mixed Method

References

References

Volume 12, Vol 3 , Series 47 - Serial Number 47
June 2024
Pages 137-160

Designing a Model of Crisis Management with the Approach of Moral Distress Management with a Mixed Method

References

References

Volume 12, Vol 3 , Series 47 - Serial Number 47June 2024Pages 137-160

Volume 12, Vol 3 , Series 47 - Serial Number 47
June 2024
Pages 137-160