Exploration of Nurses' Experiences Related to Moral Injury: A Reflexive Thematic Analysis of Nurse Interviews
Journal of Advanced Nursing,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Feb. 26, 2025
ABSTRACT
Aim
To
provide
a
description
of
nurses'
experiences
related
to
moral
injury,
including
Potentially
Morally
Injurious
Events
and
factors
the
impact
those
events.
Design
Reflexive
thematic
analysis
nurse
interviews.
Method
Nurses
were
recruited
from
an
ongoing
study
within
large
academic
medical
centre.
who
enrolled
in
present
participated
semi‐structured
individual
interviews
using
interview
guide
based
on
Litz's
conceptualisation
injury.
Themes
identified
recorded
transcribed
Results
Interviews
conducted
with
12
nurses
May
June
2023
coded
for
themes
three
broad
categories:
(a)
Nursing
Values,
(b)
Experiences
(c)
Stressors
Supports.
Within
these
categories,
we
pinpointed
8
3
subthemes,
which
highlight
experience
potentially
morally
injurious
events
challenging
care,
strained
relationships
physicians,
treatment
inequity,
conflict
their
nursing
values.
We
team
organisational
factors,
senior
leadership
behaviours,
dynamics
access
resources
that
appear
intensify
or
lessen
Conclusion
contribute
occupational
stress
experienced
by
nurses,
particularly
when
systemic
demands
prevent
them
providing
value‐driven
ethically
necessary
healthcare.
Limiting
supportive
environments
following
stressors
requires
organisational‐level
changes
healthcare
alleviate
stress.
Impact
This
research
highlights
need
organisations
implement
interventions
aimed
both
at
reducing
creating
system
team‐level
supports
unavoidable
These
results
pinpoint
specific
areas
prevention,
intervention
support.
Patient
Public
Contribution
No
Contribution.
Language: Английский
Digital reflective practice among new graduate nurses – A scoping review
Nurse Education Today,
Journal Year:
2025,
Volume and Issue:
unknown, P. 106688 - 106688
Published: March 1, 2025
To
scope
the
literature
exploring
use
of
digital
reflective
practice
for
professional
development
and
wellbeing
new
graduate
registered
nurses.
There
is
a
growing
interest
in
integration
technologies
nursing
education
practice.
Digital
technology
encompasses
electronic
tools,
devices,
systems,
resources
used
by
organisations
data
processing,
storage,
monitoring,
information
dissemination.
has
potential
to
improve
nurse
well-being
through
real-time
feedback,
personalised
learning
experiences,
collaborative
reflection
opportunities.
A
scoping
review
was
conducted
accordance
with
methodology
outlined
Peters
et
al.
(2020).
The
CINAHL,
PubMed,
Medline
PsychINFO
databases
were
searched.
Reference
lists
included
articles
hand
searched
identify
additional
articles.
google
scholar
search
also
conducted.
Database
searches
between
2008
March
2024
yielded
29
Six
duplicates
removed.
studies
screened
title
abstract
10
excluded
not
meeting
eligibility
criteria.
further
six
following
full
text
five
remaining
review.
Mixed
Methods
Appraisal
Tool
(MMAT)
appraise
Data
extracted
table
analysed
thematically.
Five
identified
from
four
countries
using
mix
quantitative
qualitative
methodologies.
platforms
video
recording,
instant
messaging,
journals,
WhatsApp
groups.
heterogenous
duration
locations.
appears
support
knowledge
sharing
overall
can
contribute
community
that
offers
opportunities
shared
experiences.
However,
paucity
research
exists
concerning
how
affects
nurse's
well-being.
Further,
there
specific
tool
supports
graduates.
tools
nurses
needs
investment
research.
