A theoretical argumentation on the consequences of moral stress

Journal of Nursing Management

Volumn 15, Issue 4, 2007, Pages 458-465

  Cronqvist, Agneta ^a   Nyström, Maria ^a,b  

^a Ersta Skondal University College   (Sweden)

^b UNIVERSITY OF BORÅS   (Sweden)

Author keywords

Caring competence; Competence; Intensive care nursing; Moral stress; Professional support; Qualitative secondary analysis

Indexed keywords

ADAPTIVE BEHAVIOR; ARTICLE; ATTITUDE TO HEALTH; BURNOUT; CLINICAL COMPETENCE; CONFLICT; COOPERATION; DECISION MAKING; EMPATHY; ETHICAL THEORY; ETHICS; HEALTH PERSONNEL ATTITUDE; HUMAN; INTENSIVE CARE; MORALITY; NURSING METHODOLOGY RESEARCH; NURSING STAFF; NURSING THEORY; ORGANIZATION AND MANAGEMENT; PSYCHOLOGICAL ASPECT; PSYCHOLOGICAL THEORY; PUBLIC RELATIONS; QUALITATIVE RESEARCH; QUESTIONNAIRE; RISK FACTOR; SELF CONCEPT; SOCIAL SUPPORT; SWEDEN;

ADAPTATION, PSYCHOLOGICAL; ATTITUDE OF HEALTH PERSONNEL; BURNOUT, PROFESSIONAL; CLINICAL COMPETENCE; CONFLICT (PSYCHOLOGY); COOPERATIVE BEHAVIOR; DECISION MAKING; EMPATHY; ETHICAL THEORY; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HUMANS; INTENSIVE CARE; INTERPROFESSIONAL RELATIONS; MORALS; NURSING METHODOLOGY RESEARCH; NURSING STAFF, HOSPITAL; NURSING THEORY; PSYCHOLOGICAL THEORY; QUALITATIVE RESEARCH; QUESTIONNAIRES; RISK FACTORS; SELF EFFICACY; SOCIAL SUPPORT; SWEDEN;

EID: 34247512044     PISSN: 09660429     EISSN: 1365263X     Source Type: Journal    
DOI: 10.1111/j.1365-2834.2007.00764.x     Document Type: Article

References (42)

