Download or read book Neonatal Intensive Care Nurses and the Experience of Moral Distress written by Barbara J. Wheeler and published by . This book was released on 1994 with total page 264 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Neonatal Intensive Care Nurses Experience of Moral Distress written by Beth Beaston and published by . This book was released on 1991 with total page 64 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Moral Distress in Neonatal Intensive Care Unit NICU Nurses written by Maribel Vera and published by . This book was released on 2019 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Moral distress is defined as the physical and emotional pain caused by situations where nurses or other healthcare professionals are aware of a moral problem but they are impeded by constraints to make a judgment based on what they believe is right. The Neonatal Intensive Care Unit (NICU) is a stressful environment and a likely setting for the experience of moral distress for healthcare professionals. Nurses are often confronted with caring for critically ill newborns with unknown outcomes. This problem is important because it can impair the quality of care that is delivered and can cause nurses to have negative feelings about their profession. Not only does moral distress frequently go unrecognized, but there is a limited amount of research about the contributing factors leading to moral distress in NICU registered nurses (RNs). A qualitative, phenomenological study was conducted with 10 participants using in-depth semi-structured interviews to gain insight into the lived experiences and perceptions of moral distress in NICU RNs working in a large, urban academic medical center. Common themes that emerged from the data included: (1) Walking the sacred journey; (2) Power, conflict, and collaboration; and (3) The internal and external environment. This qualitative study contributes to the limited knowledge and understanding of the challenges nurses face in the NICU as well as offering possible implications for implementing supportive interventions.

Download or read book The Experience of Moral Distress in Neonatal Nurses written by Mary Elizabeth Thibeault and published by . This book was released on 2001 with total page 194 pages. Available in PDF, EPUB and Kindle. Book excerpt: A qualitative methodology using a descriptive, exploratory design was applied. Fifty neonatal nurses from a tertiary level neonatal intensive care unit were asked to complete a 20 item short answer questionnaire designed to gather data regarding the experience, context, and outcomes of moral distress. Twelve responses were used in analysis. Six themes have been identified. Needless pain and suffering inflicted on babies perceived to have poor potential for quality of life coupled with a sense of powerlessness were identified as the contextual variables for the experience. When these existed, moral distress was likely to have occurred. The experience itself was manifested by other directed and self directed feeling dimensions which were mediated by peer support. The lasting effects of the moral distress experience were an increased sense of patient advocacy and a profound sense of sadness. While many of these findings have been uncovered in other work, the existence of other directed and self directed feeling dimensions and a profound sense of sadness are original concepts.

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 Exploring Neonatal Intensive Care Nurses Affective Responses to Providing End of life Care written by Stephanie Lynn Lewis and published by . This book was released on 2013 with total page 181 pages. Available in PDF, EPUB and Kindle. Book excerpt: Significance. The Joint Commission established standards to evaluate comprehensive end-of-life infant care and the positive outcomes of such care are well documented. However, findings from multiple studies conducted over the last decade indicate that end-of-life care in the neonatal intensive care unit is not provided consistently or holistically to all dying infants. Because nurses are the healthcare professionals most often responsible for providing this care, anything that detracts from their ability to provide it, including their own affective responses, needs to be addressed. Aim. The purpose of this study was to explore—through lived and told stories—the affective, interactional, and meaning-related responses that NICU nurses have while caring for dying infants and their families. Sample, Design, and Methods. Neonatal intensive care nurses were recruited through the online membership discussion boards of the National Association of Neonatal Nurses. Participants were asked to access an online survey link and provide a written narrative describing an end-of-life care situation in which they experienced strong emotions. Demographic data also were collected. Findings. Narrative analysis revealed many affective responses, but three were the most frequent: responsibility, moral distress, and identification. Feelings of responsibility included (a) a commitment to deliver the best end-of-life care possible, (b) professional inadequacy, (c) disbelief, and d) advocacy. Feelings associated with moral distress were quite common and often related to conflicts between nurses, physicians, and families. Nurses reported feelings of identification with families of dying infants through (a) sharing their grief, (b) forming excess attachments, and (c) experiencing survivor-like guilt. Implications. Nurse educators are encouraged to discuss more extensively and perhaps through the use of simulation, the positive and negative emotions that may be experienced by nurses who are involved in end-of-life care situations. Nurse leaders are encouraged to promote supportive environments in NICUs and ensure debriefing opportunities for nurses who have recently cared for a dying infant. Significant associations, such as NICU nurses not perceiving their EOLC education as being helpful in providing that care clinically and the percentage of NICU nurses reporting the presence of an end-of-life care policy in their units of employment, also merit further examination.

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 Neonatal Nurses Experiences of Caring for High risk Infants Involved in Research written by Bella Iomdina and published by . This book was released on 2008 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Although attention has been given to parental attitudes regarding enrollment of their high-risk infants in research, there is a paucity of knowledge in the literature, which investigates nurses? experiences of caring for high-risk infants involved in research. Consequently, there is little understanding of how caring for these infants impacts nursing care. The purpose of this research was to arrive at an increased understanding of neonatal nurses' experiences in caring for high-risk infants involved in research. Attention was given to exploring neonatal intensive care unit (NICU) nurses? perspectives towards neonatal research and the notion of risk to involving high-risk infants in research, their perceived roles and responsibilities with regards to high-risk infants in research, and the impact of research on caring for high-risk infants. This study was built on the research program of the student?s supervisor that seeks to increase the knowledge base of the nature of risk in child health research. An exploratory descriptive study within the qualitative paradigm was used. Seven semi-structured interviews, one focus group interview, and field notes were used to obtain information from seven NICU nurses. All of the qualitative data that emerged was analyzed using the constant comparative data analysis technique. Data analysis revealed that safeguarding their patients, or being a?safety net?, was the essence of nurses? experiences of caring for high-risk infants involved in research. The nurses described their main role was the provision of a safe environment, regardless of the infants? involvement in research. Acting as a?safety net? involved the nurses always being on guard and knowledgeable about their patients? care. The following three themes further depicting the safeguarding experience emerged: feelings within, keeping it near and dear, and making it safer. The first theme, feelings within, uncovered nurses? mixed emotions when caring for infants involved in research, which ranged from positive feelings to feelings of moral distress. The second theme, keeping it near and dear, referred to the uncomfortable feelings and memories that nurses held about situations in which they felt infants enrolled in research had suffered because of their inability of not being able to fully safeguard them. Some of the nurses expressed regretting their choices, such as not speaking up on a patient?s behalf, while others described it as a learning process, which eventually contributed to their abilities to safeguard infants. The third theme, making it safer, was based on the nurses? enthusiasm about the future of neonatal research. The nurses identified many ways in which child health researchers, bedside nurses, REB members, and parents could minimize the risks of involving high-risk infants in research. This study yielded new insights about how NICU nurses care for high-risk infants involved in research that may be used to improve the protection of high-risk infants in research and ultimately contribute to the quality of care for these infants. Recommendations for nursing practice, education, and research are suggested.

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.

Download or read book The Lived Experience of Moral Distress in Critical Care Nurses written by Linda Murray Branco and published by . This book was released on 2017 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Do Neonatal Nurses Caring for Newborns with Neonatal Abstinence Syndrome nas Whose Mothers Used Illicit Substances During Pregnancy Experience Moral Distress a Pilot Study written by Valarie Artigas and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Maternal substance misuse/abuse during pregnancy may lead to adverse neonatal outcomes, including neonatal abstinence syndrome (NAS). NAS is a constellation of withdrawal symptoms exhibited in newborns in response to the discontinuance of in-utero exposure to licit and illicit substances. The incidence of NAS is directly related to the increasing rates of maternal substance use/abuse. The United States has experienced a five-fold increase of newborns born with NAS. The care of the newborn with NAS is one of the most challenging conditions for the neonatal nurse. Management of newborns with NAS requires knowledge that has not been traditionally partnered within care of the neonatal intensive care unit (NICU) but rather more often in the newborn nursery. And thus, understanding addiction, addictive behaviors and the psychological needs of substance misusing/abusing parents have not been common place in all NICU settings. Caring for the newborn with NAS and interacting with the addicted parent and parents may present ethical and moral dilemmas for the neonatal nurse. This pilot study explored the presence of moral distress among neonatal nurse caring for the newborn with NAS whose mothers used illicit substances during pregnancy. A descriptive study engaged neonatal nurses from a Level III NICU in completing the Moral Distress Scale Pediatric version. Frequency and intensity of moral distress among the sample assisted in determining the presence and levels of moral distress. Neonatal nurses caring for newborns with NAS whose mothers used illicit substances during pregnancy experienced varying degrees moral distress.The results of this research study revealed that indeed, neonatal nurses experience moral distress to varying degrees within the NICU setting. Caring for newborns with NAS within this sample participant group produced moral distress especially when these nurses interacted with substance misusing mothers and care givers. Although not all neonatal nurses caring for newborns with NAS and/or interacting with substance misusing care givers experienced moral distress the review of the data is imperative for identifying strategies to support nurses universally to prevent/address moral distress in the NICU.

Download or read book The Relationship Between the Years of Experience in Nursing Moral Distress and Burnout Among Critical Care Nurses written by Ashley Brynn Sonsteng and published by . This book was released on 2019 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Critical care nurses are faced with situations of moral distress as a result of a variety of factors in their daily role. The chronic occupational stressors they are exposed to contribute to a high degree of emotional exhaustion and a greater chance of developing burnout. A lot of attention has been given towards the concepts of moral distress and burnout, yet it continues to remain a problem among the nursing profession. Of the prior published studies, there is minimal data accounting for the years of nursing experience having a role in the degree of moral distress and burnout one experiences over time. Data was collected from a convenience sample of critical care nurses who provide care to patients in an intensive care unit within an urban hospital located in southern California. The participants completed an online survey which included demographic data, the Moral Distress Scale-Revised (MDS-R) (Corley, Minick, Elswick & Jacobs, 2005), and the Maslach Burnout Inventory- Human Services Survey (MBI-HSS) (Maslach, Jackson & Leiter, 1997). The independent variables applied in the correlational analysis indicate that moral distress and burnout are positively correlated. The years of experience in nursing did not reveal any significant correlation to the level of moral distress, and a negative correlation was noted with the burnout subscales.

Download or read book Religion and Ethics in the Neonatal Intensive Care Unit written by Ronald M. Green and published by Oxford University Press. This book was released on 2019-09-04 with total page 352 pages. Available in PDF, EPUB and Kindle. Book excerpt: Each year, neonatal Intensive care units (NICUs) in the U.S. and around the world help thousands of sick or premature newborns survive. NICUs are committed to the ideals of family-centered care, which encourages shared decision-making between parents and NICU caregivers. In cases of infants with conditions marked by high mortality, morbidity, or great suffering, family-centered care affirms the right of parents to assist in making decisions regarding aggressive treatment for their infant. Often, these parents' difficult and intimate decisions are shaped profoundly by their religious beliefs. In light of this, what precisely are the teachings of the major world religious traditions about the status and care of the premature or sick newborn? Few studies have grappled with what major religious traditions teach about the care of the newborn or how these teachings may bear on parents' decisions. This volume seeks to fill this gap, providing information on religious teachings about the newborn to the multidisciplinary teams of NICU professionals (neonatologists, advance practice nurses, social workers), as well as to parents of NICU patients, and students of bioethics. In chapters dealing with Judaism, Catholicism, Denominational Protestantism, Evangelical Protestantism, African American Protestantism, Sunni and Shi'a Islam, Hinduism, Buddhism, Navajo religion, and Seventh Day Adventism, leading scholars develop the teachings of these traditions on the status, treatment, and ritual accompaniments of care of the premature or sick newborn. This is an essential book that will serve as a first resort for clinicians who need to understand the religious dynamics influencing anyone making a difficult decision about her sick newborn.

