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Dissertation
Evaluating a pilot project on nursing moral distress
Doctor of Nursing Practice (D.N.P.), Drexel University
Dec 2017
DOI:
https://doi.org/10.17918/etd-7711
Abstract
Although there are no published, high-quality, randomized, controlled studies on the subject of moral distress, available literature supports that this nursing phenomenon is frequently experienced, undermines employee engagement, weakens working relationships within the health care team, damages the nurse-patient relationship, and likely contributes to clinical nurse turnover. The overarching objective of this project was to evaluate the quality of an evidence-based, pilot educational program. The appeal and meaningfulness of this program will be assessed by a participant post program evaluation, as well as if the participants are able to define moral distress and its common symptoms, learn healthier coping strategies, and determine if participants can identify opportunities for reducing the frequency of morally distressing events in their work environments. A convenience sample of 23 clinical oncology nurses was recruited from The Hospital of the University of Pennsylvania's oncology units. A knowledge test of moral distress was administered pre and post program, and the approximately one-hour program was delivered using lecture, presentation technologies, and an interactive discussion. No significant difference was observed in participants' moral distress knowledge pre to post in-service. However, significant statistical differences were found in participants' knowledge of personal strategies to offset nursing moral distress, as well as in participants' identifying of institutional supports for this phenomenon. Clinical implications for nursing include that education may provide opportunities for nurses to employ personal strategies and engage institutional support, thereby proactively reducing the frequency as well as the intensity of morally distressing events.
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Details
- Title
- Evaluating a pilot project on nursing moral distress
- Creators
- Elizabeth A. Leonard - DU
- Contributors
- Patti Rager Zuzelo (Advisor) - Drexel University (1970-)
- Awarding Institution
- Drexel University
- Degree Awarded
- Doctor of Nursing Practice (D.N.P.)
- Publisher
- Drexel University; Philadelphia, Pennsylvania
- Number of pages
- 58 pages
- Resource Type
- Dissertation
- Language
- English
- Academic Unit
- Doctoral Nursing; Nursing (Graduate); College of Nursing and Health Professions; Drexel University
- Other Identifier
- 7711; 991014632717304721