Download or read book An Exploration of Moral Distress Among Nurse Managers In Long Term Care Facilities written by Francis Rodolfo Maza and published by . This book was released on 2020 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Moral distress is defined as the suffering experienced as a result of situations in which individuals are aware of a moral problem, acknowledge moral responsibility, and make a moral judgment about the correct action to take, yet due to constraints (real or perceived) cannot carry out this action. Thus they believe that they are committing a moral offence by compromising their personal and professional values. The suffering may present as feelings of anger, frustration, guilt and/or powerlessness associated with a decreased sense of well-being. The purpose of this research was to explore the experience and impact of moral distress on Nurse Managers working in long-term care (LTC) organizations. And at the same time to explore the ethical climate within those organizations to discern whether to facilitate or impede the resolution of moral distress. Few studies have explored moral distress in both the Nurse Manager and LTC context. Using a case study research method, the respondents in this study described in detail their experiences of moral distress, the circumstances in which they occurred, and the deleterious effects on their physical, emotional, social, psychological, and spiritual well-being. Among the findings in this study, there were some correlations between the positive ethical climate found in a healthy workplace and lower levels of moral distress, and the power that positive relationships exert in coping with moral distress during and after the situation. There were several coping mechanisms Nurse Managers identified as helpful in dealing with moral distress. However, when the intensity of moral distress reached unbearable levels, and the coping mechanisms seemed to no longer suffice, Nurse Managers would leave their position or their organization. This study also asked participants to consider what advice they would give to new Nurse Managers, the organization's leaders and the healthcare system as a whole in order to address the issue of moral distress. The respondents identified a number of helpful or potentially helpful recommendations to support new managers, which may aid in developing organizational strategies that could support the wellbeing of Nurse Managers, today and into the future, and may help to reduce staff attrition and burnout.
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 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 Moral Distress Among Regulated and Unregulated Care Providers Employed in Long Term Care Settings written by Megan Lyon Manning and published by . This book was released on 2010 with total page 150 pages. Available in PDF, EPUB and Kindle. Book excerpt: The purpose of this research was to describe the experience of moral distress among regulated and unregulated nursing personnel employed in Long Term Care (LTC) facilities. The specific research questions were: 1) Do regulated and unregulated nursing personnel experience moral distress? 2) What is the nature of moral distress in LTC facilities? 3) How do nursing personnel describe and perceive the experience of moral distress? 4) What are the organizational factors that participants perceive as contributing to or reducing moral distress in their workplace? A qualitative, descriptive, study design was used. Semi-structured interviews were the method of data collection and analysis was conducted using thematic content analysis as proposed by Miles and Huberman's (1994). A purposive sample of 16 participants was recruited from two LTC facilities. Participants described work experiences in which they felt they were unable to do the "right thing". There were four kinds of situations that gave rise to moral distress: end of life care, resident behaviours, other direct care provider behaviours and the work environment. The experience of moral distress was described in terms of an initial emotional reaction, followed by a response, with resolved or unresolved outcomes. Half of the examples described by participants as giving rise to moral distress, remained unresolved. Participants also identified organizational factors that prevented moral distress and assisted with its resolution such as, educational courses, administrative leadership and pastoral support.
