Moral distress, part 2: I still can't take it!

Meaney, Mark E.

doi:10.1067/mcm.2002.126441

Cited by 3 publications

(9 citation statements)

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“…", and "Are others also experiencing such feelings?" 30,49,51 Nurse N, in the case study described earlier in the article, should ask herself what she is feeling as she leaves the break room. For example, she might be feeling frustration at her inability to accomplish her goals or anger at the nurse who called in sick.…”

Section: Askmentioning

confidence: 99%

Tend and Befriend in the Intensive Care Unit

Ganz

2012

Critical Care Nurse

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Stress is a common phenomenon in the intensive care unit for both patients and nurses. Critical care nurses may experience many forms of stress, including physical, psychological, and moral stress or distress. The physiological stress response traditionally associated with the hypothalamic-pituitary-adrenal axis has been expanded to include a new model, called tend and befriend, that has been linked to females of different species, including humans. Studies have shown that stress also affects immune function. Although commonly associated with adverse outcomes, stress can lead to personal growth. The tend and befriend strategy is an intervention that was developed to help nurses increase their ability to grow from stressful situations, especially those related to moral distress.

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Section: Askmentioning

confidence: 99%

Tend and Befriend in the Intensive Care Unit

Ganz

2012

Critical Care Nurse

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“…These latter emotional elements typically delineate a feeling of being burnt out (Nordam et al, 2005). That is, experiencing burnout (Meaney, 2002b;Ohnishi et al, 2010;Schwarz, 2003;Weissman, 2009).…”

Section: Towards the Self ("I Would Feel…")mentioning

confidence: 99%

“…Secondly, nurses can feel constrained in following the most ethical path by legal restrictions (Hanna, 2005;Laabs, 2005) and more specifically by rules around confidentiality (Laabs, 2007;Solum & Schaffer, 2003) or Do Not Resuscitate (DNR) policy (Solum & Schaffer, 2003). Thirdly, the nurse's capacity to do what is right and good is compromised by the vested interests of third parties (Curl, 2009) to include directives from funding bodies (Pendry, 2007) and interagency conflict (Meaney, 2002b).…”

Section: Broader External Influencesmentioning

confidence: 99%

“…Typically, this is discussed in the context of a lack of resources (Kain et al, 2009;Nordam et al, 2005). Cost containment (Kälvemark et al, 2004;Tiedje, 2000) reimbursement issues (Meaney, 2002b) or economic (Torjuul & Sorlie, 2006) and financial constraints (Oberle & Hughes, 2001) all invoke moral distress.…”

Section: Site Specificmentioning

confidence: 99%

“…The literature assigns cost containment (Kälvemark, Höglund, Hansson, Westerholm, & Arnetz, 2004;Tiedje, 2000) reimbursement issues (Meaney, 2002b) or economic (Torjuul & Sorlie, 2006) (Kälvemark et al, 2004;Laabs, 2005;Torjuul & Sorlie, 2006).…”

Section: Site Specificmentioning

confidence: 99%

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Moral distress and the Australian aged care worker: A mixed methods study

Burston¹

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Moral distress in nursing

2012

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Moral distress has been widely reviewed across many care contexts and among a range of disciplines. Interest in this area has produced a plethora of studies, commentary and critique. An overview of the literature around moral distress reveals a commonality about factors contributing to moral distress, the attendant outcomes of this distress and a core set of interventions recommended to address these. Interventions at both personal and organizational levels have been proposed. The relevance of this overview resides in the implications moral distress has on the nurse and the nursing workforce: particularly in regard to quality of care, diminished workplace satisfaction and physical health of staff and increased problems with staff retention.

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Moral distress, part 2: I still can't take it!

Cited by 3 publications

References 0 publications

Tend and Befriend in the Intensive Care Unit

Tend and Befriend in the Intensive Care Unit

Moral distress and the Australian aged care worker: A mixed methods study

Moral distress in nursing

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