1. Amaravadi R.K., Dimick J.B., Provonost P.J. Lipsett P.A. (2000) ICU nurse-to-patient ratio is associated with complication and resource use after esophagectomy. Intensive Care Medicine 26, 1857 1862.
2. Araújo-Sadala M.L. Berti Mendes H.W. (2000) Caring for organ donors: the intensive care unit nurses' view. Qualitative Health Research 10 (6 788 805.
3. Armstrong-Stassen M., Cameron S.J. Horsburgh M.E. (1996) The impact of organizational downsizing on the job satisfaction. Canadian Journal of Nursing Administration 9, 8 29.
4. Baker P.D. (1987) Moral competency: an essential element in the socialization of professional nurse. Family Community Health 10 (1 8 14.
5. Benner P., Tanner C.A. Chesla C.A. (1996) Expertise in Nursing Practice. Springer Publishing Company, New York, NY.
6. Binnekade J.M., Vrom M.B., de Mol B.A. de Haan R.J. (2003) The quality of intensive care nursing before, during, and after the introduction of nurses without ICU-training. Heart and Lung 32 (3 190 196.
7. Bratt M.M., Broome M., Kelber S. Lostocco L. (2000) Influence of stress and nursing leadership on job satisfaction of pediatric intensive care nurses. American Journal of Critical Care 9 (5 307 316.
8. Braunwald E. (1997) Cardiovascular medicine at the turn of the millennium: triumphs, concerns, and opportunities. The New England Journal of Medicine 337 (19 1360 1369.
9. Brown C., Arnetz B. Petersson O. (2003) Downsizing within hospital: cutting care or just costs? Social Science and Medicine 57, 1539 1546.
10. Cartledge S. (2001) Factors influencing the turnover of intensive care nurses. Intensive and Critical Care Nursing 17, 348 355.
11. CDC (1999) Achievements in public health, 1900-1999: healthier mothers and babies. In Morbidity and Mortality Weekly Report (Center for Disease Control and Prevention ed. pp. 849 858. Department of Health and Human Services, Atlanta, GA.
12. Cronqvist A., Burns T., Theorell T. Lützén K. (2001) Dissonant imperatives in nursing: a conceptualization of stress in intensive care nursing in Sweden. Intensive and Critical Care Nursing 17, 228 236.
13. Cronqvist A., Burns T., Heorell T. Lützén K. (2004) Caring about-caring for: tensions between moral obligation and work responsibilities in intensive care nursing. Nursing Ethics 11 (1 63 76.
14. Cronqvist A., Lützén K. Nyström. M. (2006) Nurses' lived experiences of moral stress support in the intensive care context. Journal of Nursing Management 14, 405 413.
15. Dimick J.B., Swoboda S.M., Pronovost P.J. Lipsett P.A. (2001) Effect of nurse-to-patient ratio in the intensive care unit on pulmonary complications and resource use after hepatectomy. American Journal of Critical Care 10 (6 376 382.
16. Ekebergh M. (2001) Acquiring Caring Science Knowledge. The Importance of Reflection for Learning. Samhälls-och vårdvetenskapliga fakulteten, Åbo Akademi, Åbo.
17. Ellström P.-E. (1997) The many meanings of occupational competence and qualification. Journal of European Industrial Training 21 (6/7 266 273.
18. van Emmerik A.A.P., Kamhuis J.H., Hulsbosch A.M. Paul M.G. (2002) Single session debriefing after psychological trauma: a meta-analysis. Lancet 360 (7 766 771.
19. Everly G.S. Boyle S. (1999) Critical incident stress debriefing. A meta-analysis. Journal of Emergency Mental Health 3, 165 168.
20. Everly G.S., Flannery R.B. Eyler V.A. (2002) Critical incident stress management (CISM): a statistical review of the literature. Psychiatric Quarterly 73 (2 171 181.
21. Faber-Langendoen K. Lanken P.N. (2000) Dying patients in the intensive care unit: forgoing treatment, maintaining care. Annals of Internal Medicine 133 (11 886 893.
22. Fridkin S.K., Pear S.P., Williamsson T.H., Galgiani J.N. Jarvis W.R. (1996) The role of understaffing in central venous catheter-associated bloodstream infections. Infection Control and Hospital Epidemiology 17 (3 150 158.
23. Haan N. (1989) Coping with moral conflict as resiliency. In The Child in Our Times (T. Dugan R. Coles eds pp. 23 42. Brunner-Mazel, New York, NY.
24. Hertting A. Thoerell T. (2002) Physiological changes associated with downsizing of personnel and reorganization in the health care sector. Psychotherapy and Psychosomatics 71, 117 122.
25. Johansson B. (1989) Omvårdnaden och dess villkor. (Nursing Care and Its Conditions). No. 1989:1. University of Gothenburg, Gothenburg.
26. Johansson B. (1996) Från allmänmänsklig kompetens till omvårdnadskompetens. (From Human Competence to Caring Competence). No 1996:1. University of Gothenburg, Mölndal.
27. Lineweaver L.A., Battle C.E., Schilling R.M. Nall C.M. (1999) Six hospitals describe decentralization, cost containment, and downsizing. Journal for Nurses in Staff Development 15 (5 198 204.
28. Lützén K., Cronqvist A., Magnusson A. Andersson A. (2003) Moral stress: synthesis of a concept. Nursing Ethics 10 (3 312 322.
29. Machado N. (1996) Using the Bodies of the Dead. Studies in Organization, Law and Social Process Related to Organ Transplantation. Department of Sociology, Uppsala University, Uppsala.
30. Mitchell J.T. (1983) When disaster strikes. The critical incident stress debriefing process. Journal of Emergency Medical Services 8, 36 39.
31. National Board of Health and Welfare (2002) Press communiqué no 14, Stockholm.
32. Provonost P. Angus D.C. (2001) Economics of end-of-life care in the intensive care unit. Critical Care Medicine 29, N46 N51.
33. Provonost P., Dang D., Dorman T. et al. (2001) Intensive care unit nurse staffing and the risk of complications after abdominal aortic surgery. Effective Clinical Practice 4, 199 206.
34. Puntillo K.A., Benner P., Drought T. et al. (2001) End-of-life issues in intensive care units: a national random survey of nurses' knowledge and beliefs. American Journal of Critical Care 10 (4 216 229.
35. Robert J., Fridkin S.K., Blumberg H.M. et al. (2000) The influence of the composition of the nursing staff on primary bloodstream infection rates in a surgical intensive care unit. Infection Control and Hospital Epidemiology 21 (1 12 17.
36. Rodney P. Varcoe C. (2001) Towards ethical inquiry in the economic evaluation of nursing practice. Canadian Journal of Nursing Research 33 (1 35 57.
37. Rosenstein A.H. (2002) Nurse-physician relationships: impact on nurse satisfaction and retention. American Journal of Nursing 102 (6 26 34.
38. Shotton L. (2000) Can nurses contribute to better end-of-life care. Nursing Ethics 7 (2 134 140.
39. Svantesson M., Sjökvist P. Thorsén H. (2003) End-of-life decisions in Swedish ICUs. How do physicians from the admitting department reason Intensive and Critical Care Nursing 19, 241 251.
40. Tarnow-Mordi W.O., Hau C., Warden A. Shearer A.J. (2000) Hospital mortality in relation to staff workload: a 4-year study in an adult intensive-care unit. Lancet 356, 185 189.
41. Thorne S.E. (1998) Ethical and representational issues in qualitative secondary analysis. Qualitative Health Research 8 (4 547 555.
42. Wainwright T.A. (2002) The perceived function of health care assistants in intensive care: nurses views. Intensive and Critical Care Nursing 18, 171 180.