Hubungan Moral Distress dengan Perilaku Caring Perawat pada Pasien di Ruang Perawatan Intensif RSD dr. Soebandi Jember

Abstract

Nurses in intensive care units often face work-related stress. When faced with stressful situations and pressure, nurses may feel helpless and unable to provide optimal care in accordance with their personal beliefs, making them susceptible to moral distress. This can have a negative impact on the quality of nursing care provided to patients. This study aims to analyze the relationship between moral distress and caring behavior of nurses toward patients in the intensive care unit at RSD dr. Soebandi Jember. This research used quantitative methods and analytical observational design with a cross-sectional approach. The study involved 63 intensive care nurses selected by a total sampling technique. Data were gathered using the Measure of Moral Distress Scale – Healthcare Professionals (MMD-HP) and Caring Behavior Inventory-24 (CBI-24). The results showed that most respondents had low moral distress (84.1%), while respondents' caring behavior was in good category (76.2%). Data analysis using Kendall's tau-c correlation test showed a negative correlation between moral distress and caring behavior in intensive care nurses at RSD dr. Soebandi Jember (p value = 0.001 <0.05, r = 0.347). This shows that the higher the level of moral distress experienced by nurses, the lower the level of caring behavior they exhibit toward patients. Moral distress is one of the issues that must be addressed in nursing practice to ensure that it does not interfere with the quality of care provided to patients.