Background Moral distress has negative effects on physical and mental health. However, there is little information about nurses’ coping strategies reducing moral distress. Aim The purpose of this study was to investigate the coping strategies of intensive care unit nurses reducing moral distress in Iran. Study design This is a qualitative study with a content analysis approach. Participants and research context The research sample consisted of nurses working in intensive care units of teaching hospitals affiliated to Tehran University of Medical (...) Sciences. Samples were selected among eligible nurses by purposive sampling. Data were obtained through 17 in-depth, individual, and semi-structured interviews with 17 nurses. Graneheim and Lundman’s (2004) 6-step content analysis method was used to analyze the data. Data management was also performed by MAXQDA software version 20. The COREQ checklist was used to report the study. Ethical considerations This project was approved by the Ethics Committee of Tehran University of Medical Sciences. All ethical guidelines in research were followed. Finding The data analysis resulted in the formation of two main categories of desirable coping strategies (with two subcategories of compensation and rejuvenation) and less desirable coping strategies (with three subclasses of indifference over time, escape and concealment). Discussion The intensive care unit nurses in dealing with ethical problems first try to solve the problem through discussion, but when they fail to resolve it peacefully, they resort to several coping strategies. Factors, such as increasing experience, lack of support from hospital managers and officials, poor communication between colleagues, the need to maintain hierarchy, fear of reprimand, and a sense of powerlessness, changed the nurses’ preferred strategies. It is important for managers to provide a blame/punishment-free atmosphere for expression of ethical experiences; a supportive atmosphere in which staff can engage in ethical discussions without fear of punishment. They should also provide opportunities for rest, rejuvenation, and adequate training for their employees. (shrink)

Influenced by the flowering of positive psychology in the field of foreign language acquisition research in recent years, the present study aimed to explore the perceived functions of playfulness, as a personality construct, among English as a foreign language learners. To this aim, an initial sample of 38 EFL learners were selected randomly from the private language institutes of Mashhad, the second largest city in Iran. They were interviewed about any perceived functions of playfulness in the EFL learning context. A (...) qualitative content analysis of the collected data led to the extraction of four categories: Fun and laughter, creativity, mastery orientation, and cultivating relationships. A further in-depth analysis of the categories and comparison with the functions of adult playfulness in psychology revealed that these four categories can be subsumed under two of the four structural components of adult playfulness; namely, other-directed playfulness and intellectual playfulness. The ability of EFL learners to turn language learning situations, tasks, and environment into enjoyable ones via their playfulness can have implications for the quality of their interpersonal interactions in class and eventually their language proficiency. The findings of this study can pave the way for the translation of the adult playfulness construct from developmental and personality psychology and family relations into the second language acquisition domain and its conceptualization in future research in this domain. (shrink)