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https://www.readbyqxmd.com/read/29095938/challenges-to-code-status-discussions-for-pediatric-patients
#1
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
#2
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...
October 27, 2017: Medical Humanities
https://www.readbyqxmd.com/read/29049157/moral-distress-and-associated-factors-among-baccalaureate-nursing-students-a-multi-site-descriptive-study
#3
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
#4
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
#5
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
#6
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
https://www.readbyqxmd.com/read/29028421/medical-student-reflections-on-geriatrics-moral-distress-empathy-ethics-and-end-of-life
#7
Mary E Camp, Haekyung Jeon-Slaughter, Anne E Johnson, John Z Sadler
Medical students' early clinical encounters may influence their perceptions of geriatrics. This study examines reflective essays written by 3(rd)-year medical students on required clinical rotations. Using content analysis, the authors analyzed the essays' thematic content. The authors then used chi-squared analysis to compare themes with geriatric patients (age 60+) to themes with other age groups. One hundred twenty out of 802 essays described a geriatric patient. The most common geriatric themes were (1) death and dying, (2) decision making, (3) meaningful physician-patient interactions, (4) quality of care, and (5) professional development...
October 13, 2017: Gerontology & Geriatrics Education
https://www.readbyqxmd.com/read/29025453/interprofessional-communication-in-organ-transplantation-in-gauteng-province-south-africa
#8
Harriet Rosanne Etheredge, Claire Penn, Jennifer Watermeyer
BACKGROUND: Communication is essential to the transplant process, but it is challenging in South Africa (SA) because of the complexity of the country and the health system, the nature of transplantation as a technical procedure with inherent psychological considerations, and the large number of professionals involved. Transplant communication has not been explored in SA, and this study was the first to use health communication methods to generate empirical evidence relating to it. OBJECTIVE: To explore communication in transplant settings in Gauteng Province, SA...
June 30, 2017: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/28990446/what-is-moral-distress-a-narrative-synthesis-of-the-literature
#9
Georgina Morley, Jonathan Ives, Caroline Bradbury-Jones, Fiona Irvine
AIMS: The aim of this narrative synthesis was to explore the necessary and sufficient conditions required to define moral distress. BACKGROUND: Moral distress is said to occur when one has made a moral judgement but is unable to act upon it. However, problems with this narrow conception have led to multiple redefinitions in the empirical and conceptual literature. As a consequence, much of the research exploring moral distress has lacked conceptual clarity, complicating attempts to study the phenomenon...
January 1, 2017: Nursing Ethics
https://www.readbyqxmd.com/read/28977228/cross-cultural-adaptation-and-validation-of-the-moral-distress-scale-revised-for-nurses
#10
Aline Marcelino Ramos, Edison Luiz Devos Barlem, Jamila Geri Tomaschewski Barlem, Laurelize Pereira Rocha, Graziele de Lima Dalmolin, Aline Belletti Figueira
Objective: Cross-culturally adapt and validate the Moral Distress Scale-Revised for nurses. Method: Quantitative, analytical cross-sectional study conducted with 157 nurses of two hospital institutions of Southern Brazil, one public and one philanthropic. Procedures conducted: cultural adaptation of the instrument according to international recommendations; validation for the Brazilian context. Results: Face and content validation was considered satisfactory as assessed by a specialist committee and a pretest...
September 2017: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/28970316/always-a-burden-healthcare-providers-perspectives-on-moral-distress
#11
Trisha M Prentice, Lynn Gillam, Peter G Davis, Annie Janvier
BACKGROUND: Current conceptualisations of moral distress largely portray a negative phenomenon that leads to burnout, reduced job satisfaction and poor patient care. OBJECTIVE: To explore clinical experiences, perspectives and perceptions of moral distress in neonatology. DESIGN: An anonymous questionnaire was distributed to medical and nursing providers within two tertiary level neonatal intensive care units (NICUs)-one surgical and one perinatal-seeking their understanding of the term and their experience of it...
September 29, 2017: Archives of Disease in Childhood. Fetal and Neonatal Edition
https://www.readbyqxmd.com/read/28964686/the-use-and-misuse-of-moral-distress-in-neonatology
#12
REVIEW
Trisha M Prentice, Lynn Gillam, Peter G Davis, Annie Janvier
The neonatal intensive care unit is recognized as a stressful environment; the nature of caring for sick babies with uncertain outcomes and the need to make difficult decisions results in a work place where moral distress is prevalent. According to the prevailing definition, moral distress occurs when the provider believes that what is "done" is not the right course of action, with an element of constraint: the provider has no choice but to act this way. This can lead to adverse outcomes, including burnout and a change of career...
