Moral distress of nursing undergraduates: Myth or reality?

Rennó, Heloiza Maria Siqueira; Ramos, Flávia Regina Souza; Brito, Maria José Menezes

doi:10.1177/0969733016643862

Cited by 36 publications

(59 citation statements)

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“…concluded that students who engage the journey to become a nurse begin to experience ethical dilemmas and may not be equipped to manage or prevent associated consequences. Moral distress as an associated consequence of not doing what is right in an uncertain circumstance has been supported in healthcare research and specific to nursing students . In particular, nurses undergo moral distress more than any other healthcare discipline .…”

Section: Moral Concepts Significant To Nursing and Nursing Educationmentioning

confidence: 99%

“…Moral distress as an associated consequence of not doing what is right in an uncertain circumstance has been supported in healthcare research and specific to nursing students. [17][18][19][20] In particular, nurses undergo moral distress more than any other healthcare discipline. 21 Moral distress can lead to burnout and increased turnover.…”

Section: Moral Concepts Significant To Nursing and Nursing Educationmentioning

confidence: 99%

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Student courage: An essential for today's health education

Gibson

2018

Nurs Forum

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Section: Moral Concepts Significant To Nursing and Nursing Educationmentioning

confidence: 99%

Section: Moral Concepts Significant To Nursing and Nursing Educationmentioning

confidence: 99%

Student courage: An essential for today's health education

Gibson

2018

Nurs Forum

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“…Since nurses protect the rights of the patients, they are more exposed to ethical problems than other the healthcare team members (Hezaveh et al, ). However, novice nurses constantly try to overcome these issues to achieve professional competence (Rennó et al, ; Sajadi Hezaveh & Khosravi, ; Scott & Howell, ). In addition, these nurses are expected to play an active role in resolving ethical challenges and consider it part of their professional duties; therefore, they should employ professional skills and techniques in association with ethical knowledge in clinical practice (Sajadi Hezaveh & Khosravi, ).…”

Section: Introductionmentioning

confidence: 99%

Ethical challenges of novice nurses in clinical practice: Iranian perspective

Naseri-Salahshour

Sajadi

2019

International Nursing Review

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Aim The aim of this study was to identify the ethical challenges of novice nurses in the first year of clinical practice. Background Novice nurses experience a lot of ethical complications in the clinical workplace, especially in the first year of clinical practice. These ethical challenges are scarcely studied. Methods Current research was a descriptive qualitative study conducted on twelve novice nurses in educational hospitals affiliated to Arak University of Medical Sciences (from August to December 2018)in Iran. Data were collected through semi‐structured in‐depth interviews, and informed consent was obtained from all participants. Data were analysed using content analysis. Results A total of 12 nurses participated, the majority of whom were female (8; 66.6%), and their average age was 23.6 years. Findings of this study revealed four main themes: patient: the forgotten part, exposure to inequalities, inattention to professional ethics and facing a state of quandary. Several sub‐themes also appeared in this study. Conclusion These findings can reveal a clear picture of the ethical challenges of novice nurses in Iran. They can be used as a guidance for managers, authorities and nursing stakeholders in order to protect and support these nurses. Further research on each concept is suggested. Implications for nursing and health policy These findings can be used to inform nursing education, research, management and clinical practice. Meanwhile, the results of this study may be used to formulate a strategy for training nursing managers in order to protect and support the next generation of nurses.

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“…Thus, nursing students experience morally distressing situations and they witness circumstances of care and behavior that are morally inappropriate in the academic environment, disrespect to the subjects and their rights, incompatible with their values, principles and personal standards learned during their academic training, possibly experiencing moral distress (MD). Studies on MD in nursing students have been prominent in the international (1,(3)(4)(5)(6)(7) and national (8)(9)(10) fields. In this context, students may face difficulties to resist disciplinary mechanisms of power, which aim to form docile bodies with maxims of obedience and submission to norms and hierarchy (11) .…”

Section: Introductionmentioning

confidence: 99%

Nursing students facing moral distress: strategies of resistance

et al. 2018

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Objective: To understand the resistance strategies adopted by undergraduate students in nursing, faced with situations of moral distress (MD). Method: Qualitative research, developed in three universities in the south of Brazil, two federal and one private, with 21 undergraduate students in nursing from December 2015 to February 2016; the data was submitted to the discursive textual analysis and Foucauldian theoretical reference. Results: Students resisting demonstrate a sense of self-preservation and moral empowerment. Moreover, non-resistance initiatives are related to the fear of possible sanctions. Thus, by resisting or not, students may experience both positive and negative repercussions. Final considerations: By resisting, students aim to defend what they believe to be right, demonstrating their moral empowerment in the face of their moral distress. However, the exercise of disciplinary power seems to contribute to their moral fragilization, making it diffi cult to implement resistance strategies. Descriptors: Nursing Students; Nursing Education; Power; Moral; Ethics. RESUMO Objetivo: Compreender as estratégias de resistência adotadas pelos estudantes de graduação em enfermagem, diante de situações de sofrimento moral (SM). Método: Pesquisa qualitativa, desenvolvida em três universidades do sul do Brasil, duas federais e uma privada, com 21 estudantes de graduação em enfermagem, entre dezembro de 2015 e fevereiro de 2016; os dados foram submetidos à análise textual discursiva e referencial teórico foucaultiano. Resultados: Os estudantes ao resistirem demonstram um senso de autopreservação e fortalecimento moral. Ainda, ações de não resistência relacionam-se ao medo de possíveis sanções. Assim, ao resistir ou não, os estudantes podem vivenciar repercussões tanto positivas como negativas. Considerações fi nais: Ao resistir, os estudantes visam defender o que acreditam ser o correto, demonstrando seu fortalecimento moral diante do sofrimento moral. No entanto, o exercício do poder disciplinar parece contribuir para sua fragilização moral, difi cultando a implementação de estratégias de resistência. Descritores: Estudantes de Enfermagem; Educação em Enfermagem; Poder; Moral; Ética. RESUMEN Objetivo: Comprender las estrategias de resistencia adoptadas por los estudiantes de graduación en enfermería, ante situaciones de sufrimiento moral (SM). Método: La investigación cualitativa, desarrollada en tres universidades del sur de Brasil, dos públicas y una privada, con 21 estudiantes de graduación en enfermería, entre diciembre de 2015 y febrero de 2016; los datos fueron sometidos al análisis textual discursivo y referencial teórico foucaultiano. Resultados: Los estudiantes al resistir demuestran un sentido de autopreservación y fortalecimiento moral. Aún, acciones de no resistencia se relacionan con el temor de posibles sanciones. Así, al resistir, o no, los estudiantes pueden experimentar repercusiones tanto positivas como negativas. Consideraciones fi nales: Al resistir, los estudiantes pretenden defende...

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Moral distress of nursing undergraduates: Myth or reality?

Abstract: The undergraduates in nursing manifest moral distress in different stages of their education, particularly during their professional training. The academic community should reflect and seek solutions for the reality of moral distress in undergraduates.

Cited by 36 publications

References 13 publications

Student courage: An essential for today's health education

Student courage: An essential for today's health education

Ethical challenges of novice nurses in clinical practice: Iranian perspective

Nursing students facing moral distress: strategies of resistance

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