Influencers of ethical beliefs and the impact on moral distress and conscientious objection

Davis, Shoni; Schrader, Vivian; Belcheir, Marcia J.

doi:10.1177/0969733011423409

Cited by 55 publications

(86 citation statements)

References 38 publications

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“…Pendry (2007) identified moral distress as the physical or emotional suffering that is experienced when constraints (internal or external) prevent one from following the course of action that one believes is right. According to Rittenmeyer and Huffman (2009) (Davis, Schrader, & Belcheir, 2012).…”

Section: Moral Distress Definitionmentioning

confidence: 99%

“…Rittenmeyer and Huffman (2009) identified causes of moral distress as including unrecognized power hierarchies, inability to influence medical decisions related to the care of the patient, inability to advocate for the patient, and institutional constraints. Endof-life issues, staffing patterns, nurse-physician conflicts, inadequate resources, and protection of human rights and dignity were also identified as potential factors that would cause moral distress (Davis, Schrader, & Belcheir, 2012 (Rice et al, 2008).…”

Section: Moral Distress: Etiology Contributors and Related Researchmentioning

confidence: 99%

“…Supportive environments need to be created and nurses need to be aware of the signs and symptoms of moral distress. The concept of conscientious objection should also be able to be discussed freely (Davis et al, 2012).…”

Section: Moral Distress: Impactmentioning

confidence: 99%

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Moral Distress

Silva¹

2015

Preprint

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Moral distress is a common but frequently overlooked concept in the nursing profession, though not exclusive to nursing. Many professionals experience this distress, but nurses encounter this phenomenon more often than other professions. Moral distress can cause many physical and emotional symptoms that affect how a person perceives satisfaction in his/her profession. These include anxiety, fear, frustration, feeling of powerlessness, poor sense of safety and security, nursing turnover, and nursing professionals leaving the profession. This project targeted medical-surgical nurses and aimed to provide them with education to identify moral distress as well as appropriate coping skills that may be used to deal with the moral situation. The AACN Rise Above Moral Distress education plan, which uses the 4 A's of Ask, Affirm, Assess and Act, was utilized for the staff education sessions. Nurses on the unit believed that they knew how to define moral distress, identify moral distress situations, have institutional support services, and are able to be a support resource to co-workers to help identify moral distress situationsComparison of pre-post surveys showed a 40% increase in knowledge, a 30% increase in moral distress confidence and a 15% increase in co-worker support confidence.Institutions often lack required employee education for identifying ethical and moral distress situations or the appropriate coping skills to be utilized. Training on dealing with ethical situations and development of uniform coping skills are needed. Recommendation from this study focused on the need for increased training on moral distress in specific areas.

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Section: Moral Distress Definitionmentioning

confidence: 99%

Section: Moral Distress: Etiology Contributors and Related Researchmentioning

confidence: 99%

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Moral Distress

Silva¹

2015

Preprint

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“…For example Cusveller [18] sought to explain how the beliefs and values of Calvinism would inform a Calvinist nurse's practice and Atkinson [19] found in her empirical study on Muslim nurses in Kuwait, that their religion could not be separated from the nursing practice that they delivered. Davis et al [20] found that nurses whose ethical beliefs were mainly formed by religious beliefs, tended to experience higher degrees of moral distress in their delivery of nursing care.…”

Section: Introductionmentioning

confidence: 99%

An International Study of Nurses' Ethical Ideology and Religiosity

Dc¹,

Sevigny²,

Fahey-McCarthy³

et al. 2017

J Comm Pub Health Nurs

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To suggest that the nursing landscape is complex is a profound understatement. As nurses care for patients in a continuum of health, they are also confronted with the personal demands of their own value systems and religious belief systems in tandem with values and culture of the hospital. In an effort to shed some light on this complexity, this international study of nurses from four nations explored the relationship between religiosity and ethical ideology. The findings indicate that while there was no significant association between religiosity and ideology, nurses' religiosity, ethical idealism, and ethical relativism differ as a function of country/culture. Future research can investigate whether these differences manifest themselves in behaviour.

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“…professional's, personal, ethical beliefs are at odds with established, societal norms of health care provision (Catlin et al 2008;Davis, Schrader and Belcheir 2012;Ford, Fraser and Marck 2010;Morton and Kirkwood 2009;Wicclair 2011). An ethical option available to healthcare professionals concerned with maintaining their moral integrity (personal and professional congruence) is to voice a conscientious objection to address their ethical dilemmas over providing and/or participating in a particular aspect of care provision that conflicts with their personal, ethical position (Canadian Nurses Association [CNA] 2008; Lachman 2014; Oxford English Dictionary [OED] 2016).…”

mentioning

confidence: 99%

Conscientious Objection: Understanding the Right of Conscience in Health and Healthcare Practice

Lamb

2016

The New Bioethics

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Influencers of ethical beliefs and the impact on moral distress and conscientious objection

Cited by 55 publications

References 38 publications

Moral Distress

Moral Distress

An International Study of Nurses' Ethical Ideology and Religiosity

Conscientious Objection: Understanding the Right of Conscience in Health and Healthcare Practice

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