Moral distress: a consequence of caring.

@article{Shepard2010MoralDA,
  title={Moral distress: a consequence of caring.},
  author={Agnes Shepard},
  journal={Clinical journal of oncology nursing},
  year={2010},
  volume={14 1},
  pages={
          25-7
        }
}
  • A. Shepard
  • Published 29 January 2010
  • Medicine
  • Clinical journal of oncology nursing
With the increase of technology in health care, oncology nurses often are involved in ethical discussions regarding the best use of aggressive interventions for patients. Conflicts between ethical principles and external forces can produce moral distress for oncology nurses caring for people with cancer. Moral distress can impact nurses in significant ways, including mental health and job satisfaction, and may impact care delivery. This article reviews the concept of moral distress and suggests… 

Moral Distress Among Healthcare Professionals at a Health System

The overall results showed that all disciplines experienced moderate to high actual moral distress, related to similar and/or different patient care situations.

When healthcare professionals cannot do the right thing: A systematic review of moral distress and its correlates

It is revealed that moral distress negatively affects clinicians’ wellbeing and job retention and further studies should investigate protective psychological factors to develop preventive interventions.

Moral Distress, Sign of Ethical Issues in the Practice of Oncology Nursing: Literature Review

The three factors described are triggers of moral distress in oncology nurses: ethical climate, evasive culture and resources for ethics delivered by the organization, and interpersonal relationships.

Moral distress in nurses providing direct care on inpatient oncology units.

  • J. Sirilla
  • Medicine
    Clinical journal of oncology nursing
  • 2014
Type of unit and level of moral distress were correlated, and an inverse relationship between level of education and moral distress was found.

Nurses' Moral Experiences of Ethically Meaningful Situations in End-of-Life Care

Understanding is expanded about how nurses’ stories of end-of-life care reveal their capacity for moral sensitivity, including situations that are enriching, and the articulation of a theoretical lens for examining the moral dimensions of nursing work.

Easing Clinician Distress in Pediatric Cancer Care

This chapter describes four types of distress that affect clinicians; burnout, compassion fatigue, moral distress, and spiritual distress, from various clinician perspectives and reports on prevalence and risk factors.

A culture of avoidance: voices from inside ethically difficult clinical situations.

The authors found that many healthcare providers remain silent about ethical concerns until a precipitating crisis occurs and ethical questions can no longer be avoided.

Moral distress in undergraduate nursing students

The analysis emerged that inequalities and healthcare disparities, the relationship with the mentor, and students’ individual characteristics can all impact negatively on the decisions taken and the nursing care provided, generating moral distress.

Reducing Moral Distress in Case Managers

  • M. Moffat
  • Medicine
    Professional case management
  • 2014
General suggestions to moderate moral distress have been inadequate in mitigating the problem, because they do not adequately offer the caregiver a way to identify and process moral distress.

Moral distress in Turkish intensive care nurses

Turkish version of Moral Distress Scale–Revised can be used as a reliable and valid measurement tool for the evaluation of moral distress experienced by nurses working in intensive care units in Turkey.

References

SHOWING 1-6 OF 6 REFERENCES

Understanding the moral distress of nurses witnessing medically futile care.

Instances of futile care evoke strong emotional responses from nurses, and nurses require support in dealing with their distress, and the ethical dilemma of futile Care is complex.

Critical care nurses' perceptions of futile care and its effect on burnout.

  • L. S. MeltzerL. Huckabay
  • Psychology, Medicine
    American journal of critical care : an official publication, American Association of Critical-Care Nurses
  • 2004
In critical care nurses, the frequency of moral distress situations that are perceived as futile or nonbeneficial to their patients has a significant relationship to the experience of emotional exhaustion, a main component of burnout.

Development and evaluation of a moral distress scale.

The results support the reliability and validity of the moral distress scale and the framework guiding the development of the MDS included Jameton's conceptualization of moral distress, House and Rizzo's role conflict theory, and Rokeach's value theory.

Medical futility: Predicting outcome of intensive care unit patients by nurses and doctors—A prospective comparative study*

Nurses, being more pessimistic in general, were more often correct than doctors in the judgment of dying patients but proposed treatment withdrawal in some very sick patients who survived.

Code of ethics for nurses with interpretive statements.

  • L. Bell
  • Medicine
    The Alabama nurse
  • 2003
This Code is a reflection of the proud ethical heritage of nursing, a guide for all nurses now and into the future, and important tool that can be used now as leverage to a better future for nurses, patients and health care.