Impact of moral sensitivity on moral distress among psychiatric nurses

Ohnishi, Kayoko; Kitaoka, Kazuyo; Nakahara, Jun; Välimäki, Maritta; Kontio, Raija; Anttila, Minna

doi:10.1177/0969733017751264

Cited by 53 publications

(46 citation statements)

References 22 publications

(27 reference statements)

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“…Another aspect is that staff in psychiatric care settings risk developing compassion fatigue related to working in a psychologically distressing environment (Turgoose & Maddox, 2017) as well as developing moral distress (Ohnishi et al, 2018). Gustafsson and Salzmann-Erikson (2016) describe how mental health nurses, working in forensic psychiatric care settings, experience carrying out coercive measures.…”

Section: Forensic Psychiatric Care and Caringmentioning

confidence: 99%

‘The Art of Understanding in Forensic Psychiatric Care’ – From a Caring Science Perspective Based on a Lifeworld Approach

Hörberg

2018

Issues in Mental Health Nursing

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Patients in forensic psychiatric clinics are a vulnerable and exposed patient group due to suffering from a severe mental disorder, having committed a crime and being cared for against their will in an institutional environment with a high level of security. The art of understanding in forensic psychiatric care is discussed from a caring science perspective, based on a lifeworld approach. The aim is to contribute knowledge that can support staff, who daily meet patients on forensic psychiatric wards, in applying a caring attitude.

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Section: Forensic Psychiatric Care and Caringmentioning

confidence: 99%

‘The Art of Understanding in Forensic Psychiatric Care’ – From a Caring Science Perspective Based on a Lifeworld Approach

Hörberg

2018

Issues in Mental Health Nursing

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“…Kemajuan ilmu kesehatan dan teknologi telah menyebabkan perubahan besar dalam praktik keperawatan dengan demikian perawat yang merawat pasien akan semakin rumit menyadari pentingnya pengambilan keputusan dalam praktik etis keperawatan. Upaya untuk meningkatkan sensitivitas moral dalam praktik keperawatan diintensifkan untuk mempersiapkan perawat agar lebih kompeten secara etis dalam melakukan asuhan keperawatan serta mengambil keputusan (Ohnishi et al, 2018). Tekanan moral menjadi salah satu faktor penyebab dari kurang sensitifnya perawat terhadap moralitas ketika melakukan praktik keperawatan (Lützén & Ewalds-Kvist, 2013…”

Section: Pendahuluanunclassified

Hubungan spiritualitas dan sensitivitas moral mahasiswa keperawatan

Ariawan¹,

Suastrawan²,

Yanti³

2019

JKJ

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Spiritualitas sebagai sebuah keyakinan seringkali dikaitkan dengan hubungan transenden yang berdampak pada sikap dan perilaku individu, salah satunya sensitivitas moral dalam keperawatan. Sensitivitias moral merupakan ketentuan penting dalam praktik keperawatan dan menjadi tuntutan dalam memberikan pelayanan kesehatan secara holistik. Tujuan penelitian ini untuk mengidentifikasi hubungan spiritualitas dan sensitivitas moral mahasiswa keperawatan di Provinsi Bali. Penelitian kuantitatif dengan rancangan deskriptif korelasional ini mengikutsertakan 122 mahasiswa keperawatan di Bali sebagai sampel dan menggunakan teknik purposive sampling. Data dikumpulkan dengan menggunakan kuesioner data demografi, spiritualitas, dan sensitivitas moral. Penelitian ini memperoleh hasil bahwa terdapat hubungan antara spiritualitas dengan sensitvitas moral mahasiswa keperawatan di Provinsi Bali (r = 0.320, P<0,001). Hasil ini menunjukkan bahwa adanya hubungan yang lemah antara kedua variabel dengan arah hubungan yang positif dengan makna semakin tinggi tingkat spiritualitas mahasiswa keperawatan maka semakin tinggi sensitivitas moral mahasiswa keperawatan. Faktor-faktor lain yang dapat memengaruhi sensitivitas moral mahasiswa keperawatan perlu diteliti lebih lanjut. Kata kunci: spiritualitas, sensitivitas, moral, keperawatan SPIRITUALITY RELATIONSHIP AND MORAL SENSITIVITY OF NURSING STUDENTS ABSTRACTSpirituality as a belief is often associated with transcendent relationships that have an impact on individual attitudes and behavior, one of which is moral sensitivity in nursing. Moral sensitivity is an important provision in nursing practice and is a demand in providing health services holistically. The purpose of this study was to identify the relationship between spirituality and moral sensitivity of nursing students in Bali Province. This quantitative research with a descriptive correlational design included 122 nursing students in Bali as samples and used purposive sampling technique. Data was collected using demographic, spirituality and moral sensitivity data questionnaires. This study found that there was a relationship between spirituality and moral sensitivity of nursing students in Bali Province (r = 0.320, P <0.001). These results indicate that there is a weak relationship between both of variables with the direction of a positive relationship which means that the higher level of spirituality of nursing students then the higher level of moral sensitivity among nursing students. Other factors that can influence the moral sensitivity of nursing students need to be investigated further. Keywords: spirituality, sensitivity, morality, nursing