Download or read book Comprehensive Neonatal Nursing Care written by Carole Kenner, PhD, RN, FAAN, FNAP, ANEF and published by Springer Publishing Company. This book was released on 2013-08-21 with total page 1022 pages. Available in PDF, EPUB and Kindle. Book excerpt: "This book provides a complete look at neonatal healthcare delivery. This edition includes discussions of contemporary topics of interest, such as informatics, genetics, global health, and family-centered care, which are vital to providers caring for neonates today. The case studies and the evidence-based practice dialogues at the end of each chapter provide great opportunities for further reflection. The book is useful to a wide audience in nursing, including undergraduate and graduate nursing students, practicing neonatal and pediatric nurses, and advanced practice nurses who care for neonates." Score: 92, 4 Stars.--Doody's Medical Reviews This 'classic' has been thoroughly updated to incorporate the most up-to-date research findings and strategies for providing cost-effective and evidence-based care. New chapters address emerging infections, the late preterm infant, and neonatal care from a global perspective. Included are updated neonatal care protocols and procedures, neuroprotective risk factors, new treatments, and new trends in developmental care. Text integrates the Institute of Medicine's (10M) five competencies, reflects the Affordable Healthcare Act and the Robert Wood Johnson and 10M report "The Future of Nursing." The text continues to provide neonatal care from a physiologic and pathophysiologic approach, with a major emphasis on nursing management at the bedside and advanced practice level. Each neonatal body system is presented, along with E-B interventions to assist in understanding the 'why' behind what is seen in the clinical area. Integrative management is threaded through the text along with extensive research findings to support practice strategies and rationales for sound clinical decision-making. Topics of recent interest include iatrogenic complications, neonatal pain, use of computers or other technology in neonatal care, and neonatal AIDS. Case studies enhance understanding of both common and rare neonatal conditions. New to the Fifth Edition: New chapters: emerging infections, the late preterm infant, and neonatal care from a global perspective Updated neonatal care protocols and procedures, neuroprotective factors, new treatment modalities and new trends in developmental care Tackles the UN Millennium Development Goals (MDGs) Addresses the expansion of the nurse's role in the US and worldwide Provides case studies that lead the reader through the identification, diagnosis, treatment, and evaluation of common and rare neonatal conditions

Download or read book Relational Ethics written by Vangie Bergum and published by Univ Publishing Group. This book was released on 2005-01-01 with total page 232 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book The Experience of Moral Distress in Neonatal Nurses microform written by Mary E. (Mary Elizabeth) Thibeault and published by National Library of Canada = Bibliothèque nationale du Canada. This book was released on 2001 with total page 194 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Neonatal Bioethics written by John D. Lantos and published by JHU Press. This book was released on 2006-06-16 with total page 190 pages. Available in PDF, EPUB and Kindle. Book excerpt: Neonatal intensive care has been one of the most morally controversial areas of medicine during the past thirty years. This study examines the interconnected development of four key aspects of neonatal intensive care: medical advances, ethical analysis, legal scrutiny, and econometric evaluation. The authors assert that a dramatic shift in societal attitudes toward newborns and their medical care was a stimulus for and then a result of developments in the medical care of newborns. They divide their analysis into three eras of neonatal intensive care. The first, characterized by the rapid advance of medical technology from the late 1960s to the Baby Doe case of 1982, established neonatal care as a legitimate specialty of medical care, separate from the rest of pediatrics and medicine. During this era, legal scholars and moral philosophers debated the relative importance of parental autonomy, clinical prognosis, and children's rights. The second era, beginning with the Baby Doe case (a legal battle that spurred legislation mandating that infants with debilitating birth defects be treated unless the attending physician deems efforts to prolong life "futile"), stimulated efforts to establish a consistent federal standard on neonatal care decisions and raised important moral questions concerning the meaning of "futility" and of "inhumane" treatment. In the third era, a consistent set of decision-making criteria and policies was established. These policies were the result of the synergy and harmonization of newly agreed upon ethical principles and newly discovered epidemiological characteristics of neonatal care. Tracing the field's recent history, notable advances, and considerable challenges yet to be faced, the authors present neonatal bioethics as a paradigm of complex conversation among physicians, philosophers, policy makers, judges, and legislators which has led to responsible societal oversight of a controversial medical innovation.