Students' experiences in associate degree nursing programs: A qualitative study looking at moral distress

Reader, Rhonda L.

doi:10.1016/j.teln.2015.05.001

Cited by 9 publications

(13 citation statements)

References 27 publications

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“…According to Walker and Avant, attributes are characteristics or qualities that define a concept . The critical attributes identified for student courage are persistence, bravery, overcoming fear, and self‐advocacy . The attributes for student courage are defined in Table .…”

Section: Critical Attributes Of Student Couragementioning

confidence: 99%

“…Self‐advocacy is important in representing one's views in order to protect others. Self‐advocacy can involve being an advocate for someone under their care and is necessary for justice or even doing what is morally right . Students can display courage by advocating for themselves in an academic setting or more importantly, advocating the core values of someone else.…”

Section: Critical Attributes Of Student Couragementioning

confidence: 99%

“…5 The critical attributes identified for student courage are persistence, bravery, overcoming fear, and self-advocacy. 35,36 The attributes for student courage are defined in Table 1.…”

Section: Critical Attributes Of Student Couragementioning

confidence: 99%

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Student courage: An essential for today's health education

Gibson

2018

Nurs Forum

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Section: Critical Attributes Of Student Couragementioning

confidence: 99%

Section: Critical Attributes Of Student Couragementioning

confidence: 99%

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Student courage: An essential for today's health education

Gibson

2018

Nurs Forum

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“…Moral distress could reduce self-confidence and learning ability. Moreover, it might generate some indifference and pessimism about nurses and decrease interests in nursing [14][15][16][17][18][19][20][21][22][23]. Regarding MD, several studies have been performed on nurses and nursing students, accompanied by different results [3,[24][25][26].…”

Section: Introductionmentioning

confidence: 99%

Frequency, Severity, Rate, and Causes of Moral Distress among Nursing Students: A Cross-Sectional Study

Janatolmakan

Dabiry

Rezaeian

et al. 2021

Education Research International

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Background. One of the most important psychosocial issues related to the nursing profession is moral distress (MD), which has devastating effects on student performance as well as patient care. The current study was conducted to determine the frequency, severity, rate, and causes of MD in nursing students. Methods. During this cross-sectional study, 86 samples were last year undergraduate nursing students of Kermanshah University of Medical Sciences, who were entered into the study by the census method. Data gathering instruments were personal information form, Moral Distress Scale-revised (MDS-r), and Moral Distress Thermometer (MDT). Results. The mean frequency, severity, and rate of MD, according to the MDS-r questionnaire, were 1.3 ± 0.7 out of 4, 1.8 ± 0.8 out of 4, and 3.3 ± 2.3 out of 16, respectively. The average MDT score was 2.6 ± 2.5 out of 10. The most common causes of MD were working in unsafe conditions (6.8 ± 6.0), observing impaired patients health servicing (5.4 ± 5.6), and the low quality of patient care (5.1 ± 4.6). There was a statistically significant relationship between the gender, work experience, and participation in the professional ethics workshop variables and mean MDS-total and MDT. Conclusion. The rate and mean severity of MD were reported at a moderate level. Also, the MDT average was reported at a mild to an uncomfortable level, and the overall MD was equal to moderate. Therefore, student administrators should take steps to eliminate or reduce the causes of MD. In this regard, the need for teaching preventive methods against MD to nursing students before their clinical courses seems crucial. Also, students with MD must be referred to the psychiatric/psychologist.

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“…). Consequently, fear of reprimand may prevent engagement in learning which may lead to more errors (Reader ) and not support students’ courage to speak up about a clinical or moral wrong.…”

Section: Resultsmentioning

confidence: 99%