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 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 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 An Assessment of Moral Resilience on Nurse Leaders written by Stephanie McClellan and published by . This book was released on 2023 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract: Background: Moral Distress has been studied in different healthcare environments and across disciplines. Most of the research and systematic reviews have evaluated the clinician at the bedside. While this information is valuable, a gap exists between what is known about leadership and the direct care provider and the effects of moral distress on one's ability to achieve moral resilience. The Coronavirus pandemic, also known as COVID-19, brought challenges to the nursing workforce that have proven difficult to overcome. Due to the complexity of what nurse leaders experienced, minimal research had been conducted on the impact of COVID-19 and moral distress. Purpose: The purpose of this EBP project was to determine if the webinar "Preventing and Managing Secondary Stress in the time of COVID-19" had an impact on the Nurse Leader's self-assessed Moral Resilience score. Methods: This project used a quasi-experimental design which consisted of a pre-intervention survey, the intervention, and a post-intervention survey. The nurse leaders were surveyed to understand their confidence with decisions during times of high stress. After completing the intervention, the Nurse Leaders completed a post-intervention survey. Results: Of the Nurse Leaders surveyed, a two-tailed Mann Whitney U test was used to evaluate findings. There was a statistical difference in the overall result of the pre and post intervention scale with a p score of 0.013 using and alpha of 0.05. The median for group 0 was 2.59 and the median for group 1 was 2.88. The results indicate an increase in the overall resilience score. Keywords: moral distress, leadership, healthcare, nurses, work engagement, moral sensitivity, COVID-19, nurse leaders.

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 Ethical Competence in Nursing Practice written by Catherine Robichaux, PhD, RN, CCRN, CNS and published by Springer Publishing Company. This book was released on 2016-09-07 with total page 361 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is a unique, innovative professional nursing ethics textbook designed specifically for all practicing nurses and to meet the educational needs of all nursing students, including RN to BSN and RN to MSN students. Written by experts in the field, it discusses ethical concepts relevant to the registered nurse who has practiced for several years but is learning higher level concepts and applications. This text addresses different areas of professional practice and is rich with case studies illustrating the need for ethical competence and decision making. The book fulfills the necessary criteria for the AACN Essentials for Baccalaureate Education and the QSEN and IOM competencies. It also integrates relevant provisions and statements from the revised Code for Nurses (ANA, 2015). Clear and concise, the text relates content to the nurse's current practice and introduces a framework for the development of ethical competence, from recognition of an ethical situation to implementation of a justifiable action. A decision-making model that includes elements of care and virtue ethics is also included. Essential communication and conflict skills are addressed, in addition to the role of the ethics committee and ethics consultation. The book discusses common ethical issues likely to be encountered, how to recognize and address moral distress, and ethical practice as it relates to research, quality, and safety. Case studies that incorporate evidence-informed research provide the opportunity to develop ethical skills and apply decisionmaking principles. Relevant QSEN competencies and provisions and statements from the ANA's revised Code for Nurses (2015) are featured in each chapter. Interactive exercises and questions and PowerPoints provide further opportunity for critical thinking. KEY FEATURES: Addresses the specific needs of practicing nurses and students in the RN to BSN and RN to MSN courses Fulfills AACN Essentials, IOM competencies, and QSEN KSAs Integrates relevant provisions and statements from the revised Code for Nurses (ANA, 2015) Builds upon previous practice experience Discusses ethical competence in a variety of practice environments Includes case studies to apply ethical competencies

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 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 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 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 Compassion Fatigue and Burnout in Nursing written by Vidette Todaro-Franceschi, PhD, RN, FT and published by Springer Publishing Company. This book was released on 2024-01-10 with total page 307 pages. Available in PDF, EPUB and Kindle. Book excerpt: Praise for Past Editions "This book is a vital read for individuals and the collective nursing profession… I encourage those who are concerned about the collective nursing profession, about what nurse educators are teaching students, about healthcare's high staff turnover and poor patient quality outcomes to consider reading and using this book." - M. R. Morrow, RN, PhD., Nursing Science Quarterly "This book addresses the issue that all nurses eventually face at one time or another in their career, a loss of passion. The author takes readers on a journey to recapture their passion...Every nurse should read this book." -V. Hedderick, Doody's Review Service As relevant today as it was when the first edition was published in 2012--likely even more so after the devastation of COVID 19--Dr. Todaro-Franceschi delves deeper into issues surrounding professional quality of life (PQOL) for nurses and the intricate connection to caliber of care and healthcare outcomes. She offers new insights on compassion fatigue, burnout, moral distress, caring for the dying, PTSD, and workplace bullying and violence noting that while the COVID-19 pandemic has grossly exacerbated existing problems in the workplace it has also created a "perfect storm" for nurses to regain a sense of the meaning and purpose of their work. Written by an acknowledged expert in end-of-life education, professional quality of life, and clinical leadership, this book will help empower nurses so that they can create a healthier, more compassionate work environment. Supported by research but written from a holistic and personal perspective, the text includes real-life examples, strategies, and exercises that will help readers to identify negative patterns and explore ways to recapture the joy in their work lives. New to the Third Edition: Integrates the impact of COVID-19 on the nursing profession throughout Provides new information on enhancing PQOL for nurses Includes new real-life examples from multiple nursing disciplines Key Features: Articulates an ethic of care developed from a transdisciplinary perspective Offers a framework--the ART© model, for mindful healing, living and working Shares real-life examples from critical care, end-of-life, oncology, and other clinical areas Provides a template for nurses, nurse educators and leaders to address critical issues affecting nursing workforce health, happiness and the work environment Includes a Nurse Leaders Resource Toolkit to assist staff with improving PQOL

