Impact of a Pediatric Quality of Life Program on Providers' Moral Distress

Abstract

After implementation of the Pediatric QoL Program, nurses and other providers encountered morally distressing situations less often. Providers also answered that they had greater comfort with and competence in providing care focused on patients' quality of life after completing the program. As palliative care programs include many activities that reduce moral distress, nurses should actively take advantage of participation in debriefing sessions and staff education to maximize their work quality of life.

Wenn ein Kind stirbt

“…Durch die Anwendung eines strukturierten Pro gramms, des sogenannten "Pediatric Qua lity of Life Program", konnte der Stress der Fachkräfte gesenkt werden. 26 Zudem kann durch die Arbeit mit einem externen Team für die pädiatrische Palliativbetreuung der Stress der Klinikmitarbeiter weiter redu ziert werden. So können zum Beispiel Rundtischgespräche, in die das pädiatri sche Palliativteam eine veränderte Pers pektive und spezielles Wissen einbringt, durchgeführt werden.…”

Moral Distress in the Everyday Life of an Intensivist

“…Promote “venting/debriefing sessions” : after difficult cases, such sessions allow for open conversations and analysis. These sessions, to be successful, need to be characterized by authenticity, compassion, regrouping, and validation (30). Such encounters are crucial for the well-being of the unit and the practitioners involved and should be supported (i.e., finances, resources, and training) by the institutions (15, 35).…”

Evaluating an Intervention to Reduce Moral Distress in the Intensive Care Unit

“…Morally distressing situations are created by a combination of patient, unit, and system issues encountered by the healthcare provider. Brandon, et al, (2014) and Molazem, et al, (2013) Some of the limitations of the studies were investigator developed measurements or measurements modified for a specific patient population. Although moral distress is a phenomenon experienced by all healthcare providers, only one study had a multidisciplinary approach.…”

“…The studies evaluated educational and ethics based interventions to mitigate moral distress for healthcare providers. The six studies included, two mixed methods studies (Legget, Wasson, Sinacore, & Gamelli, 2013;Robinson, Lee, Zollfrank, Jurchak, Frost, & Grace, 2014), one nonrandomized comparison study (Beumer, 2008), two quantitative studies (Brandon, Ryan, Sloane, & Docherty, 2014;Molazem, Tavakol, Sharif, Keshavari, & Ghadakpour, 2013) and one qualitative study (Wocial, Hancock, Bledsoe, Chamness, & Helft 2010). Five studies were conducted in the United States and one was conducted in Iran.…”