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"Moral distress"

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https://www.readbyqxmd.com/read/29752850/role-modelling-and-the-hidden-curriculum-new-graduate-nurses-professional-socialisation
#1
Kiri Hunter, Catherine Cook
AIMS AND OBJECTIVES: To explore new graduate nurses' experiences of professional socialisation by registered nurses in hospital-based practice settings, and identify strategies that support professional identity development. BACKGROUND: Professionalism is reinforced and stabilised in the clinical environment through the 'hidden curriculum', with major learning coming from practice role-models. New graduates observe attitudes, behaviours, decision-making and skills, and gain feedback from registered nurses, which they translate into their own practice...
May 12, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29746009/evaluation-of-a-paediatric-clinical-ethics-service
#2
Melanie A Jansen, Luregn J Schlapbach, Helen Irving
AIM: To evaluate a paediatric clinical ethics service incorporating both normative and empirical analysis. METHODS: Section 1: Review of consensus guidelines to identify emerging standards for clinical ethics services (CES) and evaluation of the service in relation to these. Section 2: Description of service activity data. Section 3: Feedback from clinical staff involved in clinical ethics consultations was collected using a web-based survey. RESULTS: Four guideline documents were reviewed, and clear emerging consensus standards were identified...
May 10, 2018: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/29701880/student-courage-an-essential-for-today-s-health-education
#3
Erin Gibson
AIM: The aim of this concept analysis is to propose the new concept of student courage as it operates within the context of healthcare professionals' education. BACKGROUND: Nurses have a moral obligation that often requires courage. However, nursing students do not have the capacity to act with moral courage until they are close to licensure. Student courage is propositioned as a precursor to moral courage. DESIGN: The Walker and Avant approach is used to examine the attributes, antecedents, consequences, and empiric referents of student courage...
April 27, 2018: Nursing Forum
https://www.readbyqxmd.com/read/29701626/moral-distress-md-and-burnout-in-mental-health-nurses-a-multicenter-survey
#4
Fabiana Delfrate, Paolo Ferrara, Daniela Spotti, Stefano Terzoni, Giulia Lamiani, Eleonora Canciani, Loris Bonetti
INTRODUCTION: Moral Distress (MD) is a common experience among nurses and if it is not recognised and treated, it may lead to serious consequences on nurses' health and quality of care. MD has been studied in several healthcare contexts. However, there are only few studies on MD in psychiatry and in Italy there are no data in this field.  Objective: To assess the presence of MD among mental health nurses in Italy and verify whether there is a relationship between MD and burnout. METHODS: We conducted a multicentre survey among nurses of Mental Health services of four hospitals in Milan...
February 6, 2018: La Medicina del Lavoro
https://www.readbyqxmd.com/read/29695198/effect-of-moral-empowerment-program-on-moral-distress-in-intensive-care-unit-nurses
#5
Safura Abbasi, Somayeh Ghafari, Mohsen Shahriari, Nahid Shahgholian
BACKGROUND: Moral distress has been experienced by about 67% of critical care nurses which causes many complications such as job dissatisfaction, loss of capacity for caring, and turnover for nurses and poor quality of care for patients as well as health system. OBJECTIVE: The purpose of this research was to provide a moral empowerment program to nursing directors, school of nursing, and the heads of hospitals to reduce moral distress in nurses and improve the quality of care...
January 1, 2018: Nursing Ethics
https://www.readbyqxmd.com/read/29694454/-we-ve-learned-it-s-a-medical-illness-not-a-moral-choice-qualitative-study-of-the-effects-of-a-multicomponent-addiction-intervention-on-hospital-providers-attitudes-and-experiences
#6
Honora Englander, Devin Collins, Sylvia Peterson Perry, Molly Rabinowitz, Elena Phoutrides, Christina Nicolaidis
BACKGROUND: Substance use disorders (SUD) represent a national epidemic with increasing rates of SUD-related hospitalizations. However, most hospitals lack expertise or systems to directly address SUD. Healthcare professionals feel underprepared and commonly hold negative views toward patients with SUD. Little is known about how hospital interventions may affect providers' attitudes and experiences toward patients with SUD. OBJECTIVE: To explore interprofessional hospital providers' perspectives on how integrating SUD treatment and care systems affect providers' attitudes, beliefs, and experiences...
April 25, 2018: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/29683123/pediatric-oncology-nurses-experiences-with-prognosis-related-communication
#7
Amy R Newman, Margaret F Callahan, Stacee M Lerret, Debra L Oswald, Marianne E Weiss
OBJECTIVES: To examine nurses' experiences of prognosis-related communication (PRC) with parents of children with cancer. SAMPLE & SETTING: Cross-sectional, correlational study in the pediatric oncology setting involving 316 members of the Association of Pediatric Hematology/Oncology Nurses. METHODS & VARIABLES: Online survey regarding individual nurse factors, PRC, interprofessional collaboration, moral distress, and perceived quality of care...
May 1, 2018: Oncology Nursing Forum
https://www.readbyqxmd.com/read/29669857/understanding-ethical-climate-moral-distress-and-burnout-a-novel-tool-and-a-conceptual-framework
#8
Elizabeth Dzeng, J Randall Curtis
No abstract text is available yet for this article.
April 18, 2018: BMJ Quality & Safety
https://www.readbyqxmd.com/read/29656704/phenomenon-of-moral-distress-through-the-aspect-of-interpretive-interactionism
#9
Hsun-Kuei Ko, Chi-Chun Chin, Min-Tao Hsu, Shu-Li Lee
BACKGROUND: Most previous studies on moral distress focused on the factors that cause moral distress, paying inadequate attention to the moral conflict of nurses' values, the physician-nurse power hierarchy, and the influence of the culture. RESEARCH OBJECTIVE: To analyze the main causes for moral distress with interpretive interactionism. RESEARCH DESIGN: A qualitative study was adopted. PARTICIPANTS: Through purposeful sampling, 32 nurses from 12 different departments were chosen as the samples...
January 1, 2018: Nursing Ethics
https://www.readbyqxmd.com/read/29601224/physical-therapists-perception-of-workplace-ethics-in-an-evolving-health-care-delivery-environment-a-cross-sectional-survey
#10
Roberto Cantu
Physical therapists are trained and obligated to deliver optimal health care and put patients first above all else. In the changing health-care environment, health-care organizations are grappling with controlling cost and increasing revenues. Moral distress may be created when physical therapists' desire to provide optimal care conflicts with their organization's goals to remain financially viable or profitable. Moral distress has been associated with low perception of ethical environment, professional burnout, and high turnover in organizations...
March 30, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29588279/david-oliver-moral-distress-in-hospital-doctors
#11
David Oliver
No abstract text is available yet for this article.
March 27, 2018: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/29587567/exploring-moral-problems-and-moral-competences-in-midwifery-a-qualitative-study
#12
Stephan Oelhafen, Settimio Monteverde, Eva Cignacco
BACKGROUND: Most undergraduate midwifery curricula comprise ethics courses to strengthen the moral competences of future midwives. By contrast, surprisingly little is known about the specific moral competences considered to be relevant for midwifery practice. Describing these competences not only depends on generic assumptions about the moral nature of midwifery practice but also reflects which issues practitioners themselves classify as moral. OBJECTIVE: The goal of this study was to gain insight into the ethical issues midwives encounter in their daily work, the key competences and resources they consider indispensable to understand and deal with them, and to assess phenomena linked to moral distress...
January 1, 2018: Nursing Ethics
https://www.readbyqxmd.com/read/29579492/palliative-sedation-and-moral-distress-a-qualitative-study-of-nurses
#13
M E Lokker, S J Swart, J A C Rietjens, L van Zuylen, R S G M Perez, A van der Heide
BACKGROUND: Clinical nursing practice may involve moral distress, which has been reported to occur frequently when nurses care for dying patients. Palliative sedation is a practice that is used to alleviate unbearable and refractory suffering in the last phase of life and has been linked to distress in nurses. AIM: The aim of this study was to explore nurses' reports on the practice of palliative sedation focusing on their experiences with pressure, dilemmas and morally distressing situations...
April 2018: Applied Nursing Research: ANR
https://www.readbyqxmd.com/read/29575523/counterpoint-provider-moral-distress-in-end-of-life-oncology-care-is-a-moral-crutch
#14
Emily E Statham, Jonathan M Marron
No abstract text is available yet for this article.
March 25, 2018: Psycho-oncology
https://www.readbyqxmd.com/read/29569796/point-moral-distress-can-indicate-inappropriate-care-at-end-of-life
#15
(no author information available yet)
No abstract text is available yet for this article.
March 23, 2018: Psycho-oncology
https://www.readbyqxmd.com/read/29542434/how-should-trainees-respond-in-situations-of-obstetric-violence
#16
Nicholas Rubashkin, Nicole Minckas
Argentina passed a law for humanized birth in 2004 and another law against obstetric violence in 2009, both of which stipulate the rights of women to achieve respectful maternity care. Clinicians and women might still be unaware of these laws, however. In this article, we discuss the case of a fourth-year medical student who, while visiting Argentina from the United States for his obstetric rotation, witnesses an act of obstetric violence. We show that the student's situation can be understood as one of moral distress and argue that, in this specific instance, it would be appropriate for the student to intervene by providing supportive care to the patient...
March 1, 2018: AMA Journal of Ethics
https://www.readbyqxmd.com/read/29541925/can-the-ethical-best-practice-of-shared-decision-making-lead-to-moral-distress
#17
Trisha M Prentice, Lynn Gillam
When healthcare professionals feel constrained from acting in a patient's best interests, moral distress ensues. The resulting negative sequelae of burnout, poor retention rates, and ultimately poor patient care are well recognized across healthcare providers. Yet an appreciation of how particular disciplines, including physicians, come to be "constrained" in their actions is still lacking. This paper will examine how the application of shared decision-making may contribute to the experience of moral distress for physicians and why such distress may go under-recognized...
March 14, 2018: Journal of Bioethical Inquiry
https://www.readbyqxmd.com/read/29535247/moral-distress-with-obstacles-to-hepatitis-c-treatment-a-council-of-academic-family-medicine-educational-research-alliance-cera-study-of-family-medicine-program-directors
#18
Aditya Simha, Camille Maria Webb, Ramakrishna Prasad, N Randall Kolb, Peter J Veldkamp
BACKGROUND AND OBJECTIVE: To determine whether family medicine program directors (PDs) experienced moral distress due to obstacles to Hepatitis C virus (HCV) treatment, and to explore whether they found those obstacles to be unethical. DESIGN: An omnibus survey by the Council of Academic Family Medicine's Educational Research Alliance was administered to 452 and completed by 273 US-based PDs. The survey gauged attitudes and opinions regarding ethical dilemmas in patient access to HCV treatment...
March 2018: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/29495934/the-moral-experiences-of-pediatric-nurses-in-brazil-engagement-and-relationships
#19
Raissa Passos Dos Santos, Eliane Tatsch Neves, Franco Carnevale
BACKGROUND: Pediatric nursing care involves many significant ethical challenges. Although nurses are broadly recognized as professionals with relevant knowledge about children and families, little is known about how nurses experience ethical concerns in their everyday practice. OBJECTIVE: The objective of this study was to better understand the moral experiences and related moral distress experiences of nurses working in pediatric settings in Brazil. DESIGN: Interpretative phenomenological study conducted through narrative interviews...
January 1, 2018: Nursing Ethics
https://www.readbyqxmd.com/read/29495931/impact-of-moral-sensitivity-on-moral-distress-among-psychiatric-nurses
#20
Kayoko Ohnishi, Kazuyo Kitaoka, Jun Nakahara, Maritta Välimäki, Raija Kontio, Minna Anttila
BACKGROUND: Moral distress occurs when one knows the right thing to do, but institutional constraints make it nearly impossible to pursue the right course of action. Moral distress was found to cause negative feelings, burnout, and/or resignation. Not only external factors such as lack of staff but also internal ones affect moral distress. Moral sensitivity, which is thought of as an advantage of nurses, could effect moral distress, as nurses being unaware of existing ethical problems must feel little distress...
January 1, 2018: Nursing Ethics
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