Registered Nurses’ Perceptions of Moral Distress and Ethical Climate

Pauly, Bernadette; Varcoe, Colleen; Storch, Janet; Newton, Lorelei

doi:10.1177/0969733009106649

Cited by 306 publications

(399 citation statements)

References 32 publications

(54 reference statements)

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“…When nurses and other health care professionals face limitations on their capacity for ethical practice, they feel forced to compromise their personal values and norms, and may experience MD (7) .…”

Section: Introductionmentioning

confidence: 99%

Moral distress in nursing personnel

Barlem

Lunardi

et al. 2013

Rev. Latino-Am. Enfermagem

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Objective: to analyze the frequency and intensity of moral distress experienced by nursing personnel in southern Brazil, covering elements of their professional practice. Method: a survey was undertaken in two hospitals in Rio Grande do Sul, Brazil, with 247 nurses. Data was collected by means of the adapted Moral Distress Scale. Results: the perception of situations that lead to moral distress is enhanced in nurses and in nursing staff working in institutions with greater openness to dialogue, which hold team meetings, with fewer working hours and a greater ratio of professionals to patients. Conclusion: understanding moral distress allows us to go beyond solving the problems of the workers themselves, enabling the development of an ethics of active individuals and wide opportunities, defined mainly by the relationship with oneself.Descriptors: Nursing; Nursing Ethics; Burnout. Sufrimiento moral en trabajadores de enfermeríaObjetivo: analizar la frecuencia e intensidad del sufrimiento moral vivido por los profesionales de enfermería del sur de Brasil, abarcando los elementos de su rutina profesional. Método:investigación survey en dos hospitales, con 247 profesionales de enfermería. Los datos fueron recolectados mediante aplicación de la adaptación del Moral Distress Scale. Resultados: la percepción de situaciones que conducen al sufrimiento moral es intensificada en enfermeros; en trabajadores de enfermería que actúan en instituciones con mayor apertura al dialogo, que realizan reuniones de equipo, con menos horas de trabajo y mayor relación del número de profesionales por paciente. Conclusión: entender el sufrimiento moral permite ir más allá de la resolución de los problemas de los propios trabajadores, lo que posibilita la elaboración de una ética de sujetos activos y de amplias posibilidades, definidas principalmente por la relación consigo mismo.

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Section: Introductionmentioning

confidence: 99%

Moral distress in nursing personnel

Barlem

Lunardi

et al. 2013

Rev. Latino-Am. Enfermagem

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“…The workplace environment is frequently cited as the reason for job turnover due to difficult caseloads, scheduling, and patient safety issues (Santos, 2002;Pauly, Varcoe, Storch, & Newton, 2009). In these sources, transition is measured by what is expected from a workforce management standpoint.…”

Section: A Conceptual Landscape Of Transitionmentioning

confidence: 99%

Quiet Lampshade in the Corner? Exploring Fourth Year Nursing Students' Narratives of Transition to Professional Practice

Szabo¹,

Jakubec²,

Janzen³

2016

Quality Advancement in Nursing Education - Avancées en formatio

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“…When nurses and other health professionals face limitations in their capabilities for an autonomous (8)(9) .…”

Section: Moral Distress In Nursing Practicementioning

confidence: 99%

“…Exhaustive routines, high demands for work and productivity, stress, precariousness in the cares rendered, lack of dialogue, banalization of death, and bureaucracy, among other characteristics, may influence the way nursing cares are carried out, resulting in feelings of impotence toward situations and apparent negligence to users (8) . This may cause discomfort and suffering, without commonly identifying it as moral distress.…”

Section: Moral Distress In Nursing Practicementioning

confidence: 99%

Moral distress: challenges for an autonomous nursing professional practice

Barlem

Lunardi

Tomaschewski

et al. 2013

Rev. esc. enferm. USP

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RESUMo AbStRActConstantly experiencing limiting situations that hinder a professional practice coherent with its principles -of autonomy and advocacy of users' interests -, and often conditioned to experience moral distress, the nursing profession plays a prominent role in the current health model because it has the characteristic of managing the care rendered to users in a perspective of social inclusion, both in the basic health network and in hospitals. Aiming at carrying out a reflection on the nursing practice and the difficulties present in its work routine, and considering its characteristics as a profession, this article sought to make a reflection between the practice of nursing and the numerous moral challenges imposed by the routine, resulting, in many cases, in a value crisis that can reverberate directly on the quality of the service rendered, and in abandonment of the ideals of advocacy for users RESUMEnEl profesional de enfermería presenta un rol destacado en el actual modelo de salud. Adquiere la característica de administrar los cuidados brindados a los pacientes en una perspectiva de inclusión social, tanto en la red básica como en las instituciones hospitalarias. Sin embargo, enfrenta constantemente limitaciones que dificultan el ejercicio profesional coherente con principios de autonomía de abogar por los intereses de los pacientes, lo que muchas veces lo lleva a experimentar sufrimiento moral. Objetivando reflexionar acerca de la práctica de enfermería y considerando sus características profesionales, el presente artículo procuró realizar una reflexión entre el quehacer de enfermería y los innumerables desafíos morales impuestos por el día a día; resultando, a menudo, en una crisis de valores que puede tener repercusión directamente en la calidad de la atención brindada y en el abandono del ideal de abogar por el bienestar de los pacientes. dEScRiPtoRESEnfermería Práctica profesional Ética en enfermería Estrés psicológico Defensa de la salud

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Registered Nurses’ Perceptions of Moral Distress and Ethical Climate

Cited by 306 publications

References 32 publications

Moral distress in nursing personnel

Moral distress in nursing personnel

Quiet Lampshade in the Corner? Exploring Fourth Year Nursing Students' Narratives of Transition to Professional Practice

Moral distress: challenges for an autonomous nursing professional practice

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