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 Nurses With Disabilities written by Leslie Neal-Boylan and published by Springer Publishing Company. This book was released on 2012-10-12 with total page 226 pages. Available in PDF, EPUB and Kindle. Book excerpt: " This is the first research-based book to confront workplace issues facing nurses who have disabilities. It not only examines in depth their experiences, roadblocks to successful employment, and misperceptions surrounding them, but also provides viable solutions for creating positive attitudes towards them and a welcoming work environment that fosters hiring and retention. From the perspectives and actual voices of nurses with disabilities, nurse leaders, nurse administrators, and patients, the book identifies nurses with disabilities (including sensory, musculoskeletal, emotional, and mental health issues), discusses why they choose to leave nursing or hide their disabilities, and analyzes how their disabilities may influence career choices. "
Download or read book Exploring Moral Distress Among Nurse Leaders written by Preston Hayes Miller and published by . This book was released on 2023 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Nurse Managers Moral Distress in the Context of the Hospital Ethical Climate written by Rebecca Blanche Porter and published by . This book was released on 2010 with total page 193 pages. Available in PDF, EPUB and Kindle. Book excerpt: The strategies included taking a positive perspective, seeking the advice of NM colleagues, reliance on a positive relationship with a supervisor, and talking it through with family members. For 5 of the 15 NMs who experienced moral distress, their final strategy included plans to resign from their positions. Issues within the ethical climate of the hospital that were perceived to contribute to the development of moral distress among this cohort of NMs differed from those reported for staff nurses. Further examination of strategies used by NMs to improve the ethical climate may yield insights into effective ways to address moral distress for this population.
Download or read book Empirical Bioethics written by Jonathan Ives and published by Cambridge University Press. This book was released on 2016-12-22 with total page 416 pages. Available in PDF, EPUB and Kindle. Book excerpt: Bioethics has long been accepted as an interdisciplinary field. The recent 'empirical turn' in bioethics is, however, creating challenges that move beyond those of simple interdisciplinary collaboration, as researchers grapple with the methodological, empirical and meta-ethical challenges of combining the normative and the empirical, as well as navigating the difficulties that can arise from attempts to transcend traditional disciplinary boundaries. Empirical Bioethics: Theoretical and Practical Perspectives brings together contributions from leading experts in the field which speak to these challenges, providing insight into how they can be understood and suggestions for how they might be overcome. Combining discussions of meta-ethical challenges, examples of different methodologies for integrating empirical and normative research, and reflection on the challenges of conducting and publishing such work, this book will both introduce the novice to the field and challenge the expert.
Download or read book What Guides Us Here Exploring Community Health Nurses Experiences of Moral Distress written by Kristen Jones-Bonofiglio and published by . This book was released on 2015 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The concept of moral distress was first developed in the mid 1980's by the American philosopher Dr. Andrew Jameton. Since then, moral distress has been studied in many health care practice settings and among various disciplines. However, moral distress among nurses in community health care settings has remained largely unexplored. Community health nurses (CHNs) work with clients, families, and communities with a variety of diverse care needs. Therefore, in this research I cast a wide net by asking a broad question, "What guides us here?" What guides nurses through the ethical landscape of community health nursing? The purpose of this research, then, is to explore CHNs experiences of everyday ethical issues and moral distress and identify educational opportunities for ongoing learning and support. To do this I used a narrative inquiry approach and interviewed 20 Canadian CHNs by phone. Based on my analysis of the data, categories of key ethical issues, themes, and educational needs were explored and identified. From the interview data, participants' stories were then re-storied by me into meta-narratives. Nine meta-narratives, inspired by multiple-participant interview responses, were created as an end product of this study. The meta-narratives represent stories that are true to life in the details regarding situations that the CHNs reported from their nursing practice. At the same time, however, the meta-narratives do not describe any one situation; rather they reflect aspects of several stories combined. Thus, the meta-narratives offer protection of confidentiality, provide an evidence-based, detailed account of these experiences, and are educational resources for CHNs. I also designed and had participants evaluate an educational intervention in the form of a self-directed e-learning module (e-module). Based on the research findings, I offer recommendations for action to promote ethical nursing practice and support CHNs, which include implications for education, theory, research, and nursing practice. This research provides foundational knowledge about the ethical landscape of community health nursing in Canada, the everyday ethical issues faced, experiences of moral distress, and educational opportunities to support CHNs.
