@article{ref1,
title="Is nurses' clinical competence associated with their moral identity and injury?",
journal="Nursing ethics",
year="2023",
author="Teng, Yue and Dehghan, Mahlagha and Hossini Rafsanjanipoor, Sayed Mortaza and Altwalbeh, Diala and Riyahi, Zahra and Farahmandnia, Hojjat and Zeidabadi, Ali and Zakeri, Mohammad Ali",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: The enhancement of nursing care quality is closely related to the clinical competence of nurses, making it a crucial component within health systems. <br><br>OBJECTIVE: The present study investigated the relationship between nurses' clinical competence, moral identity, and moral injury during the COVID-19 outbreak.   RESEARCH DESIGN: This cross-sectional study was carried out among frontline nurses, using the Moral Identity Questionnaire (MIQ), the Moral Injury Symptom Scale-Healthcare Professionals version (MISS-HP), and the Competency Inventory for Registered Nurse (CIRN) as data collection tools. PARTICIPANTS: and research context: The research population for this study consisted of all frontline nurses (n = 251) employed in a hospital in southern Iran. Sampling was conducted between May 1, 2021 and September 30, 2021, during the COVID-19 outbreak.   ETHICAL CONSIDERATIONS: The present study received approval from the research ethics committee of Rafsanjan University of Medical Sciences, with project No. 99267 and code of ethics ID No. IR. RUMS.REC.1399.262, dated 15.02.2021. <br><br>RESULTS: According to the study findings, 42.2% of the nurses demonstrated high clinical competence, while 51.4% exhibited moderate clinical competence. The results indicated a positive correlation between moral identity and clinical competence but a negative correlation between moral injury and clinical competence. Furthermore, the variables of moral identity and moral injury were found to predict 10% of the variance in clinical competence. <br><br>CONCLUSION: According to the results, moral identity and moral injury had an impact on the clinical competence of nurses. Therefore, implementing a program aimed at enhancing moral identity and providing training strategies to address moral injury during crises like the COVID-19 pandemic can lead to improvements in nurses' clinical competence and the overall quality of care they provide.<p /> <p>Language: en</p>",
language="en",
issn="0969-7330",
doi="10.1177/09697330231209284",
url="http://dx.doi.org/10.1177/09697330231209284"
}