Aplicabilidade da Moral Distress Scale adaptada no cenário da enfermagem em hemato-oncologia

Abstract

This study showed that the adapted Moral Distress Scale is an appropriate instrument for the identification of moral distress in nursing workers in the hemato-oncology area.

A Scoping Review of Moral Stressors, Moral Distress and Moral Injury in Healthcare Workers during COVID-19

“…In other studies, for example in Hamaideh [34], older and more experienced nurses reported fewer moral stressors. Among nurses, lower income [34] and higher educational levels were associated with higher frequency and greater intensity of stressors [33,34]. In terms of coping behaviors, using problem-solving strategies was associated with experiencing fewer moral stressors [58].…”

“…Regarding work experience, there are contradictory results. For example, in Shoorideh et al [57] and Fruet et al [33], higher age and longer work experience were associated with higher chances of experiencing moral stressors. In other studies, for example in Hamaideh [34], older and more experienced nurses reported fewer moral stressors.…”

“…Potential moral stressors in healthcare settings are classified at the patient level, the team level, and the system level [29]. Moral stressors in healthcare settings have been evaluated in a variety of ways, predominantly across the occupational groups of nurses and physicians, working in general [5,6,9,[31][32][33] or psychiatric [34] and oncologic [33,35] settings. In general, morally distressing circumstances in healthcare settings represent situations characterized by a lack of personal and professional competence [5,35].…”

“…In general, morally distressing circumstances in healthcare settings represent situations characterized by a lack of personal and professional competence [5,35]. Morally stressful situations of HCWs on the patient level have included futile (life-prolonging or risky) treatment [5,6,8], a lack of respect for patient autonomy [33], ignoring patient concerns [6,31,35], unethical behavior toward patients [5,31,35], and the involvement of relatives in caring decisions [9]. For nurses, not being able to deliver appropriate care, caring in unsafe conditions [6,35], and caring for critically ill or dying patients [32] were recorded as morally stressful situations.…”

“…For nurses, not being able to deliver appropriate care, caring in unsafe conditions [6,35], and caring for critically ill or dying patients [32] were recorded as morally stressful situations. Among nurses, morally stressful events at the interpersonal team level further included witnessing unethical behavior by colleagues, working with colleagues in unsafe working conditions [6], a lack of respect for nurses' autonomy [32,33], and a lack of involvement in nursing decision-making processes [8,32]. Studies on the triggers of moral distress in nurses have additionally identified institutional and organizational factors such as government or institutional policies and guidelines [6], the unavailability of medical staff [6], as well as perceived value incongruence of the organization [31].…”