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Moral distress

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https://www.readbyqxmd.com/read/29218965/moral-courage-in-undergraduate-nursing-students-a-literature-review
#1
Laurie Bickhoff, Peter M Sinclair, Tracy Levett-Jones
Aim: The aim of this review was to explore factors which facilitate or inhibit undergraduate nursing students’ willingness to demonstrate moral courage when confronted by poor patient care. Methods: Included papers were those that met the criteria of being qualitative research that explored undergraduate nursing students’ depictions of situations where moral courage was or was not demonstrated during clinical placements, with a particular focus on situations that impacted or had the potential to impact the quality of patient care...
2017: Collegian: Journal of the Royal College of Nursing, Australia
https://www.readbyqxmd.com/read/29209622/exploration-of-the-association-between-nurses-moral-distress-and-secondary-traumatic-stress-syndrome-implications-for-patient-safety-in-mental-health-services
#2
Maria Christodoulou-Fella, Nicos Middleton, Elizabeth D E Papathanassoglou, Maria N K Karanikola
Work-related moral distress (MD) and secondary traumatic stress syndrome (STSS) may be associated with compromised health status among health professionals, reduced productivity, and inadequate safety of care. We explored the association of MD with the severity of STSS symptoms, along with the mediating role of mental distress symptoms. Associations with emotional exhaustion and professional satisfaction were also assessed. This cross-sectional survey conducted in 206 mental health nurses (MHNs) was employed across public sector community and hospital settings in Cyprus...
2017: BioMed Research International
https://www.readbyqxmd.com/read/29196079/burnout-moral-distress-work-life-balance-and-career-satisfaction-among-hematopoietic-cell-transplantation-professionals
#3
Joyce L Neumann, Lih-Wen Mau, Sanya Virani, Ellen M Denzen, Deborah A Boyle, Nancy J Boyle, Jane Dabney, Alexandra De KeselLofthus, Marion Kalbacker, Tippu Khan, Navneet S Majhail, Elizabeth A Murphy, Pamela Paplham, Leslie Parran, Miguel-Angel Perales, Todd H Rockwood, Kim Schmit-Pokorny, Tait D Shanafelt, Elaine Stenstrup, William A Wood, Linda J Burns
BACKGROUND: A projected shortage of hematopoietic cell transplantation (HCT) health professionals was identified as a major issue during the National Marrow Donor Program (NMDP)/Be The Match System Capacity Initiative. Work-related distress and work-life balance were noted to be potential barriers to recruitment/retention. This study examined these barriers and their association with career satisfaction across HCT disciplines. METHODS: A cross-sectional, 90-item, web-based survey was administered to advanced practice providers (APP), nurses, physicians, pharmacists, and social workers in 2015...
November 28, 2017: Biology of Blood and Marrow Transplantation
https://www.readbyqxmd.com/read/29191724/moral-distress-at-the-end-of-a-life-when-family-and-clinicians-don-t-agree-on-implantable-cardioverter-defibrillator-deactivation
#4
Jill M Steiner, Kristen K Patton, Jordan M Prutkin, James N Kirkpatrick
A 63-year-old man with end-stage ischemic cardiomyopathy presented with incessant ventricular tachycardia. He had been hospitalized multiple times in the past year for severe heart failure. As he approached end-of-life and was regularly receiving defibrillator shocks, his care team recommended deactivation of his implantable cardioverter-defibrillator. However, his family did not wish to allow deactivation, reporting a religious obligation to prolong his life, regardless of the risk of suffering. The patient was unable to adequately participate in the decision-making process...
November 27, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/29187830/the-role-of-moral-suffering-moral-distress-and-moral-injury-in-police-compassion-fatigue-and-ptsd-an-unexplored-topic
#5
Konstantinos Papazoglou, Brian Chopko
No abstract text is available yet for this article.
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/29187107/the-burdens-of-offering-ethical-and-practical-considerations
#6
Roxanne E Kirsch, Jillian Coronado, Peter P Roeleveld, James Tweddell, Antonio M Mott, Stephen J Roth
We reflect upon highlights of a facilitated panel discussion from the 2016 Pediatric Cardiac Intensive Care Society Meeting. The session was designed to explore challenges, share practical clinical experiences, and review ethical underpinnings surrounding decisions to offer intensive, invasive therapies to patients who have a poor prognosis for survival or are likely to be burdened with multiple residual comorbidities if survival is achieved. The discussion panel was representative of a variety of disciplines including pediatric cardiology, cardiac intensive care, nursing, and cardiovascular surgery as well as different health-care delivery systems...
November 2017: World Journal for Pediatric & Congenital Heart Surgery
https://www.readbyqxmd.com/read/29177397/-not-everything-is-zika-congenital-toxoplasmosis-still-prevalent-in-colombia
#7
Jorge L Alvarado-Socarras, Keyla Meneses-Silvera, Andrea Carolina Zarate-Vergara, Carlos Guerrero-Gomez, Alfonso J Rodriguez-Morales
Congenital toxoplasmosis continues to be a public health threat. Even existing guidelines, publicly known, its implementation and lack of appropriate interpretation of serological tests in pregnancy is often observed. This leds to failure in opportunities for positive and known interventions to decrease the fetal risk due to Toxoplasma gondii infection. We reported herein a case series, with variable neurological and systemic compromise (respiratory distress, hepatosplenomegaly, enterocolitis, brain calcifications, thrombocytopenia, ascites, shock), even fatal, calling for awareness about the fact that despite the Zika epidemics in 2015-2016 in Brazil, Colombia and other countries, precisely toxoplasmosis, is a differential diagnosis still prevalent in these territories, that can leds to severe consequences, with neurological disability and risk of ocular damage, even lately...
April 2017: Revista Peruana de Medicina Experimental y Salud Pública
https://www.readbyqxmd.com/read/29176338/case-managers-on-the-front-lines-of-ethical-dilemmas-advocacy-autonomy-and-preventing-case-manager-burnout
#8
Charlotte Sortedahl, Nina Mottern, Vivian Campagna
PURPOSE: The purpose of this article is to examine how case managers are routinely confronted by ethical dilemmas within a fragmented health care system and given the reality of financial pressures that influence life-changing decisions. The Code of Professional Conduct for Case Managers (Code), published by the Commission for Case Manager Certification, acknowledges "case managers may often confront ethical dilemmas" (Code 1996, Rev. 2015). PRIMARY PRACTICE SETTINGS: The Code and expectations that professional case managers, particularly those who are board certified, will uphold ethical and legal practice apply to case managers in every practice setting across the full continuum of health care...
January 2018: Professional Case Management
https://www.readbyqxmd.com/read/29164607/virtual-morality-in-the-helping-professions-simulated-action-and-resilience
#9
Kathryn B Francis, Michaela Gummerum, Giorgio Ganis, Ian S Howard, Sylvia Terbeck
Recent advances in virtual technologies have allowed the investigation of simulated moral actions in aversive moral dilemmas. Previous studies have employed diverse populations to explore these actions, with little research considering the significance of occupation on moral decision-making. For the first time, in this study we have investigated simulated moral actions in virtual reality made by professionally trained paramedics and fire service incident commanders who are frequently faced with and must respond to moral dilemmas...
November 22, 2017: British Journal of Psychology
https://www.readbyqxmd.com/read/29160962/recognizing-and-dealing-with-moral-distress
#10
Beth Ulrich
No abstract text is available yet for this article.
July 2017: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
https://www.readbyqxmd.com/read/29154594/morally-injurious-events-and-psychological-distress-among-veterans-examining-the-mediating-role-of-religious-and-spiritual-struggles
#11
Wyatt R Evans, Melinda A Stanley, Terri L Barrera, Julie J Exline, Kenneth I Pargament, Ellen J Teng
OBJECTIVE: Potentially morally injurious events (PMIEs)-violations (perpetrated or witnessed) of one's deeply held beliefs or values-have been associated with several forms of psychological distress. The values violated by PMIEs are often influenced by one's religion/spirituality (r/s). Struggles with one's r/s beliefs and/or practices may also contribute to elevated psychological distress. To further develop a framework for understanding and treating the sequelae of PMIE exposure, we examined the role of r/s struggles in the relation between PMIE exposure and psychological distress...
November 20, 2017: Psychological Trauma: Theory, Research, Practice and Policy
https://www.readbyqxmd.com/read/29116998/mesenchymal-stem-cells-from-bone-marrow-adipose-tissue-and-lung-tissue-differentially-mitigate-lung-and-distal-organ-damage-in-experimental-acute-respiratory-distress-syndrome
#12
Johnatas D Silva, Miquéias Lopes-Pacheco, Ana H R Paz, Fernanda F Cruz, Elga B Melo, Milena V de Oliveira, Débora G Xisto, Vera L Capelozzi, Marcelo M Morales, Paolo Pelosi, Elizabeth Cirne-Lima, Patricia R M Rocco
OBJECTIVES: Mesenchymal stem cells-based therapies have shown promising effects in experimental acute respiratory distress syndrome. Different mesenchymal stem cells sources may result in diverse effects in respiratory diseases; however, there is no information regarding the best source of mesenchymal stem cells to treat pulmonary acute respiratory distress syndrome. We tested the hypothesis that mesenchymal stem cells derived from bone marrow, adipose tissue, and lung tissue would lead to different beneficial effects on lung and distal organ damage in experimental pulmonary acute respiratory distress syndrome...