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“…20 In addition, it has been shown that nurses who are more morally sensitive experience moral distress more intensely. 21 Strategies should be taken to prevent morally sensitive nurses from becoming burned out and leaving their jobs.…”

Section: Introductionmentioning

confidence: 99%

“…In Japan, many mental health nurses are aware of ethical problems, and experience moral distress in clinical settings, 21 which have a number of potentially distressed aspects. Psychiatrists in many mental health hospitals in Japan serve as head of the clinical team and often own the hospitals.…”

Section: Introductionmentioning

confidence: 99%

The role of online ethics consultation on mental health

et al. 2020

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Background: Nurses experience moral distress when they cannot do what they believe is right or when they must do what they believe is wrong. Given the limited mechanisms for managing ethical issues for nurses in Japan, an Online Ethics Consultation on mental health (OEC) was established open to anyone seeking anonymous consultation on mental health practice. Research objective: To report the establishment of the Online Ethics Consultation and describe and evaluate its effectiveness. Ethical considerations: The research was conducted in accordance with the Declaration of Helsinki. Research design: This evaluation describes the outcomes of 5 years of operation of the Online Ethics Consultation on mental health in Japan Participants: The Online Ethics Consultation received 12 emails requesting consultation. Consultees included mental health nurses, psychiatrists, and service users. Findings: The most common questions directed to the service were about seclusion and physical restraint. Response time from receipt of email to sending a reply was between 1 and 14 days. Despite the disappointing number of consultations, feedback has been positive. Discussion: The Online Ethics Consultation was established to assist morally sensitive nurses in resolving their ethical problems through provision of unbiased and encouraging advice. Mental health care in Japan has been less than ideal: long-term social hospitalization, seclusion, and restraint are common practices that often lead to moral distress in nurses and the questions received reflected this. The head of the Online Ethics Consultation sent a supportive, facilitative response summarizing the opinions of several consultants. Conclusion: This study provides key information for the establishment of an online ethics resource the adoption of which has the potential to improve the experience of nurses, allied health and clients of mental health services. This paper has implications for services concerned with improving patient care, managing nurses’ moral distress, building ethics into decision-making.

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Impact of moral sensitivity on moral distress among psychiatric nurses

Cited by 53 publications

References 22 publications

‘The Art of Understanding in Forensic Psychiatric Care’ – From a Caring Science Perspective Based on a Lifeworld Approach

‘The Art of Understanding in Forensic Psychiatric Care’ – From a Caring Science Perspective Based on a Lifeworld Approach

Hubungan spiritualitas dan sensitivitas moral mahasiswa keperawatan

The role of online ethics consultation on mental health

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