Download or read book Moral Distress in a Medical surgical Critical Care Unit written by and published by . This book was released on 2012 with total page 46 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Moral distress is caused by the inability of nurses to carry out what they know is right and just, but institutional constraints make it impossible to do so. Moral distress can be a serious problem in critical care units and has been associated with job dissatisfaction, burnout, and nurses leaving their positions and the nursing profession...An exploratory, descriptive mixed survey design was used for this study... Nurses reported higher levels of moral distress in situations of end of life and futile care... Moral distress was significantly correlated with years of experience." p.4.

Download or read book Moral Resilience written by Cynda H. Rushton and published by . This book was released on 2018 with total page 321 pages. Available in PDF, EPUB and Kindle. Book excerpt: Suffering is an unavoidable reality in healthcare. Not only are patients and families suffering but also the clinicians who care for them. Commonly the suffering experienced by clinicians is moral in nature, in part a reflection of the increasing complexity of health care, their roles within it, and the expanding range of available interventions that challenge their moral foundations. Moral suffering is the anguish that arises occurs in response to moral adversity that challenges clinicians integrity: the inner harmony that arises when their essential values and commitments are aligned with their choices and actions. The sources and sequelae of moral distress, one type of moral suffering, have been documented among clinicians across specialties. Transforming their suffering will require solutions that expanded individual and system strategies. Moral resilience, the capacity of an individual to restore or sustain integrity in response to moral adversity, offers a path forward. It encompasses capacities aimed at developing self- regulation and self-awareness, buoyancy, moral efficacy, self-stewardship and ultimately personal and relational integrity. Whether it involves gradual or profound radical change clinicians have the potential to transform themselves and their clinical practice in ways that more authentically reflect their character, intentions and values. The burden of healing our healthcare system is not the sole responsibility of individuals. Clinicians and healthcare organizations must work together to transform moral suffering by cultivating the individual capacities for moral resilience and designing a new architecture to support ethical practice. Used worldwide for scalable and sustainable change, the Conscious Full Spectrum approach, offers a method to solve problems to support integrity, shift patterns that undermine moral resilience and ethical practice, and leverage the inner potential of clinicians and leaders to produce meaningful and sustainable results that benefit all.

Download or read book Surgical Critical Care Therapy written by Ali Salim and published by Springer. This book was released on 2018-05-03 with total page 700 pages. Available in PDF, EPUB and Kindle. Book excerpt: This text provides a comprehensive, state-of-the art review of this field, and will serve as a valuable resource for clinicians, surgeons and researchers with an interest in surgical critical care. The book reviews up to date data regarding the management of common problems that arise in the Surgical Intensive Care Unit. The protocols, care bundles, guidelines and checklists that have been shown to improve process measures, and in certain circumstances, are discussed in detail. The text also discusses several well designed randomized prospective trials conducted recently that have altered the way we care for surgical patients with traumatic brain injury, hemorrhagic shock, acute respiratory distress syndrome, and sepsis. This book provides the practicing physician with a clinically oriented practical approach to handle basic and complex issues in the Surgical Intensive Care Unit. This text will serve as a very useful resource for physicians dealing with critically ill surgical patients. It provides a concise yet comprehensive summary of the current status of the field that will help guide patient management and stimulate investigative efforts. All chapters are written by experts in their fields and include the most up to date scientific and clinical information. This text will become an invaluable resource for all graduating fellows and practicing physicians who are taking the surgical critical care board examinations.

Download or read book Getting Through the Shift written by Elizabeth McMurray and published by . This book was released on 2016 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: With the corporatization of healthcare, combined with rapid advances in medical technology, frontline health care workers, especially nurses, are facing an increase in daily ethical dilemmas, with potential increases in moral distress. The contributing factors and negative effects of moral distress are well researched, in particular as they impact nurses in specialty areas. However, understanding how nurses navigate moral distress, specifically in general medical and surgical units, is not as well understood. The purpose of this study was to understand and articulate the processes that nurses carry out when navigating moral distress, by exploring their interactions with the health care environment. Using grounded theory methodology, a substantive theory was developed to explain the process. The participants in this study were all registered nurses from an acute care academic hospital, who worked on non-specialty medical and/or surgical units. Data collection consisted of audio-recorded face-to-face interviews that were transcribed post interview. All the events and situations that resulted in the experience of moral distress were primarily rooted in organizational structures, which often blindsided the nurses in this study, and led to a sense of feeling ill-equipped and unsupported to respond in the moment. Furthermore, the participants expressed their inability to be agents of change due to the established organizational expectations. The basic social process for navigating moral distress was ¢Just getting through the shifto. This theory is comprised of the categories of Experiencing Moral Distress, Making Sense of the Situation, and Finding the Way. In working through these processes, the participants engaged in navigating moral distress. Making sense of the situation was an ongoing process that nurses engaged in whereby they sought out knowledge in various ways, such as exploring internal resources, and building relationships with their peers, their patients, and patients' families. Throughout this iterative process of making sense of the situation, the nurses were then able to find their way. Participants discussed positive outcomes such as reflecting and learning from the experience. However, despite this response, there was a feeling of powerlessness to make a difference. Therefore, they focused on providing the best care they could and getting on with their shift without experiencing closure.

