A Study of the Situations, Features, and Coping Mechanisms Experienced by Irish Psychiatric Nurses Experiencing Moral Distress

Abstract

Original citationDeady

Moral Distress, Moral Sensitivity and Ethical Climate of Nurses Working in Psychiatric Wards

“…도덕적 선택을 행동으로 옮길 수 없 게 하는 상황적 제약에는 의사결정권의 부족, 권한의 부족, 간 호사가 지켜야 하는 기관의 규칙이나 권위 (Han, 2005), 시간 부족, 관리자의 지지부족, 병원의 구조적인 문제 (Jameton, 1993) 등이 있다. 도덕적 고뇌가 해결되지 않으면 무력감, 죄 책감, 자아비판, 낮은 자존감을 경험하게 되고 (Deady & McCarthy, 2010), 직무 불만족으로 인해 이직과 사직의 원인이 된다 (Corley, Elswick, Gorman, & Clor, 2001;Schluter, Winch, Holzhauser, & Henderson, 2008). 또한 간호의 질 과 환자의 만족도가 저하되는 결과를 초래하여 심각한 문제로 인식되고 있다 (Corley et al, 2001).…”

Stress of Conscience among psychiatric nursing staff in relation to environmental and individual factors

“…15,20 The psychosocial work environment has also found to be related to nurses' moral sensitivity, 21 and low staffing levels have shown to be associated with moral distress among Japanese psychiatric nurses. 22 Furthermore, conflicts with co-workers were described as a cause of moral distress in an interview study with Irish psychiatric nurses, 23 and lack of time generated Stress of Conscience in different groups of hospital staff. 8 Previous research thus indicates that the ward atmosphere and the psychosocial work environment are factors of possible significance for Stress of Conscience.…”

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

“…Moral distress experienced by different team members can generate from different elements within the situation (Sturm, 2007). So while the involvement of additional professions in care delivery may reduce the moral distress experience for one worker, it may also be the genesis of moral distress for another (Deady & McCarthy, 2010).…”

“…If the third point is correct, then some other underlying organisational element is at play (that is the context impacting on the experience) ameliorating moral distress from these sources for these workers. The context or environment in which workers operate has been unequivocally demonstrated to influence moral distress (Austin, 2012;Deady & McCarthy, 2010;Kain et al, 2009;Ohnishi et al, 2010). Uncovering the constituent elements at play in specific contexts such as this, is key in addressing moral distress.…”

“…It may be that the aged care workers in our study simply saw a lack of need for multi-disciplinary involvement, or a lack of existence of the available expertise. Though, the automatic inclusion of the multi-disciplinary approach as a solution to moral distress is not necessarily a panacea, as the genesis of moral distress is not always consistently acknowledge or addressed in multi-disciplinary teams either (Deady & McCarthy, 2010). Moral distress experienced by different team members can generate from different elements within the situation (Sturm, 2007).…”