Moral stress, moral climate and moral sensitivity among psychiatric professionals

Nursing Ethics

Volumn 17, Issue 2, 2010, Pages 213-224

  Lützén, Kim ^a   Blom, Tammy ^b   Ewalds Kvist, Béatrice ^b   Winch, Sarah ^c  

^a KAROLINSKA INSTITUTE   (Sweden)

^b DALARNA UNIVERSITY   (Sweden)

^c UNIVERSITY OF QUEENSLAND   (Australia)

Author keywords

Moral climate; Moral sensitivity; Moral stress

Indexed keywords

ADULT; ARTICLE; CLINICAL TRIAL; CONFLICT; ETHICS; FEMALE; HUMAN; MALE; MENTAL STRESS; MORALITY; MULTICENTER STUDY; MULTIVARIATE ANALYSIS; NURSING STAFF; ORGANIZATION; PSYCHIATRIC NURSING; PSYCHOLOGIC TEST; STATISTICAL MODEL; SWEDEN;

ADULT; CONFLICT (PSYCHOLOGY); FEMALE; HUMANS; LINEAR MODELS; MALE; MORALS; MULTIVARIATE ANALYSIS; NURSING STAFF, HOSPITAL; ORGANIZATIONAL CULTURE; PSYCHIATRIC NURSING; PSYCHOLOGICAL TESTS; STRESS, PSYCHOLOGICAL; SWEDEN;

EID: 77649251968     PISSN: 09697330     EISSN: 14770989     Source Type: Journal    
DOI: 10.1177/0969733009351951     Document Type: Article

References (43)

