Download or read book Work Engagement Moral Distress Education Level and Critical Reflective Practice in Intensive Care Nurses written by Lisa Ann Lawrence and published by . This book was released on 2009 with total page 398 pages. Available in PDF, EPUB and Kindle. Book excerpt: The purpose of this study was to examine how nurses' critical reflective practice, education level, and moral distress related to their work engagement. This is an area of study relevant to nursing, given documented United States Registered Nurse (RN) experiences of job related distress and work dissatisfaction, and the nursing shortage crisis. Nurses are central players in the provision of quality health care. There is need for better understanding of RNs' work engagement and factors that may enhance their work experience. A theoretical framework of critical reflective practice was developed and examined in this study. A non-experimental, descriptive, correlational design was used to examine the relationships among four study variables: critical reflective practice, education level, moral distress, and work engagement. The purposive sample consisted of 28 intensive care unit RNs (ICU-RNs) from three separate ICUs (medical, neonatal, and pediatric) in a 355-bed Southwest magnet-designated hospital. Measures of the key variables were as follows: (1) Critical Reflective Practice Questionnaire (CRPQ) developed for this study; (2) a subscale of Mary C. Corley's Moral Distress Scale; (3) Education level measured as the highest nursing degree earned to practice as a RN; and (4) the Utrecht Work Engagement Scale. All instruments demonstrated adequate reliability and validity. Pearson correlation and multiple regression analyses indicated support for the theoretical framework: There was a negative direct relationship between moral distress and work engagement, a positive direct relationship between critical reflective practice and work engagement, and moral distress and critical reflective practice, together, explained 47% of the variance in work engagement. Additionally, in the NICU, results indicated a positive direct relationship between increased educational level and critical reflective practice. Results also indicated that moral distress was a clinically significant issue for ICU-RNs in this sample. Strategies to promote critical reflective practice and reduce moral distress are recommended. Additionally, the findings support continued study of critical reflective practice and moral distress, and the role of education level, in nurses' work engagement. Research goals include continued study of the theoretical framework in larger study samples and in reference to additional explanatory factors.
Download or read book Work Engagement Moral Distress Education Level and Critical Reflective Practice in Intensive Care Nurses written by and published by . This book was released on 2001 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Work engagement, moral distress, education level, and critical reflective practice in intensive care nurses.
Download or read book Researching Critical Reflection written by Jan Fook and published by Routledge. This book was released on 2015-10-05 with total page 211 pages. Available in PDF, EPUB and Kindle. Book excerpt: Critical reflection helps professionals to learn directly from their practice experience, so that they can improve their own work in an ongoing and flexible way – something essential in today’s complex and changing organisations. It allows change to be managed in a way which enables individuals to preserve a sense of what is fundamentally important to them as professionals. It is particularly important as it can also help make sense of some fundamental issues, and so also has implications for how we live our lives. However, more systematic research on critical reflection is needed to help us understand what works best for professionals in different settings. This timely work explores how critical reflection is researched, evaluated and used as a research method itself, with the aim of improving how it is taught and practised in a rigorous and transferable way. Developing a more comprehensive and multi-disciplinary view of the current state of critical reflection and the research directions which need to be taken, the book is divided into four parts. It: - Provides an overview of different perspectives on critical reflection and stimulates dialogue between them - Establishes some common platforms from which to develop further research directions - Identifies the major issues in evaluating critical reflection teaching, and main methods for doing so - Contributes to social science methodological innovations by exploring how methods based on critical reflection can be used for researching professional practice - Contains contributions from academics who are internationally known and highly experienced in different aspects of critical reflection. Researching Critical Reflection is an important reference for all students, practitioners, and researchers – including in the areas of education, management, health and social work – who engage with critical reflection to develop their practice.
Download or read book Practicing Critical Reflection in Social Care Organisations written by Jan Fook and published by Routledge. This book was released on 2021-09-09 with total page 192 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book explores concrete examples of different strategies and activities aimed at creating and embedding critically reflective learning and working environments within organisations whose prime function is social care. Critical reflection has long been recommended as a general professional skill and is a core component of the practice capabilities in social work in countries across the Western world. However, despite unequivocal support for it in social work education, sustaining critical reflection within organisations as both an individual and collective practices, supported by organisational cultures, is problematic. With contributions from social work practitioners and educators who have sought to embed critical reflection into broader activities and cultures within their organizations, the book addresses common features of critical reflection, and challenges and benefits in specific case studies. This book will inspire and develop new thinking and vision about being critically reflective in organisations, and facilitate efforts to improve the learning and working experience in addition to that of service quality and delivery. It will be required reading for all undergraduate and postgraduate social work modules focusing on management, leadership organizational change, and professional education.
