Sources of moral distress in nursing professionals: A scoping review

Nursing Ethics, Год журнала: 2025, Номер unknown

Опубликована: Янв. 11, 2025

This article presents a scoping review aimed at mapping the main sources of moral distress among nursing professionals. The was conducted according to Arksey and O’Malley methodology, using SPIDER framework guide systematic search in BVS, PubMed, PsycArticles, Scielo, Scopus databases. Initially, 2320 publications were identified. After application inclusion exclusion criteria, 83 studies selected for analysis terms their methodological characteristics, objectives, practice contexts, various facilitated grouping these into specific situations, reflecting challenges experienced by nurses under different settings. augments knowledge causes nursing, highlighting impact this phenomenon on physical mental health professionals, as well quality care provided.

Язык: Английский

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Effective intervention measures to improve the ethical sensitivity of nurses and nursing students

Nurse Education in Practice, Год журнала: 2025, Номер 83, С. 104281 - 104281

Опубликована: Фев. 1, 2025

Язык: Английский

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Critical care nurses’ health and their description of a healthy and sustainable work environment in intensive care units in Sweden: A cross-sectional study

Nordic journal of nursing research, Год журнала: 2025, Номер 45

Опубликована: Март 1, 2025

Intensive care units are stressful environments and can bring negative psychological outcomes among critical nurses. The aim of the present study is to describe nurses’ characteristics perceptions health in relation sex, also provide their description a healthy sustainable work environment intensive using person-centred practice framework. A cross-sectional design was employed with 136 participants who responded questionnaire. Descriptive statistics qualitative content analysis were used. Regardless nurses perceived current be significantly lower than before COVID-19 pandemic. They described effective staff relationships supportive organization as being essential for environment. Critical have recovered pre-pandemic some degree. Well-functioning teams organizational system might nurture

Язык: Английский

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Ethical value conflicts in healthcare and their effects on nurses’ health, turnover intent, team effectiveness, and patient safety: a longitudinal questionnaire study

Scandinavian Journal of Work Environment & Health, Год журнала: 2024, Номер 50(2), С. 113 - 121

Опубликована: Янв. 17, 2024

OBJECTIVE: Moral distress emanating from value conflicts comprising ethical dimensions pose a threat to nurses’ health and retention, as well the quality of care. The aim present study was investigate relationships between frequency (EVC), perceived when they occur, respectively, work-related stress, burnout symptoms, turnover intent, team effectiveness, patient safety. METHODS: A two-wave longitudinal cohort questionnaire performed among registered nurses at six hospitals in two Swedish regions. Cross-sectional analyses (T1) were based on 1817 228 care units (CU), (T1 – T2) 965 190 CU. Hypothesis testing using multilevel controlled regression modeling. RESULTS: results indicated that who often exposed EVC also higher extent tended report these stressful. Frequent exposure induced by insufficient resources, inapt organizational structures or interpersonal staff relations cross-sectionally associated with effectiveness. lack resources primarily had negative effects well-being. At CU level, such impaired individual constraints negatively affected CONCLUSIONS: are related consequences healthcare, processes take place both levels.

Язык: Английский

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Burnout and Moral Distress among Health Care Personnel in the Decline of COVID-19 Pandemic

Опубликована: Фев. 13, 2024

Background. Moral distress (MD) and Burnout of Health Care Personnel (HCP) were extensively studied during the pandemic. However, little information is available about their prevalence after its decline. This study assesses MD, burnout decline Methods. The British Medical Association questionnaire referring to MD Maslach addressed hospital’s personnel. Results. 516 valid questionnaires included in study. Nurses’ participation rate was 67% doctors 41%. identical among nurses 73,8%, decremental order factors contributing are insufficient staff, mental fatigue, physical fatigue. Participants believe that more less bureaucracy, greater emotional support would alleviate MD. Doctors score higher than for lack time give sufficient patients public health decisions affecting communities. To ask ethical legal support, funding working fewer hours. Nurses high on exhaustion depersonalization. Conclusions. persist HCP institutional help Leaders institutions must provide supportive environments moderate

Язык: Английский

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Intensive Care Managers’ Experiences of the COVID-19 Pandemic: A Dramatic Change of the Intensive Care Landscape

