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… 
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References

SHOWING 1-6 OF 6 REFERENCES

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.

Ethical climate, ethics stress, and the job satisfaction of nurses and social workers in the United States.

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.

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.

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.

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.