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 Nursing Leadership and Management for Patient Safety and Quality Care written by Elizabeth Murray and published by F.A. Davis. This book was released on 2021-11-08 with total page 684 pages. Available in PDF, EPUB and Kindle. Book excerpt: Take an evidence-based approach that prepares nurses to be leaders at all levels. Learn the skills you need to lead and succeed in the dynamic health care environments in which you will practice. From leadership and management theories through their application, you’ll develop the core competences needed to deliver and manage the highest quality care for your patients. You’ll also be prepared for the initiatives that are transforming the delivery and cost-effectiveness of health care today. New, Updated & Expanded! Content reflecting the evolution of nursing leadership and management New! Tables that highlight how the chapter content correlates with the core competencies of BSN Essentials, ANA Code of Ethics, and Standards of Practice or Specialty Standards of Practice New!10 NCLEX®-style questions at the end of each chapter with rationales in an appendix New & Expanded! Coverage of reporting incidents, clinical reasoning and judgment, communication and judgment hierarchy, quality improvement tools, leveraging diversity, security plans and disaster management, health care and hospital- and unit-based finances, and professional socialization Features an evidence-based and best practices approach to develop the skills needed to be effective nurse leaders and managers—from managing patient care to managing staff and organizations. Encompasses new quality care initiatives, including those from the Institute of Medicine (IOM) Report, AACN Essentials of Baccalaureate Education, and Quality and Safety Education for Nurses (QSEN) Report which form the foundation of the content. Discusses the essentials of critical thinking, decision-making and problem solving, including concepts such as SWOT, 2x2 matrix, root-cause analysis, plan-do-study-act, and failure mode and effects analysis. Demonstrates how to manage conflict, manage teams and personnel, utilize change theory, and budget Uses a consistent pedagogy in each chapter, including key terms, learning outcomes, learning activities, a case study, coverage of evidence, research and best practices, and a chapter summary.
Download or read book Reflective Lifeworld Research written by Karin Dahlberg and published by Studentlitteratur AB. This book was released on 2008-01-01 with total page 370 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book explicates a reflective lifeworld research approach, based on phenomenological philosophy. The emphasis is on the lifeworld, the human intentionality and its capacity for seeing meaning and for reflection. The epistemological ideas presented in the book are transformed into an empirical research approach that serves as a guiding principle for research. The approach originates from the aim of allowing the phenomenon to guide the research by which the phenomenon and its meanings will be illuminated, understood and explicated, and is supported by an open and "bridled" attitude to the phenomenon and the research. Based on a solid epistemological presentation and ideas about how an open and "bridled" approach can be established, some methodological principles are outlined for data gathering as well as for descriptive and interpretative data analysis, respectively. Finally, general scientific concepts such as validity, objectivity and generalisation are discussed in relation to the reflective lifeworld.
Download or read book Moral Distress in Long Term Care Nurses a Thesis written by Darlene Saucier and published by . This book was released on 2007 with total page 92 pages. Available in PDF, EPUB and Kindle. Book excerpt: The purpose of this descriptive study was to determine the level and frequency of moral distress in long term care nurses and to identify the factors causing the greatest amount of moral distress in these nurses.
Download or read book Strengths Based Nursing Care written by Laurie N. Gottlieb, PhD, RN and published by Springer Publishing Company. This book was released on 2012-08-22 with total page 450 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is the first practical guide for nurses on how to incorporate the knowledge, skills, and tools of Strength-Based Nursing Care (SBC) into everyday practice. The text, based on a model developed by the McGill University Nursing Program, signifies a paradigm shift from a deficit-based model to one that focuses on individual, family, and community strengths as a cornerstone of effective nursing care. The book develops the theoretical foundations underlying SBC, promotes the acquisition of fundamental skills needed for SBC practice, and offers specific strategies, techniques, and tools for identifying strengths and harnessing them to facilitate healing and health. The testimony of 46 nurses demonstrates how SBC can be effectively used in multiple settings across the lifespan.
Download or read book Patient Safety and Quality written by Ronda Hughes and published by Department of Health and Human Services. This book was released on 2008 with total page 592 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/
Download or read book Perceptions of Moral Distress as Experienced by Long Term Care Nurses written by Connie Rockstad and published by . This book was released on 1994 with total page 158 pages. Available in PDF, EPUB and Kindle. Book excerpt:
