Moral Distress: A Framework for Offering Relief through Debrief

Shashidhara, Shilpa; Kirk, Shaylona

doi:10.1086/jce2020314364

Cited by 7 publications

(1 citation statement)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This emphasises the need to respond to moral distress through preventative organisational strategies in addition to individually focussed interventions. Existing supportive interventions for tackling moral distress include Moral Distress Reflective Debriefs (Morley & Horsburgh, 2021) and the Moral Distress Debriefing Framework (Shashidhara & Kirk, 2020). Hence, cultivating organisational cultures that optimise staff support and open safe spaces for discussion of morally challenging experiences through, for example, clinical ethics services or effective, reflective and supportive clinical supervision should be prioritised (Dittborn et al, 2021; Morley, Sese, et al, 2020), especially in the wake of COVID‐19.…”

Section: Discussionmentioning

confidence: 99%

Registered Nurses' and nursing students' perspectives on moral distress and its effects: A mixed‐methods systematic review and thematic synthesis

et al. 2023

View full text Add to dashboard Cite

AimTo examine Registered Nurses (RNs') and nursing students' perspectives on factors contributing to moral distress and the effects on their health, well‐being and professional and career intentions.DesignJoanna Briggs Institute mixed‐methods systematic review and thematic synthesis. Registered in Prospero (Redacted).MethodsFive databases were searched on 5 May 2021 for studies published in English since January 2010. Methodological quality assessment was conducted in parallel with data extraction.ResultsSearches yielded 2343 hits. Seventy‐seven articles were included. Most were correlational design and used convenience sampling. Studies were mainly from North America and Asia and situated in intensive and critical care settings. There were common, consistent sources of moral distress across continents, specialities and settings. Factors related to perceived inability or failure to enact moral agency and responsibility in moral events at individual, team and structural levels generated distress. Moral distress had a negative effect on RNs health and psychological well‐being.Patient or Public ContributionNo patient or public contribution to this systematic review.

show abstract

Section: Discussionmentioning

confidence: 99%

Registered Nurses' and nursing students' perspectives on moral distress and its effects: A mixed‐methods systematic review and thematic synthesis

et al. 2023

View full text Add to dashboard Cite

show abstract

Reflective Debriefs as a Response to Moral Distress: Two Case Study Examples

Morley

Horsburgh

2021

HEC Forum

View full text Add to dashboard Cite

Within this paper, we discuss Moral Distress Reflective Debriefs as a promising approach to address and mitigate moral distress experienced by healthcare professionals. We briefly review the empirical and theoretical literature on critical incident stress debriefing and psychological debriefing to highlight the potential benefits of this modality. We then describe the approach that we take to facilitating reflective group discussions in response to morally distressing patient cases ("Moral Distress Reflective Debriefs"). We discuss how the debriefing literature and other clinical ethics activities influenced the development of our approach. In particular, we focus on the role of the clinical ethicist as a facilitator with particular emphasis on encouraging perspective-taking and nurturing ethical attunement in a supportive manner. We suggest that this approach reduces the narrowing effects of frustration and anger that are often reported when individuals experience moral-constraint distress. Finally, we provide an example of Moral Distress Reflective Debriefs, elucidating how this supportive process complements ethics consultation and can mitigate the negative effects of moral distress.

show abstract