November 7, 2017: Critical Care Medicine
https://www.readbyqxmd.com/read/29100662/management-of-partial-fingertip-amputation-in-adults-operative-and-non-operative-treatment
#13
REVIEW
Kunal Sindhu, Steven F DeFroda, Andrew P Harris, Joseph A Gil
BACKGROUND: Hand and finger injuries account for approximately 4.8 million visits to emergency departments each year. These injuries can cause a great deal of distress for both patients and providers and are often initially encountered in urgent care clinics, community hospitals, and level one trauma centers. Tip amputation injuries vary widely in mechanism, ranging from sharp lacerations to crush injuries that present with varying degrees of contamination. The severity of damage to soft tissue, bone, arteries and nerves is dependent upon the mechanism and guides treatment decision-making...
October 31, 2017: Injury
https://www.readbyqxmd.com/read/29095938/challenges-to-code-status-discussions-for-pediatric-patients
#14
Katherine E Kruse, Jason Batten, Melissa L Constantine, Saraswati Kache, David Magnus
OBJECTIVES: In the context of serious or life-limiting illness, pediatric patients and their families are faced with difficult decisions surrounding appropriate resuscitation efforts in the event of a cardiopulmonary arrest. Code status orders are one way to inform end-of-life medical decision making. The objectives of this study are to evaluate the extent to which pediatric providers have knowledge of code status options and explore the association of provider role with (1) knowledge of code status options, (2) perception of timing of code status discussions, (3) perception of family receptivity to code status discussions, and (4) comfort carrying out code status discussions...
2017: PloS One
https://www.readbyqxmd.com/read/29079608/vulnerability-survival-and-shame-in-nina-raine-s-tiger-country
#15
Deborah Bowman
Shame in healthcare remains relatively underexplored, yet it is commonplace and its impact is significant. This paper explores shame in healthcare using Nina Raine's 2011 play Tiger Country Three manifestations of shame are explored, namely (1) shame in relation to professional identity and survival in the clinical workplace; (2) shame and illness as experienced by both patients and doctors; and (3) the systemic and organisational influences on shame within healthcare systems. I suggest that the theatre is particularly well-placed to elucidate shame, and that Tiger Country demonstrates the prevalence and impact of shame on clinical work...
December 2017: Medical Humanities
https://www.readbyqxmd.com/read/29076196/barriers-to-ethical-nursing-practice-for-older-adults-in-long-term-care-facilities
#16
Kwisoon Choe, Hyunwook Kang, Aekyung Lee
AIMS AND OBJECTIVES: To explore barriers to ethical nursing practice for older adults in long-term care facilities from the perspectives of nurses in South Korea. BACKGROUND: The number of older adults admitted to long-term care facilities is increasing rapidly in South Korea. In order to provide this population with quality care, a solid moral foundation should be emphasized to ensure the provision of ethical nursing practices. Barriers to implementing an ethical nursing practice for older adults in long-term care facilities have not been fully explored in previous literature...
October 27, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29049157/moral-distress-and-associated-factors-among-baccalaureate-nursing-students-a-multi-site-descriptive-study
#17
Juliana Peluso
No abstract text is available yet for this article.
November 2017: Nursing Education Perspectives
https://www.readbyqxmd.com/read/29048476/burnout-in-nurses-working-with-youth-with-chronic-pain-a-mixed-methods-analysis
#18
Nikita P Rodrigues, Lindsey L Cohen, Kevin M Swartout, Karen Trotochaud, Eileen Murray
Nursing is a rewarding but also challenging profession. Nurses are at risk for burnout and premature exit from the profession, which is detrimental to them, their patients, and the healthcare system. There are few studies examining the unique correlates of burnout in nurses working with pediatric populations. The current 2-study project used mixed-methods (qualitative and then quantitative) analysis to explore burnout in nurses working in an inpatient unit with youth with chronic pain.  Study I participants included all of the 32 nurses who worked in an inpatient pediatric unit, which admits patients with chronic pain...
August 21, 2017: Journal of Pediatric Psychology
https://www.readbyqxmd.com/read/29046119/walking-children-through-a-minefield-how-professionals-experience-exploring-adverse-childhood-experiences
#19
Ane U Albaek, Liv G Kinn, Anne M Milde
Understanding the challenges of professionals in addressing child adversity is key to improving the detection, protection, and care of exposed children. We aimed to synthesize findings from qualitative studies of professionals' lived experience of addressing child adversity. Through a systematic search, we identified eight qualitative studies and synthesized them using metaethnography. We generated three themes, "feeling inadequate," "fear of making it worse," and "facing evil," and one overarching metaphor, "walking children through a minefield...
October 1, 2017: Qualitative Health Research
https://www.readbyqxmd.com/read/29034962/analysis-and-evaluation-of-the-moral-distress-theory
#20
Melissa A Wilson
Moral distress is a pervasive problem in nursing resulting in a detriment to patient care, providers, and organizations. Over a decade ago, the moral distress theory (MDT) was proposed and utilized in multiple research studies. This middle range theory explains and predicts the distress that occurs in a nurse because of moral conflict. The research findings born from this theory have been substantial. Since inception of this theory, moral distress has been extensively examined which has further elaborated its understanding...
October 16, 2017: Nursing Forum
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