Ethical distress in nursing

Cameron, Miriam E.

doi:10.1016/s8755-7223(97)80104-4

Cited by 15 publications

(14 citation statements)

References 5 publications

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“…It has been found that, when nurses perceived their job as unsatisfactory, they developed a distancing attitude towards their nursing tasks (Demerouti et al , 2000). Nurses may also distance themselves from patients that they are taking care of, other staff, and possibly from themselves (Cameron, 1997). There is also evidence that nurses experience moral stress as a result of a high workload, low influence over their work and instructed assignments, limited opportunities for enhancement of skills, and diminishing support from their supervisors.…”

Section: Discussionmentioning

confidence: 99%

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Factors influencing job satisfaction and ethical dilemmas in acute psychiatric care

Severinsson¹,

Hummelvoll²

2001

Nursing & Health Sciences

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This study addressed the factors that nursing staff perceived as creating job satisfaction in their working environment in addition to addressing the ethical dilemmas that staff experienced within an acute psychiatric care setting. It also addressed how clinical supervision contributed to job satisfaction among staff as well as the differences between staff who attended and staff who did not attend to clinical supervision. Data were analyzed using descriptive statistics. Overall, the results of this study showed that the factors influencing nurses are related to areas of dissatisfaction, for example, stress and experiences with shortcomings. Factors that contribute to job satisfaction or dissatisfaction were found to be related to the nurses' value systems. The ethical dilemmas that were specifically addressed involved how to care for patients and handle work in relation to patients' autonomy, how to approach the patient, how to provide care against the will of the patient, and what action was ethically right for each particular patient.

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Section: Discussionmentioning

confidence: 99%

“…Moreover, there is evidence in the literature of a correlation between moral distress and burnout in nurses (Sundin‐Huard & Fahy, 1999). Previous research on ethical distress indicates that the higher the moral distress experienced by the nurse, the more likely they are to burnout, and possibly abandon their profession (Cameron, 1997).…”

Section: Introductionmentioning

confidence: 99%

Factors influencing job satisfaction and ethical dilemmas in acute psychiatric care

Severinsson¹,

Hummelvoll²

2001

Nursing & Health Sciences

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“…This process of emotional support may increase quality of patient care and job satisfaction, as well as reduce staff turnover by decreasing ethical distress and burnout (Cameron, 1997;Robertson et al, 1995). Emotional support can be provided to nurses through both informal and formal systems of group clinical supervision.…”

Section: Emotional Supportmentioning

confidence: 99%

“…A number of authors have pointed out that lack of supportive resources (e.g., collegial clinical supervision, managerial support) in nursing increases the level of stress and burnout (Cutcliffe & Burns, 1998;Edwards, Burnard, Coyle, Fothergill, & Hannigan, 2000;Melchior, Bours, Schmitz, & Wittich, 1997). Clinical supervision that includes attention to the emotional needs of the supervisee has been linked with increasing the quality of patient care and job satisfaction by decreasing ethical distress and burnout in mental health nurses (Cameron, 1997;Cutcliffe & Epling, 1997;Robertson, Gilloran, Mckee, Mckinley, & Wight, 1995). Accordingly, this paper describes some of the challenging behaviors of patients with BPD and reiterates the need for nurses who work with this client group to receive clinical supervision.…”

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confidence: 99%

Clinical Supervision of Nurses Working With Patients With Borderline Personality Disorder

Bland

Rossen

2005

Issues in Mental Health Nursing

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Some nurses describe individuals diagnosed with borderline personality disorder (BPD) as among the most challenging and difficult patients encountered in their practice. As a result, the argument has been made for nursing staff to receive clinical supervision to enhance therapeutic effectiveness and treatment outcomes for individuals with BPD. Formal clinical supervision can focus on the stresses of working in a demanding environment within the work place and enable nurses to accept accountability for their own practice and development (Pesut & Herman, 1999). A psychiatric-mental health clinical nurse specialist can provide individual and/or group supervision for the nursing staff, including education about patient dynamics, staff responses, and treatment team decisions. A clinical nurse specialist also can provide emotional support to nursing staff, which enhances job satisfaction, as they struggle to maintain professional therapeutic behavior with these individuals.

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“…In their work environment nurses are confronted daily by stressors. Lack of nurses seems to be an international phenomenon resulting in work stressors such as work overload and high job demands (Cameron et al ., 1997). Stress and burnout in nurses is a consequence of their working conditions (Edwards et al ., 2000) and their close relationship with patients (Severinsson, 2003).…”

Section: Introductionmentioning

confidence: 99%

Comparative study of perceptions of work environment and moral sensitivity among Japanese and Norwegian nurses

Bégat

Ikeda

Amemiya

et al. 2004

Nursing & Health Sciences

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The aim of the present study was to explore the relationship between work environment and moral sensitivity among Japanese (n = 138) and Norwegian nurses (n = 71), and to compare the results from a sociocultural perspective using a descriptive-correlational design. Data were analyzed using descriptive and inferential statistics. The results point to a significant relationship between work environment and moral sensitivity for both groups of nurses. In comparison, the Japanese nurses were more focused on 'patient centered oriented care', reported 'work engagement', seeking 'meaning in difficult caring situations' and 'following rules'. In addition, they ranked the factor 'values in action of patient care' as significant and 'relation to superior and colleagues' and 'job stress and anxiety' ranked significant to 'moral conflicts'. The Norwegian nurses were more independent, which was correlated with moderate significance with 'job stress and anxiety'. A significant correlation was found between 'physical and mental symptoms' and 'moral conflicts' among Norwegian nurses.

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Ethical distress in nursing

Cited by 15 publications

References 5 publications

Factors influencing job satisfaction and ethical dilemmas in acute psychiatric care

Factors influencing job satisfaction and ethical dilemmas in acute psychiatric care

Clinical Supervision of Nurses Working With Patients With Borderline Personality Disorder

Comparative study of perceptions of work environment and moral sensitivity among Japanese and Norwegian nurses

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