Download or read book Moral Distress and You written by Cynda H. Rushton and published by . This book was released on 2015 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book The Nurse Leaders s Perspective and Role in Disclosure of Medical Errors and Adverse Clinical Events written by Theresa Pak and published by . This book was released on 2013 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The purpose of this study is to explore nurse leaders' knowledge and perception with the disclosure of medical errors and adverse clinical events. Disclosure is one aspect of a growing movement toward transparency and a culture of safety in healthcare. While there is vast literature regarding physicians' experience with disclosure of medical errors and clinical adverse events, there is very limited published work regarding the nursing experience. The lack of literature is notable since nurses account for the largest component of the nation's healthcare workforce, and they play an essential role in patient care. Semi-structured interviews were conducted with nurse leaders from various healthcare systems in the greater Sacramento California region. The goal of this study was to better understand the nurse leader's experience since they have been identified as being potentially important in the disclosure process. The three themes that emerged from the study subjects in their experiences were: 1) Nurse Leaders' Knowledge and Skills regarding Disclosure, Patient Safety, Ethics and Care of "Second Victims", 2) Nurse Leaders as Key Players in Organizational Practices and Culture for Patient Safety, and 3) Support of the Frontline Staff, especially as it Relates to Alleviating Moral Distress and Enhancing Care for Second Victim. The information obtained in this study adds insight to the nursing role in the disclosure process and could be used to develop training and education to promote a culture of safety, support nursing ethics, and provide infrastructure for the "second victim."

Download or read book Nursing Ethics Across the Curriculum and Into Practice written by Janie B. Butts and published by Jones & Bartlett Learning. This book was released on 2019-02-05 with total page 392 pages. Available in PDF, EPUB and Kindle. Book excerpt: The fifth edition of Nursing Ethics has been revised to reflect the most current issues in healthcare ethics including new cases, laws, and policies. The text continues to be divided into three sections: Foundational Theories, Concepts and Professional Issues; Moving Into Ethics Across the Lifespan; and Ethics Related to Special Issues focused on specific populations and nursing roles.

Download or read book Code of Ethics for Nurses with Interpretive Statements written by American Nurses Association and published by Nursesbooks.org. This book was released on 2001 with total page 42 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pamphlet is a succinct statement of the ethical obligations and duties of individuals who enter the nursing profession, the profession's nonnegotiable ethical standard, and an expression of nursing's own understanding of its commitment to society. Provides a framework for nurses to use in ethical analysis and decision-making.

Download or read book Nursing Ethics and Professional Responsibility in Advanced Practice written by Pamela June Grace and published by Jones & Bartlett Learning. This book was released on 2017-02-17 with total page 462 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Nursing Ethics and Professional Responsibility in Advanced Practice, Third Edition" remains the only comprehensive textbook available on the ethical issues faced by APNs giving front-line care. It is a critically important resource for students preparing for advanced practice and nursing leadership in both the United States and around the world. The author demystifies the principles and language of healthcare ethics. Beginning from a foundation of nursing practice, she guides students in developing ethical decision-making skills they can apply to a range of circumstances, from everyday issues to complex dilemmas. The "Third Edition" reflects recent changes in the healthcare environment, including biotechnological advances, sociological movements, and economic conditions. -- From publisher's description.

Download or read book Moral Distress Among Transformational Leaders in the Area of Nursing Administration written by Chia-Ju Lin and published by . This book was released on 1999 with total page 106 pages. Available in PDF, EPUB and Kindle. Book excerpt: