Correlation between moral distress and clinical competence in COVID-19 ICU nurses

BMC Nursing

Table 5 Summery of multiple linear regression model (stepwise method)

Criterion variable	Model	Predictor	Beta	t	Sig.	R	R²	Adjusted R²
Clinical competence	1					0.430	0.185	0.179
		(Constant)		26.02	< 0.001
		Moral distress	− 0.43	-5.86	< 0.001
	2					0.463	0.214	0.204
		(Constant)		18.85	< 0.001
		Moral distress	− 0.39	-5.21	< 0.001
		COVID-19 ICU work experience	0.18	2.37	0.019
	3					0.490	0.240	0.225
		(Constant)		17.12	< 0.001
		Moral distress	− 0.39	-5.31	< 0.001
		COVID-19 ICU work experience	0.17	2.31	0.022
		Nursing work experience	0.16	2.28	0.024
	4					0.510	0.260	0.240
		(Constant)		15.00	< 0.001
		Moral distress	− 0.37	-5.19	< 0.001
		COVID-19 ICU work experience	0.16	2.22	0.027
		Nursing work experience	0.15	2.05	0.042
		Gender (reference group: female)	− 0.14	-1.98	0.049
Utilization of clinical competence	1					0.406	0.165	0.160
		(Constant)		26.31	< 0.001
		Moral distress	− 0.41	-6.14	< 0.001
	2					0.459	0.211	0.203
		(Constant)		19.41	< 0.001
		Moral distress	− 0.36	-5.53	< 0.001
		COVID-19 ICU work experience	− 0.22	3.34	0.001
	3					0.496	0.246	0.234
		(Constant)		17.08	< 0.001
		Moral distress	− 0.35	-5.59	< 0.001
		COVID-19 ICU work experience	0.19	3.14	0.002
		Gender (reference group: female)	− 0.18	-2.97	0.003
	4					0.518	0.268	0.253
		(Constant)		10.68	< 0.001
		Moral distress	− 0.37	-5.84	< 0.001
		COVID-19 ICU work experience	0.18	2.93	0.004
		Gender (reference group: female)	− 0.17	-2.83	0.005
		Age	0.15	2.39	0.018
	5					0.536	0.287	0.268
		(Constant)		4.50	< 0.001
		Moral distress	− 0.33	-5.11	< 0.001
		COVID-19 ICU work experience	0.19	3.09	0.002
		Gender (reference group: female)	− 0.17	-2.74	0.007
		Age	0.19	3.00	0.003
		Type of work shift ((reference group: fixed)	0.15	2.22	0.027

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