Discussion
The results of this study showed that the level of moral reasoning, moral sensitivity and moral distress in the nurses compared to previous studies and the level of average community, were low, medium and high, respectively. The results of the nurses’ responses to the questions of part A of the NDT test showed that many of them are familiar with these problems, which is a confirmation of the findings of part C of the NDT test. In this study, familiarity scores of the majority nurses indicated that they were familiar with ethical dilemmas. Familiarity of the nurses with ethical dilemmas is considered to affect their decision making for ethical problems positively [The present study found that the mean NPT scores of nurses were slightly lower than the average level (40.80 ± 6.71). In previous studies by Zirak et al. [In this study, total mean score of moral distress include “inappropriate competencies and responsibilities” and ‘‘errors’’ dimensions were high. However, moral distress in ‘‘not respecting the ethics principles’’ dimension was moderate. The highest moral distress was related to ‘‘errors’’ dimension, which was consistence with a study by Atashzadeh-Shoorideh et al. [Current study showed that the majority of nurses have moderate moral sensitivity, which was consistent with some previous studies [In line with previous research [