Moral problems and distress among nurse practitioners in primary care

Laabs, Carolyn A.

doi:10.1111/j.1041-2972.2005.00014.x

Cited by 52 publications

(73 citation statements)

References 19 publications

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“…While most studies on moral distress have been done in acute care settings, some research has been conducted in long-term care environments. Green and Jeffers (2006) conducted interviews with six nurses in a long-term care setting to determine if moral Seventy-one advanced practice nurses were surveyed in a descriptive study by Laabs (2005) to identify ethical issues encountered, types of moral problems related to those issues, and the level of distress experienced. Respondents identified frustration and lack of power to effect change as morally distressing.…”

Section: Mixed Methodsmentioning

confidence: 99%

“…Moral distress can result in psychological disintegration of persons (Austin, Rankel, Kagan, Bergum, & Lemermeyer, 2005b;Gutierrez, 2005;Hanna, 2004Hanna, ,2005Kain, 2007;Rushton, 2006;Wilkinson, 1987Wilkinson, /1988, attrition (Brosche, 2007;Gutierrez, 2005;Hamric, & Blackhall, 2007;Laabs, 2005;Schluter et al, 2008), resignation (Brosche, 2007;Hamric, & Blackhall, 2007;Janvier, Nadeau, Deschênes, Couture, & Barrington, 2007;Kain, 2007;Schluter et al, 2008;Wilkinson, 1987Wilkinson, /1988, and poor patient outcomes (Brosche, 2007;Corley, Minick, Elswick, & Jacobs, 2005;Gutierrez, 2005;O'Haire, & Blackford, 2005;Schluter et al, 2008;Sundin-Huard, & Fahy,1999;Zuzelo, 2007).…”

Section: Significance Of Moral Distress To the Nursing Professionmentioning

confidence: 99%

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Moral distress and avoidance behavior in nurses working in critical care and noncritical care units

Villers¹,

DeVon

2012

Nurs Ethics

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Nurses facing impediments to what they perceive as moral practice may experience moral distress. The purpose of this descriptive, cross-sectional study was to determine similarities and differences in moral distress and avoidance behavior between critical care nurses and non-critical care nurses. Sixty-eight critical care and 28 non-critical care nurses completed the Moral Distress Scale and Impact of Event Scale (IES). There were no differences in moral distress scores ( F = 0.892, p = 0.347) or impact of event scores ( F = 3.80, p = 0.054) between groups after adjusting for age. There was a small positive correlation between moral distress and avoidance behaviors for both the groups. Moral distress is present in both critical care and noncritical care nurses. It is important that nurses are provided with opportunities to cope with this distress and that retention strategies include ways to reduce suffering and mitigate the effects on professional practice.

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Section: Mixed Methodsmentioning

confidence: 99%

Section: Significance Of Moral Distress To the Nursing Professionmentioning

confidence: 99%

Moral distress and avoidance behavior in nurses working in critical care and noncritical care units

Villers¹,

DeVon

2012

Nurs Ethics

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“…O sofrimento moral se manifesta como um desequilíbrio psicológico vivenciado por indivíduos ao se depararem com obstáculos que impossibilitam ou dificultam sua intervenção na realidade e inviabilizam a adoção de atitudes e comportamentos considerados corretos e em consonância com seu julgamento moral (1,2) .…”

Section: Introductionunclassified

“…Evidenciam-se vivências de sofrimento moral em enfermeiros de Atenção Primária à Saúde (APS), os quais manifestam frustração e impotência, resultando em abandono do emprego (1,3) . Entretanto, a natureza e a extensão do processo de angústia e sofrimento moral entre enfermeiros da APS ainda não foram totalmente descritas e desveladas.…”

Section: Introductionunclassified

“…Importa destacar que, com a mudança paradigmática que envolve a produção de cuidados em saúde, na atualidade, deslocou-se o centro da atenção à saúde do hospital para os ambulatórios e para a APS, fazendo com que o território onde as pessoas habitam e constroem seus modos de viver constitua o lugar primário de cuidados e, portanto, o lócus primário da ação moral (1,4) .…”

Section: Introductionunclassified

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Processo De Angústia/Sofrimento Moral Em Enfermeiros Da Estratégia Saúde Da Família