1. Heikkinen A., Lemonidou C., Petsios K.,et al.Ethical codes in nursing practice: the viewpoint of Finnish, Greek and Italian nurses. J Adv Nurs 2006; 55: 310-19.
2. Laabs CA The community of nursing: moral friends, moral strangers, moral family. Nurs Philos 2008; 9: 225-32.
3. Milton CL The ethics of respect in nursing. Nurs Sci Q 2005; 18: 20-4.
4. O'Donnell P., Farrar A., BrintzenhofeSzoc K.,et al.Predictors of ethical stress, moral action and job satisfaction in health care social workers. Soc Work Health Care 2008; 46(3): 29-51.
5. Theorell T., Karasek R. Current issues relating to psychological job strain and cardiovascular disease research. J Occup Health Psychol 1996; 1: 9-26.
6. Lützén K., Dahlqvist V., Eriksson S., Norberg A. Developing the concept of moral sensitivity in health care practice. Nurs Ethics 2006; 13: 187-96.
7. Naef R. Bearing witness: a moral way of engaging in the nurse-person relationship. Nurs Philos 2006; 7: 146-56.
8. Elpern EH, Covert B., Kleinpell R. Moral distress of staff nurses in a medical intensive care unit. Am Crit Care 2005; 14: 523-30.
9. Cronqvist A., Nyström M. A theoretical argumentation on the consequences of moral stress. J Nurs Manage 2007; 15: 458-65.
10. Schluter J., Winch S., Holzhauser K., Henderson A. Nurses' moral sensitivity and hospital ethical climate: a literature review. Nurs Ethics 2008; 15: 304-21.
11. Söderberg A., Gilje F., Norberg A. Transforming desolation into consolation: the meaning of being in situations of ethical difficulty in intensive care. Nurs Ethics 1999; 6: 357-73.
12. Sørlie V., Jansson L., Norberg A. The meaning of being in ethically difficult care situations in paediatric care as narrated by female registered nurses. Scand J Caring Sci 2003; 17: 285-92.
13. Sørlie V., Khilgren A., Khilgren M. Meeting ethical challenges in acute nursing care as narrated by registered nurses. Nurs Ethics 2005; 12: 133-42.
14. Cronqvist A., Theorell T., Burns T., Lützén K. Caring about - caring for: moral obligations and work responsibilities in intensive care nursing. Nurs Ethics 2004; 11: 63-76.
15. von Post I. Perioperative nurses' encounters with value conflicts: a descriptive study. Scand. J Caring Sci 1998; 12: 81-8.
16. Meyers DT Gender in the mirror: cultural imagery and women's agency. Oxford: Oxford University Press, 2002.
17. Johnstone MJ Whistleblowing and accountability. Aust Nurs J 2005; 13(5): 8-9.
18. Schreiber R., Lützén K. Revisiting nursing in a nontherapeutic environment. Issues Ment Health Nurs 2000; 21: 257-67.
19. Severinsson E., Hummelvoll, JK Factors influencing job satisfaction and ethical dilemmas in acute psychiatric care. Nurs Health Sci 2001; 3(2): 81-90.
20. Bégat I., Ellefsen B., Severinsson E. Nurses' satisfaction with their work environment and the outcomes of clinical nursing supervision on nurses' experiences of well-being: a Norwegian study. J Nurs Manage 2005; 13: 221-30.
21. Joseph J., Deshpade SP The impact of ethical climate on job satisfaction of nurses. Health Care Manage Rev 1997; 22: 76-81.
22. Cameron ME Legal and ethical issues: ethical distress in nursing. J Prof Nurs 1997; 13(5): 65-81.
23. Sundin-Huard D., Fahy K. Moral distress, advocacy and burnout: theorizing the relationships. Int J Nurs Pract 1999; 5(1): 8-13.
24. Jameton A. Nursing practice: the ethical issues. Engelwood Cliffs: Prentice Hall, 1984.
25. Wilkinson JM Moral distress in nursing practice: experience and effect. Nurs Forum 1987/ 88; 23(1): 16-29.
26. Corley MC, Elswick RK, Gorman M., Clor T. Development and evaluation of a moral distress scale. J Adv Nurs 2001; 33: 250-6.
27. Zuzelo PR Exploring the moral distress of registered nurses. Nurs Ethics 2007; 14: 344-59.
28. Olson LL Hospital nurses' perceptions of the ethical climate of their work setting. Image J Nurs Sch 1998; 30: 345-9.
29. Spencer EM, Mills AE, Rorty M., Werhane P. Organization ethics in health care. New York: Oxford University Press, 2000, 5-6.
30. Victor B., Cullen J. The organizational bases of ethical work climates. Adm Sci Q 1988; 33: 101-26.
31. Rodney P., Doane G., Storch J., Varcoe C. Toward a safer moral climate. Can Nurse 2006; 102(8): 24-7.
32. Gurney D. Triage decisions. Exercises in critical thinking at triage: prioritizing patients with similar acuities. J Emerg Nurs 2004; 30: 514-16.
33. Gill M. Shaftesbury's Two accounts of the reason to be virtuous. J Hist Philos 2000; 38: 529-48.
34. Almer T. Studier i Shaftesbury's Filosofi. (Studies in Shaftesbury's philosophy.) [Dissertation.] Lund: Lund University, 1939 (in Swedish).
35. Jensen H. Motivation and the moral sense in Francis Hutcheson's ethical theory. (International archives of the history of ideas, vol. 46) The Hague: Martinus Nijhoff, 1971.
36. Tymieniecka AT The moral sense in the communal significance of life. Analecta Husserliana. Dordrecht: Reidel/ Kluwer, 1986, (20): 1-426.
37. Lützén K., Nordin C. Benevolence, a central moral concept derived from a grounded theory: study of nursing decision making in psychiatric settings. J Adv Nurs 1993; 18: 1106-11.
38. Manning SS The social worker as moral citizen: ethics in action. Soc Work 1997; 42: 223-30.
39. Tabachnick BG, Fidell LS Using multivariate statistics, second edition. New York: Harper Collins, 1989.
40. Lawoko S., Soares JJF, Nolan P. Violence towards psychiatric staff: a comparison of gender, job and environmental characteristics in England and Sweden. Work Stress 2004; 18(1): 39-56.
41. Lützén K., Cronqvist A., Magnusson A., Andersson L. Moral stress: synthesis of a concept. Nurs Ethics 2003; 10: 312-22.
42. Dahlqvist V., Eriksson S., Glasberg A-L.,et al.Development of the Perception of Conscience Questionnaire. Nurs Ethics 2007; 14: 181-93.
43. McCarthy J., Deady R. Moral distress reconsidered. Nurs Ethics 2008; 15: 254-62.