Journal of Nursing Management, Год журнала: 2023, Номер 2023, С. 1 - 12

Опубликована: Сен. 29, 2023

To describe intensive care managers' experiences of premises and resources in units during the COVID-19 pandemic. Intensive (ICUs) were enormously pressured pandemic from many ill patients, requiring advanced care. Hospital community volunteers increased staff strength. Obligatorily, recruitments also conducted using transfer different hospital departments. However, there is little knowledge about (ICMs) leadership A qualitative descriptive study was March to April 2022. Semistructured interviews held with 12 ICMs who purposively sampled ICU ten Swedish hospitals. Data analysed content analysis. Two themes emerged: a dramatic change landscape we could handle more than thought, but at steep price. Participants described that ICUs had perform extraordinary changes very fast pace, which initially created sense cohesion. Training introduction war-like conditions associated uncertainty meant support prioritising interventions. how stood strong against pandemic, stress, worries, anxiety took heavy toll on ICMs. The eroded resilience ICUs. deterioration health said sick leaves resignations occurred. Our findings show ICMs' as field tension between demands, whereby burden left weakened. Implications for Nursing Management. Findings emphasised importance creating working human materials order rebuild ability conduct safe patient

Язык: Английский

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The challenges experienced by ICU nurses in Kuwait during the COVID-19 pandemic

International Journal of Nursing Studies Advances, Год журнала: 2024, Номер 7, С. 100226 - 100226

Опубликована: Июль 15, 2024

The coronavirus (COVID-19) pandemic presented unprecedented challenges to healthcare systems worldwide, with intensive care unit (ICU) nurses at the forefront of patient care. To date, there is limited evidence into ICU nurses'experiences in Kuwait.

Язык: Английский

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Influencing Factors of Nurses’ Well‐Being in Critical Care During Pandemic Era: A Systematic Review

Public Health Nursing, Год журнала: 2024, Номер unknown

Опубликована: Ноя. 12, 2024

ABSTRACT Aim To identify factors protecting and hindering the well‐being of critical care nurses during COVID‐19 pandemic. Background The unique work challenges can undermine their professional mental well‐being; as evidenced by prevailing literature on burnout, compassion fatigue, moral distress. pandemic has seen these professionals front lines raised many questions about well‐being. Identifying that protect hinder would help to develop strategies necessary reduce worrying phenomena associated with malaise. Evaluation A systematic review was conducted using electronic databases including PubMed, CINAHL, Scopus, Cochrane, PsycINFO, Web Science. Key issues After full text analysis, 25 papers were included in current review. Factors influencing have been grouped into “Protective” “Hindering.” Conclusions This shows nurses’ is influenced like personal resilience supportive environments, which enhance experience. Challenges include sociodemographic pandemic's impact. Addressing crucial for effectiveness healthcare systems. Implications clinical practice intricately linked quality security patient care, ultimately outcomes. delves deeply multifaceted affect Recognizing elements directing health policy toward development initiatives bolster workers’ welfare. Prioritizing imperative, it fundamental mitigating increasing inclination towards job turnover, a challenge profoundly impacting sector.

Язык: Английский

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Nurses’ moral distress and leadership communication in hospitals serving Black patients during COVID-19

Nursing Outlook, Год журнала: 2024, Номер 72(4), С. 102189 - 102189

Опубликована: Май 28, 2024

Язык: Английский

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Competências socioemocionais mobilizadas por enfermeiros-líderes no enfrentamento da pandemia pelo covid-19 em um hospital universitário

Revista gaúcha de enfermagem, Год журнала: 2024, Номер 45

Опубликована: Янв. 1, 2024

RESUMO Objetivo: Conhecer as competências socioemocionais mobilizadas por enfermeiros-líderes durante e após o enfrentamento da pandemia pelo covid-19 em um hospital universitário. Método: Estudo de caso, realizado com 16 enfermeiras(os) atuantes na liderança unidades serviços universitário do nordeste Brasil. Dados coletados dois momentos mediante entrevista semiestruturada. As entrevistas ocorreram entre mês agosto a dezembro 2022 janeiro 2023. Procedeu-se à análise temática indutiva codificada, segundo técnica bucket theme, auxiliado software NVivo12 sustentada agrupamento 25 itens constantes Escala Competências Socioemocionais. Resultados: Durante covid-19, os enfermeiros esboçaram misto emoções face ao desconhecimento doença. Diante clima medo sensação desamparo, elaboraram estratégias que minimizassem riscos adoecimento morte. Emergindo duas categorias: Clima emocional vivenciado pelos Estratégias desenvolvidas no contexto covid-19. Considerações finais: Identificou-se nos relatos dos consciência social, regulação, autocontrole, criatividade emocional. Estas contribuíram para período pandêmico, partir participação, envolvimento integração profissionais.

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