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Exploring the moral distress of registered nurses
Journal article   Peer reviewed

Exploring the moral distress of registered nurses

Patti Rager Zuzelo
Nursing ethics, v 14(3), pp 344-359
May 2007
PMID: 17459818

Abstract

Attitude of Health Personnel Burnout, Professional - prevention & control Burnout, Professional - psychology Conflict (Psychology) Factor Analysis, Statistical Frustration Humans Interprofessional Relations - ethics Medical Futility - ethics Morals Nurse's Role - psychology Nurse-Patient Relations - ethics Nursing Methodology Research Nursing Staff, Hospital - education Nursing Staff, Hospital - ethics Nursing Staff, Hospital - organization & administration Nursing Staff, Hospital - psychology Patient Advocacy - ethics Personnel Staffing and Scheduling - ethics Professional-Family Relations - ethics Psychological Theory Qualitative Research Risk Factors Self Care - methods Self Care - psychology Social Support Surveys and Questionnaires United States Unnecessary Procedures - ethics
Registered nurses (RNs) employed in an urban medical center in the USA identified moral distress as a practice concern. This study describes RNs' moral distress and the frequency of morally distressing events. Data were collected using the Moral Distress Scale and an open-ended questionnaire. The instruments were distributed to direct-care-providing RNs; 100 responses were returned. Morally distressing events included: working with staffing levels perceived as 'unsafe', following families' wishes for patient care even though the nurse disagreed with the plan, and continuing life support for patients owing to family wishes despite patients' poor prognoses. One high frequency distressing event was carrying out orders for unnecessary tests and treatments. Qualitative data analysis revealed that the nurses sought support and information from nurse managers, chaplaincy services and colleagues. The RNs requested further information on biomedical ethics, suggested ethics rounds, and requested a non-punitive environment surrounding the initiation of ethics committee consultations.

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Web of Science research areas
Ethics
Nursing
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