September 27, 2017: Seminars in Fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/28953691/moral-distress-a-case-study
#13
Angela Karakachian, Alison Colbert
No abstract text is available yet for this article.
October 2017: Nursing
https://www.readbyqxmd.com/read/28930709/responding-to-moral-distress-and-ethical-concerns-at-the-intersection-of-medical-illness-and-unmet-mental-health-needs
#14
Donna D McKlindon, Pamela Nathanson, Chris Feudtner
Some of the most difficult clinical ethics consultations involve patients who have both medical and mental health needs, as these cases can result in considerable moral distress on the part of the bedside staff. In this article we examine the issues that such consults raise through the illustrative example of a particular case: several years ago our ethics consultation service received a request from a critical care attending physician who was considering a rarely performed psychosurgical intervention to address intractable and life-threatening agitation and aggression in an adolescent patient for whom standard treatments had proven unsuccessful...
2017: Journal of Clinical Ethics
https://www.readbyqxmd.com/read/28926501/moral-distress-and-associated-factors-among-baccalaureate-nursing-students-a-multisite-descriptive-study
#15
Lorretta Krautscheid, Deborah A DeMeester, Valorie Orton, Austin Smith, Conor Livingston, Susan M McLennon
AIM: The three study aims were to assess moral distress among senior baccalaureate nursing students, describe ethical dilemmas contributing to their moral distress in practice settings, and identify reasons for inaction when encountering dilemmas. BACKGROUND: Previous studies have linked postlicensure nurses' moral distress to compassion fatigue, frustration, and turnover. Little is known about this phenomenon in students. METHOD: This study employed a descriptive cross-sectional survey design to measure moral distress and reasons for not taking action across three academic sites (N = 267)...
November 2017: Nursing Education Perspectives
https://www.readbyqxmd.com/read/28885515/ethics-in-practice-from-moral-distress-to-moral-resilience
#16
Kathryn Schroeter
No abstract text is available yet for this article.
September 2017: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
https://www.readbyqxmd.com/read/28859007/developing-professional-practice-and-ethics-engagement-a-leadership-model
#17
Karen M Reilly, Martha Jurchak
Nurse leaders are responsible for a practice environment that fosters safe, quality patient outcomes through excellence in nursing practice. This article describes a reflective practice intervention in the Cardiac Intensive Care Unit of an urban academic medical center led by the unit nursing director and the hospital's nurse ethicist. The twice monthly case-based discussions, called "Nursing Practice and Ethics Rounds," were attended by staff and unit managers (nurse director, assistant nurse director, and clinical educator) and were facilitated by the nurse ethicist...
October 2017: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/28807499/making-the-hard-decisions-ethical-care-decisions-in-wartime-nursing-practice
#18
Janice Agazio, Petra Goodman
BACKGROUND: Codes of ethics set forth standards of ethical conduct for nurses. However, nurses involved in wartime operations, or disasters, may often have their moral compass challenged by the patient care decisions necessary under adverse conditions. Reverse triage, resource allocation, and promotion of patient autonomy present multiple challenges to meeting commonly applied ethical principles. PURPOSE: The purpose of this study was to use the International Council of Nursing code of ethics as a framework to organize the ethical issues emerging from wartime nursing...
September 2017: Nursing Outlook
https://www.readbyqxmd.com/read/28796711/moral-distress-what-is-next
#19
May Chehab
No abstract text is available yet for this article.
August 2017: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/28771909/inter-professionals-definitions-of-moral-resilience
#20
Heidi Holtz, Katherine Heinze, Cynda Rushton
AIMS AND OBJECTIVES: The aim of this qualitative descriptive study was to describe common characteristics and themes of the concept of moral resilience as reported by inter-professional clinicians in healthcare. BACKGROUND: Research has provided an abundance of data on moral distress with limited research to resolve and help negate the detrimental effects of moral distress. This calls for much needed research on how to mitigate the negative consequences of moral distress that plague nurses and other healthcare providers...
August 3, 2017: Journal of Clinical Nursing
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