Moral distress among Ugandan nurses providing HIV care: A critical ethnography

Harrowing, Jean N.; Mill, Judy

doi:10.1016/j.ijnurstu.2009.11.010

Cited by 86 publications

(122 citation statements)

References 30 publications

(37 reference statements)

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“…In agreement with this study, national and international studies found elevated levels of moral distress in nurses who participated in situations of pain and suffering for patients undergoing life prolonging procedures, with no evidence of success (7)(8)(15)(16)(17)(18)(19) . The professionals had feelings of incapacity when carrying out their procedures and of violation of their ethical principles, which shows situations of great emotional vulnerability (17)(18) .…”

Section: Discussionsupporting

confidence: 86%

Cross-cultural adaptation and validation of the Moral Distress Scale-Revised for nurses

et al. 2017

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Objective: Cross-culturally adapt and validate the Moral Distress Scale-Revised for nurses. Method: Quantitative, analytical crosssectional study conducted with 157 nurses of two hospital institutions of Southern Brazil, one public and one philanthropic. Procedures conducted: cultural adaptation of the instrument according to international recommendations; validation for the Brazilian context. Results: Face and content validation was considered satisfactory as assessed by a specialist committee and a pretest. The instrument demonstrated satisfactory internal consistency through frequency and intensity analysis per question in the 157 items and per subgroups of the various hospital units. Cronbach's alpha was 0.88 for the instrument and between 0.76 and 0.94 for hospital units. Pearson's correlation found a moderate association for moral distress among nurses. Conclusion: The Moral Distress Scale-Revised -Brazilian version is a valid instrument for the assessment of moral distress in nurses. Descriptors: Moral; Nursing; Nursing Ethics; Moral Development; Validation Studies. RESUMO Objetivo:Adaptar culturalmente e validar a Moral Distress Scale Revised para enfermeiros. Método: Estudo quantitativo, transversal analítico, realizado com 157 enfermeiros de duas instituições hospitalares do Sul do Brasil, uma pública e uma fi lantrópica. Realizou-se: a adaptação cultural do instrumento segundo recomendações internacionais; e a sua validação para o contexto brasileiro. Resultados: A validade de face e conteúdo foi considerada satisfatória mediante avaliação de comitê de especialistas e realização de pré-teste. Mediante análise de frequência e intensidade por questão nos 157 questionários e por subconjuntos das diferentes unidades hospitalares, o instrumento demonstrou consistência interna satisfatória, com alfa de Cronbach 0,88 para o instrumento e entre 0,76 e 0,94 para as unidades hospitalares. A correlação de Pearson identifi cou moderada associação de sofrimento moral nos enfermeiros. Conclusão: o Moral Distress Scale Revised -versão brasileira é um instrumento válido para ser utilizado na avaliação de sofrimento moral de enfermeiros. Descritores: Moral; Enfermagem; Ética em enfermagem; Desenvolvimento Moral; Estudos de Validação. RESUMENObjetivo: Adaptar culturalmente y validar la Moral Distress Scale Revised para enfermeros. Método: Estudio cuantitativo, transversal, analítico, realizado con 157 enfermeros de dos instituciones hospitalarias del Sur de Brasil, una pública y otra fi lantrópica. Se efectuó: adaptación cultural del instrumento según recomendaciones internacionales; y su validación para el contexto brasileño. Resultados: La validez de interfaz y contenido fue considerada satisfactoria según evaluación de comité de expertos y realización de prueba piloto. El instrumento demostró consistencia interna satisfactoria, aplicándosele análisis de frecuencia e intensidad por pregunta a los 157 cuestionarios y por subconjuntos de las diferentes unidades hospitalarias; con alfa de Cronbach 0,88 para el ...

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Section: Discussionsupporting

confidence: 86%

Cross-cultural adaptation and validation of the Moral Distress Scale-Revised for nurses

et al. 2017

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“…They struggle to provide care that is congruent with their professional and ethical standards. Nurses experience moral distress as a consequence of being unable to attain high quality standards (Harrowing and Mill 2010). Some of the participants explained that material resources such as equipment, protective clothing and protective gloves were provided as instrumental support.…”

Section: Supply Of Medical Cleaning and Safety Materialsmentioning

confidence: 99%

Instrumental Support for Professional Nurses Caring for Patients Living with HIV/AIDS in the Tshwane District of Gauteng, South Africa

