Moral Distress: The State of the Science

Hanna, Debra R.

doi:10.1891/088971804780956082

Cited by 55 publications

(107 citation statements)

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“…23,24 According to Cavaleri et al, 5 we found a relatively high percentage of nurses that declared having left or having thought of leaving, but did not, a previous job owing to moral distress.…”

Section: Discussionmentioning

confidence: 85%

Moral distress in the neonatal intensive care unit: an Italian study

Sannino

Gianni

et al. 2014

J Perinatol

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Section: Discussionmentioning

confidence: 85%

Moral distress in the neonatal intensive care unit: an Italian study

Sannino

Gianni

et al. 2014

J Perinatol

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“…It might also be viewed eventually as a potential therapeutic intervention for certain groups of people (p. 77). 23 In effect, researchers argue that moral distress can initiate a process of learning and healing and, moreover, that when nurses become more sensitive to moral demands and more aware of personal and institutional obstacles to good practice, the quality of their care may be enhanced. 20,26 Concerns about the discourse of moral distress…”

Section: The Impact Of Moral Distressmentioning

confidence: 99%

Moral Distress Reconsidered

2008

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Moral distress has received much attention in the international nursing literature in recent years. In this article, we describe the evolution of the concept of moral distress among nursing theorists from its initial delineation by the philosopher Jameton to its subsequent deployment as an umbrella concept describing the impact of moral constraints on health professionals and the patients for whom they care. The article raises worries about the way in which the concept of moral distress has been portrayed in some nursing research and expresses concern about the fact that research, so far, has been largely confined to determining the prevalence of experiences of moral distress among nurses. We conclude by proposing a reconsideration, possible reconstruction and multidisciplinary approach to understanding the experiences of all health professionals who have to make difficult moral judgements and decisions in complex situations.

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“…11,[16][17][18][19][20][21][22] Nurses who experience moral distress also report feelings of anger, guilt, depression, anxiety, defensiveness, helplessness, powerlessness, sadness, frustration, and compromised integrity. 5,16,[23][24][25] With a severe nursing shortage projected to worsen over the next several years, it becomes even more important to address this issue.…”

Section: Moral Distressmentioning

confidence: 99%

Registered Nurses and Moral Distress

Robinson¹

2010

Dimensions of Critical Care Nursing

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Nurses spend more time with patients at the end of life than any other member of the health care team, giving them early insight into futility-of-care issues for a particular patient. Providing futile care to dying patients is a well-known source of moral distress for nurses. Traditional ethical models are not always effective in dealing with these issues. The purpose of this article was to describe moral distress that is often experienced by nurses providing care to patients at the end of life and to propose the use of a model in dealing with associated ethical dilemmas in an effort to decrease the incidence of moral distress.

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Moral Distress: The State of the Science

Cited by 55 publications

References 0 publications

Moral distress in the neonatal intensive care unit: an Italian study

Moral distress in the neonatal intensive care unit: an Italian study

Moral Distress Reconsidered

Registered Nurses and Moral Distress

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