Download or read book Promoting the Well being of the Critical Care Nurse An Issue of Critical Care Nursing Clinics of North America E Book written by Susan Bartos and published by Elsevier Health Sciences. This book was released on 2020-08-26 with total page 137 pages. Available in PDF, EPUB and Kindle. Book excerpt: In consultaton with Consulting Editor, Dr. Cynthia Bautista, Dr. Bartos has put together a comprehensive and succint look at strategies to improve wellness for the critical care nurse. Expert authors have submitted clinical review articles on the following topics: Self-Assessments for Mental Wellness in Critical Care; Developing a Wellness Company for Critical Care Nurses; Self-Care Tips and Tricks for the Critical Care Nurse; Building Resilience in the Critical Care Nurse; The Impact of Rotating Shift Work on Self-Care Behaviors of the Critical Care Nurse; Mitigating the Stress of the Critical Care Nurse; Building a Program of Wellness for Critical Care Nurses; Evaluating the Secondary Stress of Critical Care Providers; Compassion Fatigue in the Intensive Care Unit; Creativity as a Means of Self-Care for Trauma ICU Nurses; and Supporting Self-Care Behaviors throughout the Critical Care Bereavement Process. Readers will come away with the information they need to improve self-care behaviors and mental wellness.
Download or read book Outcome Assessment in Advanced Practice Nursing written by Ruth M. Kleinpell, PhD, ACNP-BC, FAAN, FAANP, FCCM and published by Springer Publishing Company. This book was released on 2021-05-10 with total page 319 pages. Available in PDF, EPUB and Kindle. Book excerpt: The fifth edition of this award-winning text continues to be the only advanced practice nursing resource to focus exclusively on outcome assessment, an integral aspect of quantifying the effectiveness of care, both clinically and financially. Written by expert practitioners, educators, and researchers, this text analyzes the foundations of outcome assessment, provides guidelines for selecting assessment instruments and measuring results, and discusses design and implementation challenges. It also covers specialty areas of practice and specialty-specific considerations for outcome evaluation. This revision provides APRN students, educators, and administrators with the most up-to-date resources and information on measuring outcomes of practice. The fifth edition has a strong focus on practice-specific quality metrics and covers a recent national collaborative project that showcased outcomes of nurse-led initiatives as part of the Choosing Wisely Campaign. Additionally, the fifth edition now includes an outcome assessment template to aid in the application of content. New to the Fifth Edition: Discusses a recent national collaborative project showcasing outcomes of nurse-led initiatives as part of the Choosing Wisely Campaign A new outcome assessment template to aid in the practical application of content New exemplars demonstrating practical application in a variety of settings Includes examples of APRN roles and impact resulting from the COVID-19 pandemic Increased coverage of DNP competencies and scope of practice Covers updates on NP competencies and their impact on care Key Features: Covers specialty areas of practice and specialty-specific considerations for outcome evaluation Offers guidelines for selecting assessment instruments and measuring the results Describes potential pitfalls of design and implementation Includes an instructor's manual including algorithms and teaching tools Purchase includes digital access for use on most mobile devices or computers.
Download or read book Leadership in Nursing Practice written by Timothy Porter-O'Grady and published by Jones & Bartlett Publishers. This book was released on 2015-02-11 with total page 618 pages. Available in PDF, EPUB and Kindle. Book excerpt: Each new print copy includes Navigate 2 Advantage Access that unlocks a comprehensive and interactive eBook, student practice activities and assessments, a full suite of instructor resources, and learning analytics reporting tools. Leadership in Nursing Practice: Changing the Landscape of Healthcare, Second Edition provides nursing students with the leadership skill-set they will need when entering the field. This text distinguishes between leadership and management and emphasizes translation applications that prepare the student for transition into leadership roles. Leadership in Nursing Practice covers many different topics including leadership, transitioning to the professional role, time management, finance/fiscal management, communication/negotiation, ethical decision making, career management, and much more! Features: Definition of Theoretical Underpinning Strengths and Weaknesses of different approaches Case Scenarios Figures/Tables Key Points Real-life Examples End of Chapter Assessments
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 Leadership in Nursing Practice written by Daniel Weberg and published by Jones & Bartlett Learning. This book was released on 2018-02-14 with total page 624 pages. Available in PDF, EPUB and Kindle. Book excerpt: Leadership in Nursing Practice: Changing the Landscape of Health Care, Third Edition provides nursing students with the leadership skill-set they will need when entering the field.
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 Perinatal Palliative Care written by Paola Lago and published by Frontiers Media SA. This book was released on 2021-08-03 with total page 116 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Psychological Distress Burnout Quality of Life and Wellness among Healthcare Workers written by Laura Galiana and published by Frontiers Media SA. This book was released on 2022-05-25 with total page 142 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 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 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 The Effects of Collaborative Practice on Levels of Moral Distress in Critical Care Nurses written by Jay E. Chambers and published by . This book was released on 1996 with total page 106 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.
