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 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 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 Experienced by Neonatal Nurses Involved in the Resuscitation of Extremely Premature Infants written by Jennifer Molloy and published by . This book was released on 2012 with total page 166 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Nurses Experiences of Moral Distress written by Linda Dodson Harrison and published by . This book was released on 2000 with total page 142 pages. Available in PDF, EPUB and Kindle. Book excerpt:
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 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 Lived Experiences of Moral Distress Among Staff Nurses written by Rose M. Chop Powell and published by . This book was released on 1997 with total page 438 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Experience of Moral Distress in Critical Care Clinicians written by Kristine Marks and published by . This book was released on 2013 with total page 148 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Moral Distress in Nursing Practice written by Judith M. Wilkinson and published by . This book was released on 1985 with total page 338 pages. Available in PDF, EPUB and Kindle. Book excerpt:
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 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 An Analysis of Moral Distress Experienced Among Nursing Students written by Katherine Merchent Johnson and published by . This book was released on 2016 with total page 44 pages. Available in PDF, EPUB and Kindle. Book excerpt: The purpose of this senior honors thesis was to obtain descriptive data about the moral distress experienced by nursing students during clinical rotations in nursing school. This senior honors thesis is significant to nursing because, although moral distress is a well-researched topic, little to no information has been gathered regarding moral distress among the nursing student sub-culture. Nursing students are likely one of the most important groups in which moral distress needs to be explored, because experiencing it could lead to fewer people wanting to become a part of the nursing profession. The research design used quantitative methodology. The approach was a descriptive survey, with the survey being developed by the researcher. The nursing students' perspectives were evaluated by asking questions about the student's experiences in the clinical setting with faculty, health care providers within the hospital, and fellow students. The survey contained 25 questions. Twenty-four students signed consents to complete the survey in the graduating classes of Fall 2016 and Spring 2016. Twenty-two students responded and completed the survey. It was found that although only 9 of 22 students answered that they had experienced moral distress, more than half of the students answered yes to questions that focused on ethics-related experiences they had encountered. Also, more than half indicated unpleasant symptoms experienced after witnessing an unethical action, which typically might be described as moral distress. It was found that the nurses employed by the organizations were the main group that were perceived to be practicing unethically. --Page iv.
Download or read book The Moral Distress Experienced by Nurses in Promotion of the Client Autonomy written by Roseanne M. Hanlon Rafter and published by . This book was released on 1991 with total page 76 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Getting Through the Shift written by Elizabeth McMurray and published by . This book was released on 2016 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: With the corporatization of healthcare, combined with rapid advances in medical technology, frontline health care workers, especially nurses, are facing an increase in daily ethical dilemmas, with potential increases in moral distress. The contributing factors and negative effects of moral distress are well researched, in particular as they impact nurses in specialty areas. However, understanding how nurses navigate moral distress, specifically in general medical and surgical units, is not as well understood. The purpose of this study was to understand and articulate the processes that nurses carry out when navigating moral distress, by exploring their interactions with the health care environment. Using grounded theory methodology, a substantive theory was developed to explain the process. The participants in this study were all registered nurses from an acute care academic hospital, who worked on non-specialty medical and/or surgical units. Data collection consisted of audio-recorded face-to-face interviews that were transcribed post interview. All the events and situations that resulted in the experience of moral distress were primarily rooted in organizational structures, which often blindsided the nurses in this study, and led to a sense of feeling ill-equipped and unsupported to respond in the moment. Furthermore, the participants expressed their inability to be agents of change due to the established organizational expectations. The basic social process for navigating moral distress was ¢Just getting through the shifto. This theory is comprised of the categories of Experiencing Moral Distress, Making Sense of the Situation, and Finding the Way. In working through these processes, the participants engaged in navigating moral distress. Making sense of the situation was an ongoing process that nurses engaged in whereby they sought out knowledge in various ways, such as exploring internal resources, and building relationships with their peers, their patients, and patients' families. Throughout this iterative process of making sense of the situation, the nurses were then able to find their way. Participants discussed positive outcomes such as reflecting and learning from the experience. However, despite this response, there was a feeling of powerlessness to make a difference. Therefore, they focused on providing the best care they could and getting on with their shift without experiencing closure.
Download or read book Core Curriculum for Maternal newborn Nursing written by Association of Women's Health, Obstetric, and Neonatal Nurses and published by . This book was released on 2000 with total page 852 pages. Available in PDF, EPUB and Kindle. Book excerpt: This second edition provides the core knowledge required to skillfully carry out all daily clinical responsibilities. Current, updated coverage examines human reproduction, genetics, high-risk pregnancies, labor and delivery risk, and much more.