Language: Английский
Stress, psychological well-being, social support, practice environment, resilience, job satisfaction, and acculturation among Filipino internationally qualified nurses: A structural equation model
Nursing Outlook,
Journal Year:
2025,
Volume and Issue:
73(3), P. 102424 - 102424
Published: April 23, 2025
Language: Английский
Clinical supervision, a reflective intervention to support new graduate nurses and midwives enhance their person-centredness: qualitative evaluation
Contemporary Nurse,
Journal Year:
2024,
Volume and Issue:
unknown, P. 1 - 14
Published: Aug. 26, 2024
Person-centred
care
is
an
international
healthcare
priority.
Strategies
are
needed
to
support
nurses
and
midwives
understand
the
meaning
of
person-centredness
them
embed
this
philosophy
into
practice.
Clinical
supervision
has
been
proposed
as
a
strategy
but
requires
more
evidence.
Language: Английский
What would have made work in the COVID‐19 ICU less demanding? A qualitative study from 13 Swedish COVID‐19 ICUs
Acta Anaesthesiologica Scandinavica,
Journal Year:
2024,
Volume and Issue:
68(10), P. 1436 - 1445
Published: Aug. 26, 2024
Abstract
Background
The
COVID‐19
pandemic
stretched
Swedish
intensive
care
unit
(ICU)
resources
to
an
extent
never
experienced
before,
but
even
before
the
staffing
was
difficult
and
number
of
staffed
ICU
beds
low.
Studies
have
revealed
high
levels
staff
burn‐out
fatigue,
as
similar
situations
with
demands
are
likely
occur
in
future
a
better
understanding
that
improve
resilience
is
important.
Using
job‐demand
resource
theory
framework,
we
explored
professionals’
views
on
when
working
ICUs
aim
highlight
factors
increased
job
resources.
Methods
Data
were
collected
via
web
survey
distributed
professionals,
including
both
regular
temporary
roles,
13
wards
Stockholm
Sörmland
counties
during
spring
2021.
A
total
251
written
responses
question
“What
would
made
work
less
demanding?”
analyzed
using
thematic
analysis.
One
year
later
member‐checking
focus
group
interview
conducted
validate
further
explore
experiences.
Results
main
themes
strategy,
fairness
support,
continuity,
accessible
leadership,
introduction/information,
crisis
preparedness.
analysis
confirmed
results
extreme
initial
stages
pandemic.
Conclusion
To
increase
health
performance
long‐term
our
suggest;
maintaining
workplace
scheduling
advance
and,
possible,
schedule
for
recovery.
Language: Английский
Retention of International nurses in receiving country: voices of Indonesian Nurses in Japanese healthcare facilities
International Journal of Nursing Sciences,
Journal Year:
2024,
Volume and Issue:
12(1), P. 3 - 11
Published: Dec. 13, 2024
This
study
aimed
to
explore
the
voices
of
Indonesian
migrant
nurses
on
their
retention
in
Japanese
healthcare
facilities.
A
descriptive
qualitative
was
conducted
between
June
and
September
2023.
The
snowball
sampling
method
utilized
recruit
22
working
facilities
seven
prefectures
Japan.
Semi-structured
interviews
were
based
shared
experiences.
All
interview
data
audio-recorded,
transcribed
verbatim,
analyzed
using
thematic
analysis.
Six
prominent
themes
15
subthemes
emerged:
1)
organizational
factors
(caring
leader,
involvement
decision
making,
career
development,
participation
training);
2)
social
support
systems
(group
support,
colleagues
friend
support);
3)
individual
drive
(lifelong
learning
persistent);
4)
national
policies
(government
public
service
flexibility
finding
a
comfortable
placement);
5)
family
(positive
child
education
development
maintaining
relationship
with
spouse);
6)
economic
(staying
due
high
salary
increasing
income
streams).
Retention
Japan
is
multifaceted
challenge
that
hinges
various
interconnected
factors.
has
gone
some
way
toward
enhancing
our
understanding
international
nurse
receiving
countries.
Corresponding
supports
at
individual,
family,
organizational,
economic,
social,
policy
levels
should
be
considered
keep
them
destination
Language: Английский