L’infermiere e la percezione del Moral Distress nella cura del fine vita nel paziente dializzato

Brioni, Elena; Pennacchio, Nadia; Villa, Giulia; Giannetta, Noemi; Magnaghi, Cristiano; Vezzoli, Giuseppe; Manara, Duilio Fiorenzo

doi:10.33393/gcnd.2022.2357

Cited by 2 publications

(3 citation statements)

References 34 publications

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“…Oncology is considered one of the largest areas and encompasses many competencies that healthcare professionals can and should perform in an increasingly complex and ever-changing environment [ 1 ]. Moreover, the organization of the healthcare system presupposes that its operators make decisions regarding the definition of priorities in their daily work, make ethically based choices on therapeutic and welfare issues and the different present and future needs of the patient, and take into account the objectives and standards of their structure.…”

Section: Introductionmentioning

confidence: 99%

Moral Distress in Oncology: A Descriptive Study of Healthcare Professionals

Guariglia

Terrenato

Iacorossi

et al. 2023

IJERPH

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Background: The oncology setting is characterized by various complexities, and healthcare professionals may experience stressful conditions associated with ethical decisions during daily clinical practice. Moral distress (MD) is a condition of distress that is generated when an individual would like to take action in line with their ethical beliefs but in conflict with the healthcare facility’s customs and/or organization. This study aims to describe the MD of oncology health professionals in different care settings. Methods: Descriptive quantitative study was conducted in the Operating Units of the Istituti Fisioterapici Ospitalieri in Rome between January and March 2022. The investigated sample consisted of the medical and nursing staff on duty at the facility, who were given a questionnaire through a web survey. Besides a brief sociodemographic form, the MD Scale-Revised questionnaire was used for data collection. Results: The sample consisted of nurses (51%) and physicians (49%), predominantly working in surgeries (48%), and having 20–30 years of service (30%). MD was higher among healthcare professionals, in medicine than that ing in corporate organizations, surgeries, or outpatient clinics (p = 0.007). It was not related to the profession (p = 0.163), gender (p = 0.103), or years of service (p = 0.610). Conclusions: This paper outlines the prevalence of MD in care settings and describes its relationship with profession, gender, and seniority. There is no patient care without the care of health professionals: knowing and fighting MD improves the safety of the treatments provided and the quality perceived by patients.

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Section: Introductionmentioning

confidence: 99%

Moral Distress in Oncology: A Descriptive Study of Healthcare Professionals

Guariglia

Terrenato

Iacorossi

et al. 2023

IJERPH

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“…Il paziente dializzato è considerato un soggetto fragile, costretto a molte limitazioni rispetto al proprio stile di vita in quanto presenta la necessità di adattare le proprie esigenze personali, i propri impegni e i propri desideri alla malattia e di conseguenza ai trattamenti dialitici che lo costringono a una stretta dipendenza dagli ambienti sanitari (1)(2)(3). L'emodialisi espone il paziente a fattori di rischio quali il diabete, l'ipertensione e le alterazioni del metabolismo del calcio e del fosforo e per controllare queste complicanze il numero medio di farmaci da assumere varia da 6 a 12 compresse al giorno nei setting ospedalieri sono generalmente classificati come "Music Medicine" (MM) o "Music Therapy" (MT).…”

Section: Introduzioneunclassified

“…. Inoltre, la necessità di sottoporsi ai trattamenti depurativi e la forzata restrizione dell'apporto di liquidi costituiscono ulteriori elementi che condizionano la qualità della vita con ripercussioni psicologiche come stress, ansia e depressione (1,3,5). Queste manifestazioni psicologiche influiscono direttamente sulla vita del paziente, modificando il modo in cui il malato percepisce la sua malattia e di conseguenza la sua vita (4,6).…”

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The effects of music on anxiety and depression in adult patients undergoing haemodialysis: a literature review

Nava,

Magnaghi,

Burrai

et al. 2023

G Clin Nefrol Dial

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The clinical condition experienced by dialysis patient affects his biopsychosocial functioning, as it alters his life rhythms, personal resources, and emotional ties, creating feelings of uncertainty for the future. This requires a complex process of psychological adaptation which often leads to the manifestation of two important expressions such as anxiety and depression. Music in support of conventional treatments promotes the care of the human being in all its aspects: physical, psychological, emotional, cognitive, social and spiritual as it represents a sort of “escape”, and allows a detachment from reality, albeit momentary. It acts as a regulator of emotions and mood, also creating beneficial effects on hemodynamic parameters such as blood pressure and heart rate. Furthermore, musical stimulations are able to stimulate pleasure by acting directly on the neuroanatomical structures responsible for attention, learning, thinking and behavior. The aim of this literature review is to describe the effect of music on anxiety and depression in patients undergoing haemodialysis in order to propose it as a therapeutic intervention during dialysis treatment.

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L’infermiere e la percezione del Moral Distress nella cura del fine vita nel paziente dializzato

Cited by 2 publications

References 34 publications

Moral Distress in Oncology: A Descriptive Study of Healthcare Professionals

Moral Distress in Oncology: A Descriptive Study of Healthcare Professionals

The effects of music on anxiety and depression in adult patients undergoing haemodialysis: a literature review

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