Intensity and frequency of moral distress in Brazilian nurses

Ramos, Flávia Regina Souza; Barth, Priscila Orlandi; Brehmer, Laura Cavalcanti de Farias; Dalmolin, Graziele de Lima; Vargas, Mara Ambrosina de Oliveira; Schneider, Dulcinéia Ghizoni

doi:10.1590/s1980-220x2018020703578

Cited by 16 publications

(38 citation statements)

References 24 publications

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“…3,41,42 Brazilian studies have been exploring moral distress, highlighting the importance of factors such as lack of professional recognition, lack of power, loss of professional identity, and precarious working conditions, causing a feeling of powerlessness and little autonomy at work. 43 Analyses reveal relationships between a higher prevalence of moral distress and greater importance attributed to elements that support moral deliberation, which includes subjective supports of professional experience (such as intuition and personal and patient values), and objectives, stemming from deontology, ethics, and bioethics. 44 Thus, the ethical climate is understood as a process, involving subjective and objective supports, in complex combinations, when facing adversity and improving the environments and conditions of professional practice.…”

Section: Procedural Components For a Conceptual Model Of Ethical Climatementioning

confidence: 99%

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Conceptual framework for the ethical climate in health professionals

et al. 2022

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The ethical climate is the perception of health professionals about the work environment, meaning the reflection on care practices and ethical-related decisions. There are extensive studies in the international literature about the ethical climate, but there are still theoretical gaps about it in health services. In this reflection article, the objective was to explore conceptual components about the ethical climate, proposing new elements of analysis of the construct. The starting point was the accumulated knowledge itself, the possibilities for expansion, and the conceptual progress emerging from contributions from studies on nursing ethics. It was understandable that the ethical climate is considered in its procedural model and cyclically, being articulated with organizational elements, as established in the literature, and, expanding the concept, with the worker’s health and the ethical expressiveness at work. Regarding this last contribution, the suggestion is to think about the potential for work to allow, limit, or favor professionals to express their ethical and esthetic values in the most daily decisions and relationships, in care, management, and education. The conceptual framework of this study progressed by addressing the ethical climate as a process articulating several concepts and elements regarding the organizational aspect, ethics, and the workers’ well-being.

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Section: Procedural Components For a Conceptual Model Of Ethical Climatementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Conceptual framework for the ethical climate in health professionals

et al. 2022

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“…To date, most previous studies have mainly measured moral distress using an overall index of distress. However, moral distress can also be assessed in terms of intensity and frequency [ 20 , 21 , 22 ]. Indeed, an ethical issue might be morally distressing both because it occurs many times and/or because it is perceived as having a serious impact on the professional’s well-being.…”

Section: Introductionmentioning

confidence: 99%

How Supportive Ethical Relationships Are Negatively Related to Palliative Care Professionals’ Negative Affectivity and Moral Distress: A Portuguese Sample

Rêgo

Sommovigo

Setti

et al. 2022

IJERPH

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In the modern healthcare landscape, moral distress has become an increasingly common phenomenon among healthcare professionals. This condition is particularly prevalent among palliative care professionals who are confronted with bioethical issues in their daily practice. Although some studies described the effects of poor ethical climate and negative affectivity on moral distress, how these variables could be incorporated into a single model is still unclear. Thus, this study aims to investigate whether ethical relationships with the hospital could be related to the intensity and frequency of moral distress, both directly and as mediated by professionals’ negative affectivity. Sixty-one Portuguese palliative care professionals completed web-based self-report questionnaires. After exploring descriptive statistics, mediation analyses were performed using the partial least squares method. The results indicated that the presence of positive relationships with the hospital reduced the professionals’ negative affectivity levels. This, in turn, led palliative care professionals to experience a lower frequency and intensity of moral distress. Being a physician was positively associated with negative affectivity but not with the frequency of moral distress. Considering the protective role of ethical relationships with hospitals, health organizations could consider implementing interventions to improve hospitals’ ethical climate and provide staff with ethics training programs.

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“…They focus on achieving their goals of life. 7,8 Nursing stands in one of the principal occupations of the healthcare systems worldwide. 9 Nurses constitute the most substantial proportion of the workforce of the medial personnel in the healthcare industry.…”

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confidence: 99%

“…However, it is also seen as one of the essential factors that ensure the sustainability of the health care system. 7 In contrast, the lower the quality of work-life in nurses, the higher the probability of quitting jobs. 21 Research has it that nurses have inherent capabilities in providing services to patients, which can affect the quality of nursing care at all levels.…”

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confidence: 99%

Nurses’ Work-Related Quality of Life and Its Influencing Demographic Factors at a Public Hospital in Western Iran: A Cross-Sectional Study

Lebni

Toghroli

Abbas

et al. 2020

Int Q Community Health Educ

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Background The quality of life as a concept beyond physical health stands one of the protuberant indexes, and various health-based studies required distinct measurements, which deemed necessary for their significant implications. The nurses fight at the front and play a leading role in providing services to patients at healthcare centers. They deserve a higher quality of life in catering to physical health services. This present study focuses on examining nurses' work-life quality standards and how demographic variables contribute to the hospital of Imam Reza in Kermanshah of Western Iran. Methods This descriptive-analytical study recruited a sample of 271 nurses affiliated with Imam Reza Hospital and Kermanshah University of Medical Sciences by incorporating the stratified random sampling in 2019. This study used a two-part questionnaire to collect data from the targeted respondents. The first part presented the participants' demographic profiles, and the second part showed the nurses' work‐related quality of life (WRQoL) on the scale developed by Van Laar et al. The study screened the data and performed analyses through the SPSS version-23. The research study conducted a descriptive analysis to measure mean and standard deviation with inferential statistics, including independent samples t-test and one-way ANOVA (P < 0.05). Results The study findings specified that nurses’ average quality of the work-life was at a moderate level 3.11 ± 0.47. Besides, results indicated that 57.50% of the nurses reported high standards of quality of work-life, 36.50% showed a modest and 5.20% revealed a lower level of work-life quality. The findings indicated that the quality of work-life significantly correlated with respondent’' age, marital status, education, work experience, position, department, shifts, and employment status (p < 0.05). Conclusion The findings of this research demonstrated that the nurses’ quality of work-life was higher than the average standard. The results provide useful insight for nurses and hospital managers. The policymakers and health managers need to pay more attention to providing a better quality of work-life to the nurses.

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Intensity and frequency of moral distress in Brazilian nurses

Cited by 16 publications

References 24 publications

Conceptual framework for the ethical climate in health professionals

Conceptual framework for the ethical climate in health professionals

How Supportive Ethical Relationships Are Negatively Related to Palliative Care Professionals’ Negative Affectivity and Moral Distress: A Portuguese Sample

Nurses’ Work-Related Quality of Life and Its Influencing Demographic Factors at a Public Hospital in Western Iran: A Cross-Sectional Study

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