Perceived organizational effectiveness, moral injury, and moral resilience among nurses during the COVID-19 pandemic

Rushton, Cynda Hylton; Nelson, Katie; Antonsdottir, Inga; Hanson, Ginger C.; Boyce, Danielle

doi:10.1097/01.numa.0000834524.01865.cc

Cited by 19 publications

(15 citation statements)

References 29 publications

(101 reference statements)

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“…Unresolved or repeated incidents of moral distress can lead to moral injury, which is psychological trauma resulting from a profound compromise of moral values (Rosen et al, 2022 ). Whilst moral distress can prompt emotions of frustration, unease and anger, moral injury can trigger a crisis in identity (Rosen et al, 2022 ; Rushton et al, 2022 ) The consequences of moral injury are long‐term and often irreversible, including poor mental health, burnout and workforce attrition, as well as damage to morale in the workplace (Morley et al, 2020 ; Rosen et al, 2022 ). Building moral resilience through interventions such as facilitated ethical reflection is vital to combating moral distress and mitigating the effect of moral injury (Rosen et al, 2022 ).…”

Section: Discussionmentioning

confidence: 99%

“…Building moral resilience through interventions such as facilitated ethical reflection is vital to combating moral distress and mitigating the effect of moral injury (Rosen et al, 2022 ). Such interventions should be built into the COVID‐19 recovery process of the nursing workforce and supported by the organizational culture (Delany et al, 2021 ; Rushton et al, 2022 ).…”

Section: Discussionmentioning

confidence: 99%

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Exploring the impact of the COVID‐19 environment on nursing delivery of family‐centred care in a paediatric hospital

O’Neill

Devsam

Kinney

et al. 2022

Journal of Advanced Nursing

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Aims and objectives:To understand how the pandemic environment impacted the delivery of FCC of children and families from a nursing perspective in a major tertiary paediatric hospital.Background: Family-centred care (FCC) is a well-established framework to promote parental involvement in every aspect of a child's hospitalization, however, rules and restrictions in place during the COVID-19 pandemic affected the ways in which Family-centred Care could be delivered in practice.Design: This is a qualitative exploratory descriptive study to elicit the perspective of paediatric nurses delivering care to children in a hospital during the COVID-19 pandemic in Victoria, Australia. Methods:Nurses from all subspecialties in a tertiary paediatric hospital were invited to participate in virtual focus groups to discuss their experience of delivering FCC during the COVID-19 pandemic. Focus groups were recorded and transcribed, then analysed using Framework Analysis. Results: Nineteen nurses participated across seven focus groups during June and July 2020. The four themes-Advocating with empathy, Enabling communication, Responding with flexibility, and Balancing competing considerations-and the eight subthemes that were generated, outline how nurses deliver FCC, and how these FCC actions were impacted by the COVID-19 environment and the related hospital restrictions. Conclusion: This study documents the experiences, resilience and resourcefulness of paediatric nurses in Australia during the COVID-19 pandemic as well as moving Family-centred Care from a theoretical framework into a practical reality. Impact: The findings from this study should inform consideration of the impacts of public health policies during infectious disease outbreaks moving forward. In addition by describing the core actions of Family-centred Care, this study has implications for educational interventions on how to translate FCC theory into practice.No public or patient contribution as this study explored nursing perceptions only.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Exploring the impact of the COVID‐19 environment on nursing delivery of family‐centred care in a paediatric hospital

O’Neill

Devsam

Kinney

et al. 2022

Journal of Advanced Nursing

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“…From 2021 through 2022, the demand for Kings County's well-being support services continued to grow and strategies evolved. Our focus continued to prioritize addressing burnout, compassion fatigue, emotional pain, trauma, moral injury, and distress 14. Nurse supervisors and unit managers showed sensitivity to the well-being needs of their staff.…”

Section: Outcomes and Ongoing Interventionsmentioning

confidence: 99%

“…Our focus continued to prioritize addressing burnout, compassion fatigue, emotional pain, trauma, moral injury, and distress. 14 Nurse supervisors and unit managers showed sensitivity to the well-being needs of their staff. They generated the largest number of referrals for both 1:1 peer support and group debrief sessions in the past 2 years.…”

Section: Outcomes and Ongoing Interventionsmentioning

confidence: 99%

Compassion, collaboration, and community

Gordon,

Nitorreda,

Jacolbe

et al. 2023

Nursing Management

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“…Um estudo recente afirma que o período pandêmico pode gerar danos morais significativos em alguns profissionais, além de exaustão podem gerar quebras de confiança organizacional, sendo necessário implementação de recursos para apoiar estes profissionais de maneira ética, para além do apoio clínico (Rushton et al, 2022).…”

Section: Metodologiaunclassified

Equacionando dilemas da prática profissional: criação e implementação de uma comissão de ética de enfermagem

Reis

Roque

Daher

et al. 2022

RSD

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Introdução: a ética é parte integrante da filosofia responsável pela investigação dos princípios que motivam, distorcem ou orientam o comportamento humano. No campo da enfermagem, o exercício profissional transcende a assistência direta, vai para além do cuidado prestado, esta precisa estar baseada em ciência e conhecimentos ético-morais. Objetivo: relatar a experiência da criação e implementação de uma Comissão de Ética de Enfermagem Institucional. Metodologia: trata-se de um estudo descritivo, do tipo relato de experiência, realizado a partir da experiência das autoras durante a atuação no serviço de Gestão de Enfermagem de um hospital público do município do Rio de Janeiro. a coleta de dados deu-se através da vivência de duas enfermeiras, no ano de 2021. Resultados: a criação e implementação da comissão de ética de enfermagem surgiu de uma demanda obrigatória e inquietação de uma das autoras, visto que a unidade possuía mais de 50 profissionais de enfermagem atuantes no serviço. Após eleição foi instituída a comissão de ética conforme resolução específica nº 593/201, com a atuação de 5 profissionais de enfermagem, 3 enfermeiros e 1 técnico de enfermagem e 1 auxiliar de enfermagem. Considerações finais: esta singular experiência foi importante para o serviço de saúde e seus profissionais por possibilitar conscientizá-los de que questões éticas fazem parte do cotidiano da profissão e que elas podem resguardar as ações de enfermagem, gerando ganhos para pacientes, familiares, profissionais e gestores.

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Perceived organizational effectiveness, moral injury, and moral resilience among nurses during the COVID-19 pandemic

Cited by 19 publications

References 29 publications

Exploring the impact of the COVID‐19 environment on nursing delivery of family‐centred care in a paediatric hospital

Exploring the impact of the COVID‐19 environment on nursing delivery of family‐centred care in a paediatric hospital

Compassion, collaboration, and community

Equacionando dilemas da prática profissional: criação e implementação de uma comissão de ética de enfermagem

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