Ndou¹

2018

AJNM

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Public hospitals across South Africa are flooded by patients diagnosed with the human immunodeficiency virus (HIV) and acquired immune deficiency syndrome (AIDS) related illnesses. The AIDS situation has completely changed the medical landscape and placed a great burden on the shoulders of professional nurses. The purpose of this study was to explore and describe instrumental support for the professional nurses. Challenges faced by the professional nurses were fatigue, ill health, resignation and poor HIV/AIDS care to patients admitted with opportunistic infections. The study was conducted at one of the Tshwane district hospitals in Gauteng, South Africa. Instrumental support was explored focusing on tangible assistance provided by the hospital and nurse managers. A qualitative approach with explorative, descriptive and contextual designs was employed. Purposive sampling method was used to select 25 participants who participated in the individual faceto-face interviews. Data gathered from the participants were analysed using Tesch's eightstep criteria of open-coding techniques. The findings of the study revealed that the hospital and nurse managers did not provide effective tangible support. It was recommended that instrumental support for professional nurses who care for patients diagnosed with HIV/AIDSrelated illnesses be effectively provided by the hospital and the nurse managers through the development of a model to deal with instrumental challenges.

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“…Among the stressors commonly related to the care of people living with HIV/AIDS are the work overload [15][16] , the inability to meet expectations due to factors such as lack of resources, which makes it impossible to provide the assistance designed as adequate by the professionals and deserved by the clients 17 , and the frequent need to deal with the deterioration of health status 18 and the death of clients 19 , especially when it comes to young customers or small children. 18 Specifically in the maternity sector, HIV/AIDS infection has brought new demands, such as anti-HIV testing and the administration of antiretroviral drugs to prevent vertical transmission, which has been associated with increased workload.…”

Section: Govender Et Al 2006mentioning

confidence: 99%

“…16 These findings corroborate the findings of authors, who observed that difficulties in meeting the demands of care can lead to moral suffering, fatigue and stress, which contributes to negative attitudes toward clients. 17 In the scope of personal life, studies point to the difficulty that some nursing professionals face in dissociating personal and professional life, causing difficulties in the exercise of the roles of wife and mother [26][27] whereas difficulties in sexual relations were made due to the fact that they associate their partners with people who are infected with HIV/AIDS and who provide care 27 or for fear of contaminating their partners because of possible exposure to HIV in their work environment.…”

Section: Govender Et Al 2006mentioning

confidence: 99%

Factors related to the development of stress and burnout among nursing professionals who work in the care of people living with HIV/aids / Fatores relacionados ao desenvolvimento de estresse e burnout entre profissionais de enfermagem que atuam na assistência a pessoas vivendo com HIV/aids

Sanches

Souza²,

Lima

2018

R. pesq. cuid. fundam. online

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Factors related to the development of stress and burnout among nursing professionals who work in the care of people living with HIV/aidsFatores relacionados ao desenvolvimento de estresse e burnout entre profissionais de enfermagem que atuam na assistência a pessoas vivendo com HIV/aids Los factores relacionados con el desarrollo de el estrés y el burnout entre los profesionales de enfermería que trabajan en el cuidado de las personas que viven con el VIH / sida ABSTRACTObjective: To identify factors related to the development of emotional exhaustion, stress and burnout that are present in nursing care to people living with HIV/AIDS. Method: Integrative review of literature with electronic search of publications in the MEDLINE and LILACS databases, using the descriptors: burnout, nursing, HIV infections in Portuguese and/or variations in the English. Results: Only 9 articles were included into the selection because they fit the inclusion criteria and answer the guiding question. It is noteworthy that 100% of these items were originated from international journals, as well as developed in Africa. Conclusion: Stressors such as lack of resources, difficulties to meet the customer's expectations, workload, need to deal with the death of customers and fear of contamination are present in the daily lives of these professionals and may result in the occurrence of stress and burnout, and compromise the assistance provided. Resultados: 9 artículos fueran incluídos en la selección porque se ajustan a los criterios de inclusión y responden a pregunta de guía. 100% de estos artículos se originan en revistas internacionales, así como desarrollado en África. Conclusión: Factores de estrés como falta de recursos, dificultades para cumplir con las expectativas del cliente, carga de trabajo, tener que lidiar con la muerte y temor a la contaminación están presentes en la vida diaria de estos profesionales y puede resultar en aparición de estrés, agotamiento y daño a la asistencia prestada. Descriptors

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Moral distress among Ugandan nurses providing HIV care: A critical ethnography

Cited by 86 publications

References 30 publications

Cross-cultural adaptation and validation of the Moral Distress Scale-Revised for nurses

Cross-cultural adaptation and validation of the Moral Distress Scale-Revised for nurses

Instrumental Support for Professional Nurses Caring for Patients Living with HIV/AIDS in the Tshwane District of Gauteng, South Africa

Factors related to the development of stress and burnout among nursing professionals who work in the care of people living with HIV/aids / Fatores relacionados ao desenvolvimento de estresse e burnout entre profissionais de enfermagem que atuam na assistência a pessoas vivendo com HIV/aids

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