Download or read book Concepts in Surgical Critical Care written by Bryan Boling and published by Jones & Bartlett Learning. This book was released on 2020-06-11 with total page 459 pages. Available in PDF, EPUB and Kindle. Book excerpt: With more complex surgical patients requiring special perioperative care in an intensive care unit (ICU), there is an increased demand for Advanced Practice Providers (APPs) who are equipped to care for them. However, APPs, such as Physician Assistants (PAs) or Nurse Practitioners (NPs), have limited specialized training and exposure to the unique needs of the perioperative critically-ill population. That's where this book can help. Concepts in Surgical Critical Care is an indispensable resource for the APP, non-surgical intensivist, or non-intensivist surgeon who regularly provides critical care for surgical patients. It features a user-friendly organization designed for quick reference while at bedside with patients or in an office. It starts with foundational critical care topics across all surgical specialties followed by the specifics within 12 – including gastrointestinal surgery, cardiac surgery, neurosurgery, obstetrics, and more.

Download or read book Nursing Practice written by Andrew Jameton and published by Prentice Hall. This book was released on 1984 with total page 356 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book A Biobehavioral Approach to Examining Moral Distress in Critical Care Nurses written by Marian Altman and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Moral distress is a complex and challenging problem that may cause negative biopsycohosical and professional outcomes for critical care nurses. The purpose of this work was to explore the relationship between the ethical climate of the work environment and moral distress as experienced by critical care nurses; and to explore relationships among mediators of stress (nurse characteristics e.g. education (BSN, nonBSN), years certified as a critical care nurse, and tolerance of ambiguity) and their relationship with perceived stress, moral distress, health status and salivary alpha amylase. A descriptive correlational cross-sectional design was used for this pilot study of 100 critical care nurses working in adult intensive care units in one large academic medical center. Data were analyzed using descriptive statistics to characterize the sample and the model variables. Regression analysis using a stepwise regression model building technique was used to determine predictors of the study outcomes (moral distress, health status, and salivary alpha amylase). The findings demonstrate that the ethical characteristics of the work environment and perceived stress were predictive of moral distress, psychological/emotional outcomes and stress symptoms. Other variables thought to mediate these relationships were not significant. Future research is needed to find ways to prevent moral distress from occurring and to support nurses dealing with moral distress.

Download or read book Compelling Ethical Challenges in Critical Care and Emergency Medicine written by Andrej Michalsen and published by Springer Nature. This book was released on 2020-07-22 with total page 176 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book addresses the ethical problems that physicians have to face every day while caring for critically ill patients. Advances in medical technology, ageing societies worldwide, and their increased demands on health care systems have, on the one hand, led to better care and remarkable longevity in many parts of the world. On the other hand, however, improved treatments in many medical fields, amongst others in emergency and critical care, have resulted in more patients surviving with reduced quality of life. This entails tradeoffs for many patients, their families, and the teams caring for them. At the same time, health care expenditures have risen dramatically and have to be balanced against costs for other public goods. Finally, the humane aspects of care have often failed to keep pace with the remarkable technological strides made in recent years. In this book, experts in their respective fields describe compelling ethical challenges resulting from these discrepancies and discuss potential solutions. The book is primarily intended for clinicians who care for two of the most vulnerable patient subpopulations – those being treated in ambulances or emergency rooms, and those being treated at intensive care units – due in part to the fact that they may be temporarily or permanently incapacitated. Core medical skills, such as diagnosis and predicting outcomes, as well as implementing treatment, remain challenging. However, without adequate communication and collaboration both within the inter-professional treatment teams and between the teams and the patients/their families, delivering excellent care is difficult at best. Therefore, the so-called “soft skills” are given the attention they deserve in order to overcome the gap between technological progress and interpersonal standstill.

