Ce

Rushton, Cynda Hylton; Caldwell, Meredith; Kurtz, Melissa J.

doi:10.1097/01.naj.0000484933.40476.5b

Cited by 106 publications

(20 citation statements)

References 52 publications

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“…Although moral distress is a very challenging and difficult experience, healthcare providers can learn to counteract ethically controversial situations by developing moral resilience (Rushton, Caldwell, & Kurtz, 2016). Moral resilience refers to 'the capacity of an individual to sustain or restore [her or his] integrity in response to moral complexity, confusion, distress, or setbacks'.…”

Section: Discussionmentioning

confidence: 99%

“…Moral resilience refers to 'the capacity of an individual to sustain or restore [her or his] integrity in response to moral complexity, confusion, distress, or setbacks'. (Rushton et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

“…Key strategies to facilitate the development of moral resilience were formulated in a symposium held in 2016, at the Johns Hopkins School of Nursing in Baltimore, Maryland (Rushton et al, 2016). In order to help TCs develop moral resilience, the leadership of each institution can value and create an organizational culture of ethical practice and assign resources to support healthcare providers in cultivating moral resilience (Rushton et al, 2016). Nurses and other members of the healthcare team need education and mentoring to facilitate the development of skills such as introspection, empathy, communication, and emotional intelligence in order to exercise moral agency in response to moral distress.…”

Section: Discussionmentioning

confidence: 99%

“…Ethics consultants can help to create safe spaces that encourage conversations-from early discussions about ethical concerns to debriefing following difficult cases. Organizational leaders may create and disseminate a list of best practices to promote ongoing communication among healthcare providers and facilitate the resolution of ethical issues (Rushton et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

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Between health and death: The intense emotional pain experienced by transplant nurses

Tarabeih

Bokek‐Cohen

2020

Nursing Inquiry

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The process of organ donation and transplantation carries a wide range of moral and ethical issues. The transplant co-ordinator (henceforth TC) is expected to be responsible for the course of the procedure that leads to a successful organ procurement. The TC is a key person in the process of obtaining the consent for organs for transplantation from deceased or living donors (Arie, 2008;Matesanz & Dominguez-Gil, 2007;Sikora, Czerwiński, Danek, & Lisik, 2014). Usually, five major ethical dilemmas arise for transplant co-ordinators (henceforth TCs): (a) aspects of discrimination; when the donor family tries to dictate who should not receive the donated organ from a cadaveric source. Also, to dictate whether a specific cultural or racial group should be excluded from consideration for potential receipt of the organs. This question is related to the dilemma faced in keeping the wishes of potential donors in mind while respecting families' beliefs without in any way condoning them; (b) conditions placed on who should be a recipient and the related issues of directed donation; (c) respect for a person's right to make a decision and the extent of information provided and understood by donors and recipients; (d) potential issues of coercion, compensation, and rewards in live-related or live-unrelated donation; and (e) potential conflicts in duties (Arie, 2008). Transplant co-ordinators have a crucial impact on the success of obtaining consent to the procurement of organs for transplantation (Bokek-Cohen & Tarabeih, 2019). Their behavior, personality, and way of conduct can have a pivotal role in the process. Our working assumption is that the emotional well-being of the nurse facilitates success in her/his job performance as well as contributes to the retention of these nurses. With this assumption in mind, this study uses a qualitative methodology informed by the phenomenologicalhermeneutic approach to explore emotional experiences of TCs that Abstract While extensive scholarship has been dedicated to the emotional experiences of transplant patients, little is known about the emotional experiences of transplant coordinators. Semi-structured face-to-face interviews conducted with ten transplant co-ordinators who have worked for more than 20 years in this job. The transplant coordinators spoke of negative feelings and moral distress with regard to futile care of deceased donor family members as well as of living donors. Transplant co-ordinators experience intense negative feelings, emotional pain, and moral distress on a daily basis. Transplant co-ordinators play a pivotal role in the process of obtaining consent for live or dead donation of organ; however, their well-being and job satisfaction are impaired by contradictions between their moral values and the tasks they are instructed to perform. The study exposes the silent emotional suffering of transplant co-ordinators; main findings show that the transplant co-ordinators are torn between contradictory expectations and a gap between values and praxis. It is recommended ...

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Between health and death: The intense emotional pain experienced by transplant nurses

Tarabeih

Bokek‐Cohen

2020

Nursing Inquiry

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“…The complexity of patients in the 21st century often contributes to this stress. [1] Moral distress, defined as "painful feelings and/or the physiological disequilibrium that occurs when nurses are conscious of the morally appropriate action a situation requires, but cannot carry out that action because of. .…”

Section: Introductionmentioning

confidence: 99%

Using evidence-based debriefing to combat moral distress in critical care nurses: A pilot project

Fontenot

White²

2019

JNEP

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Objective: Moral distress (MD) is a problem for nurses that may cause despair or disempowerment. MD can have consequences like dissatisfaction or resignation from the nursing profession. Techniques such as evidence-based debriefing may help nurses with MD. Creating opportunities for critical care nurses to debrief about their MD might equip them with the tools needed to overcome it. Measuring MD by using the Moral Distress Thermometer (MDT) could provide insight into how debriefings help nurses. The purpose of this pilot project was to examine the impact of evidence-based debriefing sessions on critical care nurses’ sense of MD.Methods: This pilot project used a quasi-experimental, one-group, before-during-after design. Critical care nurses (N = 21) were recruited from one unit at a large academic medical center. Four debriefing sessions were held every 2 weeks. Participants completed the MDT 2 weeks before the first session, at the end of each session they attended, and 1 month after the debriefing sessions.Results: In the pilot project, participants felt that debriefing was helpful by increasing their self-awareness, giving them time to commune with colleagues, and encouraging them to improve self-care habits; however, MDT scores did not change significantly when comparing pre with post intervention scores (t(12) = 0.78, p = .450).Conclusions: The use of debriefing may help nurses gain self-awareness of MD and it may offer nurses strategies to build moral resilience.

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Just and Realistic Expectations for Persons with Disabilities Practicing Nursing

Davidson

Rushton²,

Dotzenrod

et al. 2016

AMA Journal of Ethics

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The Americans with Disabilities Act prohibits discrimination on the basis of disability and requires schools to provide reasonable accommodations for persons with disabilities. The profession of nursing is striving for diversity and inclusion, but barriers still exist to realizing accommodations for people with disabilities. Promoting disclosure, a supportive and enabling environment, resilience, and realistic expectations are important considerations if we are to include among our ranks health professionals who can understand, based on similar life experiences of disability, a fuller range of perspectives of the patients we care for.

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Ce

Cited by 106 publications

References 52 publications

Between health and death: The intense emotional pain experienced by transplant nurses

Between health and death: The intense emotional pain experienced by transplant nurses

Using evidence-based debriefing to combat moral distress in critical care nurses: A pilot project

Just and Realistic Expectations for Persons with Disabilities Practicing Nursing

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