Caçador¹,

Ramos²,

Brito³

2017

revenf

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Objetivo: estudo qualitativo, realizado na região metropolitana de Belo Horizonte, cujo objetivo foi analisar o processo de angústia/sofrimento moral em enfermeiros da saúde da família. Dados coletados com 13 enfermeiros por meio de entrevista com roteiro semiestruturado. Realizada análise por método filosófico-conceitual. Evidencia-se a relação entre sofrimento moral, prática profissional do enfermeiro na ESF e implicações identitárias evidenciando contradições na prática profissional do enfermeiro decorrente de constrangimentos organizacionais que provocam rupturas identitárias e comprometem o bem interno da profissão. Necessário identificar situações geradoras de sofrimento moral, criar dispositivos gerenciais de enfrentamento, evitando sua ocorrência e atenuando seus efeitos. Descritores: Enfermagem; Sofrimento Moral; Estratégia Saúde da Família ThE PROCESS OF DISTRESS / MORAL SUFFERINg IN NURSES OF FAMILY hEALTh STRATEgY: SUBJECTIVITY AND IDENTITYObjective: A qualitative study aimed to analyze the process of distress / mental suffering in the nurse health of the family.Conducted in the metropolitan region of Belo Horizonte. Data collected with 13 nurses through interviews with semi -structured script. Analysis by philosophical-conceptual method. Evident the moral suffering and professional nursing practice in the family health strategy has identity implications highlighting contradictions in professional nursing practice due to organizational constraints that cause identity breaks and undertake the internal profession well. Required to identify situations that moral suffering, create management coping devices, preventing their occurrence and mitigating their effects.Situations that cause mental suffering to create coping strategies and management of ethical problems devices, preventing their occurrence and mitigating their effects. Estudio cualitativo el objetivo de analizar el proceso de angustia sufrimiento / mental en las enfermeras de salud de la familia.Realizado en la región metropolitana de Belo Horizonte. Los datos recogidos con 13 enfermeras a través de entrevistas con guión semiestructurado . El análisis por el método concepto-filosofico. Es evidente el sufrimiento moral y práctica profesional de enfermería en el la enfermera de la salud de la familia: implicaciones de identidad destacando contradicciones en la práctica profesional de la enfermería debido a limitaciones de la organización que causan roturas de identidad y que ejerzan la profesión , así interno. Requerido para identificar situaciones que el sufrimiento moral, crear dispositivos de gestión de afrontamiento, la prevención de su ocurrencia y mitigar sus efectos.

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Ethics in the rheumatology literature: A systematic review

Caplan

Hoffecker

Prochazka

2008

Arthritis & Rheumatism

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Objective. To address the perception that ethical issues are underrepresented in the rheumatology literature, a systematic review was conducted using multiple databases to identify articles that addressed ethical and rheumatologic issues. Methods. A rheumatologist, research librarian, and clinician-ethicist designed queries for 4 electronic and ethics databases, searching for articles with content that was relevant to rheumatology/rheumatic diseases and that primarily focused on ethics. Based upon the Beauchamp and Childress framework, the retrieved articles were classified according to their ethical content, and the proportions addressing each Beauchamp and Childress ethical principle were analyzed using Cochran's Q statistic. Correlations between the appearance of discussions involving each of the 4 ethical principles were determined via chi-square analysis. Results. The total number of manuscripts in the rheumatologic literature with an ethical focus was 104 out of an estimated library of >400,000 rheumatologically oriented manuscripts (0.026%). Very few manuscripts consisted of original research studies. Nonmaleficence (66%) was the most common theme, whereas justice represented the least frequently addressed ethical issue (12%). The differences in the proportions of each ethical principle reached statistical significance (Q ‫؍‬ 73.8, P < 0.0001). Only 8 articles addressed >2 ethical principles. Discussion touching on autonomy and nonmaleficence frequently appeared in the same article (Pearson's 2 ‫؍‬ 14.9, P < 0.001). Conclusion. Despite the frequency of ethical issues while caring for patients, few reports within the rheumatic disease literature have focused on ethical issues. Further work should ascertain the degree to which the literature addresses the ethical questions in rheumatology.

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Moral problems and distress among nurse practitioners in primary care

Abstract: More research is needed to clearly understand ethical issues and moral problems for NPs in primary care, how NPs identify and manage problems, and the effects on NPs and patients.

Cited by 52 publications

References 19 publications

Moral distress and avoidance behavior in nurses working in critical care and noncritical care units

Moral distress and avoidance behavior in nurses working in critical care and noncritical care units

Processo De Angústia/Sofrimento Moral Em Enfermeiros Da Estratégia Saúde Da Família

Ethics in the rheumatology literature: A systematic review

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