fa بررسی موقعیتهای بالینی منجر به تنش اخلاقی در پرستاران شاغل در بخشهای انکولوژی بیمارستانهای آموزشی شهر تهران در سال 1390 General پژوهشي Research Article <div style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:Times New Roman;"><strong>Background and Aim: </strong>Nurses are moral agents whose identity and integrity can be affected by moral distress. Oncology nurses face challenging clinical situations that led to moral distress. This study evaluated the clinical situations leading to moral distress experienced by oncology nurses.<br> <strong>Materials and Methods: </strong>This descriptive-analytical study included 148 nurses with inclusion criteria who worked in oncology wards of hospitals in Tehran. The instruments included the demographic questionnaire and Corley&rsquo;s Moral Distress Scale revised by Hamric wherein morally distressful situations are categorized in three sections. Data were analyzed in SPSS using descriptive statistics and within groups variance at the level of P<0.05.<br> <strong>Results</strong>: The moral distress mean intensity and mean frequency were 2.13&plusmn;0.44 and 2.08&plusmn;0.36 respectively. Nurses experienced high moral distress in cases where they failed to attain informed consent from the patients or when they ignored the physician&rsquo;s order to take test from end-life patients which they felt were unnecessary. The greatest moral distress frequency and intensity score mean was associated with futile care.<br> <strong>Conclusion</strong>: Moral distress is high Oncology nurses that show organizational intervention for the nurse education and supports.</span></span></div> Oncology,Nurses,Moral Distress 153 160 http://mcj.bums.ac.ir/browse.php?a_code=A-10-1-467&slc_lang=fa&sid=1 Maliheh Ameri ملیحه عامری Yes Malihe Ameri, M.Sc. in Nursing, Nursing Department, Faculty of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran. Email: m.ameri64@yahoo.com ملیحه عامری، گروه آموزشی پرستاری، دانشکده پرستاری و مامایی دانشگاه علوم پزشکی شاهرود. شاهرود، ایران. تلفن:09124731911 پست الکترونیک: m.ameri64@yahoo.com Zahra Safavibayat زهرا صفوی بیات No M.Sc. in Nursing, Medical-Surgical Department, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran مربی گروه آموزشی پرستاری، دانشکده پرستاری ومامایی دانشگاه علوم پزشکی شهید بهشتی. تهران، ایران Amir Kavousi امیر کاووسی No Professor Assistant, PhD in Statistics, Head of Education-Research Division, Faculty of Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran دانشیار گروه آموزشی علوم پایه، دانشکده سلامت ایمنی و محیط زیست دانشگاه علوم پزشکی شهید بهشتی. تهران، ایران