Download or read book Denver Health Medical Center Handbook Of Surgical Critical Care The Practice And The Evidence written by Fredric Michael Pieracci and published by World Scientific. This book was released on 2015-05-11 with total page 822 pages. Available in PDF, EPUB and Kindle. Book excerpt: As surgical critical care continues to evolve, this handbook provides the framework for the surgical intensivist, and focuses specifically on the surgical considerations encountered in the care of the critically ill patient. Drawing from decades of experience at one of the world's busiest and most innovative trauma/ surgical intensive care units, the handbook systematically addresses all aspects of surgical critical care. Chapters are presented in an easy-to-access, bullet point format, with each chapter ending in a practical algorithm and review of recent literature. This text will serve as a guide, learning tool, and reference manual for all levels of practitioners, from aspiring student to seasoned attending.

Download or read book Health Care Ethics through the Lens of Moral Distress written by Kristen Jones-Bonofiglio and published by Springer Nature. This book was released on 2020-08-27 with total page 158 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides a bridge between the theory to practice gap in contemporary health care ethics. It explores the messiness of everyday ethical issues and validates the potential impacts on health care professionals as wounded healers who regularly experience close proximity to suffering and pain. This book speaks to why ethics matters on a personal level and how moral distress experiences can be leveraged instead of hidden. The book offers contributions to both scholarship and the profession. Nurses, physicians, social workers, allied health care professionals, as well as academics and students will benefit from this book.

Download or read book Moral Distress in the Health Professions written by Connie M. Ulrich and published by Springer. This book was released on 2018-01-31 with total page 173 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is the first book on the market or within academia dedicated solely to moral distress among health professionals. It aims to bring conceptual clarity about moral distress and distinguish it from related concepts. Explicit attention is given to the voices and experiences of health care professionals from multiple disciplines and many parts of the world. Contributors explain the evolution of the concept of moral distress, sources of moral distress including those that arise at the unit/team and organization/system level, and possible solutions to address moral distress at every level. A liberal use of case studies will make the phenomenon palpable to readers. This volume provides information not only for academia and educational initiatives, but also for practitioners and the research community, and will serve as a professional resource for courses in health professional schools, bioethics, and business, as well as in the hospital wards, intensive care units, long-term care facilities, hospice, and ambulatory practice sites in which moral distress originates.

Download or read book Factors Affecting Physician Professional Satisfaction and Their Implications for Patient Care Health Systems and Health Policy written by Mark W. Friedberg and published by Rand Corporation. This book was released on 2013-10-09 with total page 149 pages. Available in PDF, EPUB and Kindle. Book excerpt: This report presents the results of a series of surveys and semistructured interviews intended to identify and characterize determinants of physician professional satisfaction.

Download or read book Brunner Suddarth s Textbook of Medical Surgical Nursing written by Janice Hinkle and published by Lippincott Williams & Wilkins. This book was released on 2021-08-05 with total page 6577 pages. Available in PDF, EPUB and Kindle. Book excerpt: Brunner & Suddarth’s Textbook of Medical-Surgical Nursing (Single Volume), 15th Edition Keeping tomorrow’s nurses at the forefront of today’s changing healthcare environment, Brunner & Suddarth’s Textbook of Medical-Surgical Nursing, 15th Edition delivers the most comprehensive resource available for nursing students in the medical-surgical course. This bestselling text is designed for the way students like to learn, combining a highly readable approach with engaging case studies and learning tools to help students explore essential patient care practices in real-world terms and gain a more practical understanding of how they’ll apply what they’ve learned in practice. Trusted by instructors, students, and practicing nurses for nearly 60 years, this landmark resource has been comprehensively updated for the 15thEdition to reflect the latest research, evidence-based practices, settings, issues, ethical challenges, and concerns of today’s healthcare practice. Complete integration with Lippincott® CoursePoint+ allows you to easily map out your entire course, provide personalized student remediation, and simulate real-world nursing scenarios involving patients mentioned in vignettes in the text, giving your students unparalleled preparation for success in the medical-surgical nursing workforce. Also Available as a two-volume set (978-1-9751-6828-5) Ensure a mastery of essential nursing skills and equip students for success throughout the nursing education continuum with the complete Brunner & Suddarth’s Textbook of Medical-Surgical Nursing, 15th Edition solution (available for separate purchase): Lippincott® CoursePoint+ for Brunner & Suddarth’s Textbook of Medical-Surgical Nursing, 15th Edition Study Guide for Brunner & Suddarth’s Textbook of Medical-Surgical Nursing, 15th Edition vSim for Nursing | Medical-Surgical Lippincott® DocuCare

