End-of-Life Care of the Geriatric Patient and Nurses’ Moral Distress

Piers, Ruth; Eynde, Magali Van den; Steeman, Els; Vlerick, Peter; Benoît, Dominique; Noortgate, Nele J. Van Den

doi:10.1016/j.jamda.2010.12.014

Cited by 90 publications

(114 citation statements)

References 36 publications

(40 reference statements)

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“…1,4,8,16,17,19,34,43,45,59 In our study, it was also determined that 24.0% of the nurses considered resigning due to moral distress but did not whereas 16.0% of them still considered quitting his or her job. In other studies too, it is reported that nurses resigned due to the moral distress, 8 or considered quitting his or her job 10 or being transferred to another unit.…”

Section: Discussionmentioning

confidence: 51%

Moral distress in Turkish intensive care nurses

Karagözoğlu¹,

Yıldırım

Özden

et al. 2015

Nurs Ethics

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Turkish version of Moral Distress Scale-Revised can be used as a reliable and valid measurement tool for the evaluation of moral distress experienced by nurses working in intensive care units in Turkey. In line with our findings, it can be said that nurses suffered low level of moral distress. However, factors which caused the nurses in our study to experience higher levels of moral distress are inadequate communication within the team, working with professionals they considered as incompetent, and futile care.

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Section: Discussionmentioning

confidence: 51%

Moral distress in Turkish intensive care nurses

Karagözoğlu¹,

Yıldırım

Özden

et al. 2015

Nurs Ethics

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“…Working in acute care settings (Piers et al, 2012), working less than 30 hours per week, not having enough time available for patients, and experiencing instrumental leadership (De Veer et al, 2013) were found to predict moral distress.…”

Section: Moral Distress and Organizational Environmentmentioning

confidence: 99%

When healthcare professionals cannot do the right thing: A systematic review of moral distress and its correlates

2016

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Moral distress occurs when professionals cannot carry out what they believe to be ethically appropriate actions. This review describes the publication trend on moral distress and explores its relationships with other constructs. A bibliometric analysis revealed that since 1984, 239 articles were published, with an increase after 2011. Most of them (71%) focused on nursing. Of the 239 articles, 17 empirical studies were systematically analyzed. Moral distress correlated with organizational environment (poor ethical climate and collaboration), professional attitudes (low work satisfaction and engagement), and psychological characteristics (low psychological empowerment and autonomy). Findings revealed that moral distress negatively affects clinicians' wellbeing and job retention. Further studies should investigate protective psychological factors to develop preventive interventions.

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“…5,24,26,28,29 Particularly, as nurses had higher level of moral distress, they significantly considered leaving their position more frequently. 24,26 Three studies showed that 46.2%, 28 45% 29 and 10% 5 of the nurses surveyed reported having left or considered leaving a position because of moral distress. Moreover, in Corley's 37 study, of the 111 nurses, 12% had left a nursing position primarily because of moral distress.…”

Section: How Do Nurses Cope With Moral Distress?mentioning

confidence: 99%

Moral distress experienced by nurses

2013

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Nurses are frequently confronted with ethical dilemmas in their nursing practice. As a consequence, nurses report experiencing moral distress. The aim of this review was to synthesize the available quantitative evidence in the literature on moral distress experienced by nurses. We appraised 19 articles published between January 1984 and December 2011. This review revealed that many nurses experience moral distress associated with difficult care situations and feel burnout, which can have an impact on their professional position. Further research is required to examine worksite strategies to support nurses in these situations and to develop coping strategies for dealing with moral distress.

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End-of-Life Care of the Geriatric Patient and Nurses’ Moral Distress

Cited by 90 publications

References 36 publications

Moral distress in Turkish intensive care nurses

Moral distress in Turkish intensive care nurses

When healthcare professionals cannot do the right thing: A systematic review of moral distress and its correlates

Moral distress experienced by nurses

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