Download or read book Taking Action Against Clinician Burnout written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2020-01-02 with total page 335 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient-centered, high-quality health care relies on the well-being, health, and safety of health care clinicians. However, alarmingly high rates of clinician burnout in the United States are detrimental to the quality of care being provided, harmful to individuals in the workforce, and costly. It is important to take a systemic approach to address burnout that focuses on the structure, organization, and culture of health care. Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being builds upon two groundbreaking reports from the past twenty years, To Err Is Human: Building a Safer Health System and Crossing the Quality Chasm: A New Health System for the 21st Century, which both called attention to the issues around patient safety and quality of care. This report explores the extent, consequences, and contributing factors of clinician burnout and provides a framework for a systems approach to clinician burnout and professional well-being, a research agenda to advance clinician well-being, and recommendations for the field.

Download or read book Oxford Textbook of Critical Care written by Webb and published by Oxford University Press. This book was released on 2020-01-10 with total page 1961 pages. Available in PDF, EPUB and Kindle. Book excerpt: Now in paperback, the second edition of the Oxford Textbook of Critical Care is a comprehensive multi-disciplinary text covering all aspects of adult intensive care management. Uniquely this text takes a problem-orientated approach providing a key resource for daily clinical issues in the intensive care unit. The text is organized into short topics allowing readers to rapidly access authoritative information on specific clinical problems. Each topic refers to basic physiological principles and provides up-to-date treatment advice supported by references to the most vital literature. Where international differences exist in clinical practice, authors cover alternative views. Key messages summarise each topic in order to aid quick review and decision making. Edited and written by an international group of recognized experts from many disciplines, the second edition of the Oxford Textbook of Critical Careprovides an up-to-date reference that is relevant for intensive care units and emergency departments globally. This volume is the definitive text for all health care providers, including physicians, nurses, respiratory therapists, and other allied health professionals who take care of critically ill patients.

Download or read book Reducing Critical Care Nurse Distress During End of life Care Change of Practice Intervention written by Alexis S Roschitsch-Preszlowski and published by . This book was released on 2019 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract Problem: Critical care nurses are constantly exposed to end-of-life (EOL) care, resulting in burnout and moral distress. The emotional and physical care provided to patients and the support provided to the families during EOL care can cause moral distress and emotional exhaustion for critical care nurses. Context: Critical care nurses from a 24-bed intensive care unit at a community-based hospital were assessed for moral distress and burnout and the efficacy of EOL communication training to help reduce moral distress and burnout. Intervention: Critical care nurses were provided with American Association of Colleges of Nursing End-of-Life-Care (ELNEC) EOL care communication training as an intervention to reduce moral distress and burnout. ELNEC material was presented via pre-recorded Power Point presentations to be viewed at the nurse's convenience. Measures: The study change of practice intervention was designed as a post hoc analysis measuring levels of moral distress and burnout pre- and post-intervention. To measure moral distress, the Measure of Moral Distress for Healthcare Professionals (MMD-HP) scale was used. The Oldenburg Burnout Inventory (OLBI) was utilized to measure levels of burnout. Results: 28 nurses completed the pre-intervention survey, and of those, 12 competed the post-intervention survey. Nurses (58.3%) experienced a reduction in the MMD-HP, and 66.67% of the nurses experienced a reduction in OLBI scores. Conclusion: The results indicate that this training intervention has the potential to significantly reduce moral distress and burnout for critical care nurses. Additional exploration and research regarding the efficacy of End-of-Life Nursing Consortium EOL communication training to reduce critical care nurse moral distress and burnout is recommended.

Download or read book Moral Distress written by Timothy Callaway and published by . This book was released on 2013 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Nurses in the Intensive Care Unit frequently encounter patient care dilemmas leading to the experience of moral distress. A phenomenological approach was used to explore nurses' moral distress experiences and responses across a convenience sample of six nurses in a Medical Intensive Care Unit. Data were collected from in-depth semi-structured interviews. Data were analyzed using content analysis and thematic analysis. The findings revealed several themes, including: advocacy for patients as a means of coping with moral distress; communication issues in the distress experience; and nurses' desire for more support as they experienced or responded to distress. Additionally, the findings suggest that nurses appreciated an existing support system of managers and coworkers, but wanted additional support from individuals and the organization. Further research is needed on interventions that may provide the desired support.