Understanding and addressing moral distress

Online Journal of Issues in Nursing

Volumn 15, Issue 3, 2010, Pages

  Epstein, Elizabeth G ^a   Delgado, Sarah ^b  

^a UNIVERSITY OF VIRGINIA   (United States)

^b UNIVERSITY OF VIRGINIA HEALTH SYSTEM   (United States)

Author keywords

Burnout; Decision making; Ethics; Moral distress; Moral integrity; Moral residue

Indexed keywords

EID: 79551696334     PISSN: None     EISSN: 10913734     Source Type: Journal    
DOI: 10.3912/OJIN.Vol15No03Man01     Document Type: Article

References (33)

1. AACN. (n.d.).4 as to rise above moral distress. Retrieved from www.aacn.org/WD/Practice/Docs/4As_to_Rise_Above_Moral_Distress.pdf
2. AACN. (2005). AACN standards for establishing and sustaining healthy work environments. Retrieved from www.aacn.org/WD/HWE/Content/hwehome.pcms?menu=Community
3. Austin, W., Lemermeyer, G., Goldberg, L., Bergum, V., & Johnson, M. S. (2005). Moral distress in healthcare practice: The situation of nurses. HEC Forum, 17(1), 33-48.
4. Austin, W., Rankel, M., Kagan, L., Bergum, V., & Lemermeyer, G. (2005). To stay or to go, to speak or stay silent, to act or not to act: Moral distress as experienced by psychologists. Ethics & Behavior, 15(3), 197-212.
5. Austin, W. J., Kagan, L., Rankel, M., & Bergum, V. (2008). The balancing act: Psychiatrists' experience of moral distress. Medicine, Health Care & Philosophy, 11(1), 89-97.
6. th ed. New York, NY: Oxford University Press.
7. Beumer, C. M. (2008). Innovative solutions: The effect of a workshop on reducing the experience of moral distress in an intensive care unit setting. Dimensions of Critical Care Nursing, 27(6), 263-267.
8. Catlin, A., Armigo, C., Volat, D., Vale, E., Hadley, M. A., Gong, W., Anderson, K. (2008). Conscientious objection: A potential neonatal nursing response to care orders that cause suffering at the end of life? Study of a concept. Neonatal Network, 27(2), 101-108.
9. Chen, P. (2009, February 5). When nurses and doctors can't do the right thing. Retrieved June 30, 2010 from www.nytimes.com/2009/02/06/health/05chen.html.
10. Corley, M. C. (1995). Moral distress of critical care nurses. American Journal of Critical Care, 4(4), 280-285.
11. Corley, M. C. (2002). Nurse moral distress: A proposed theory and research agenda. Nursing Ethics, 9(6), 636-650.
12. Corley, M. C., Elswick, R. K., Gorman, M., & Clor, T. (2001). Development and evaluation of a moral distress scale. Journal of Advanced Nursing, 33(2), 250-256.
13. Elpern, E. H., Covert, B., & Kleinpell, R. (2005). Moral distress of staff nurses in a medical intensive care unit. American Journal of Critical Care, 14(6), 523-530.
14. Epstein, E. G. (2008). End-of-life experiences of nurses and physicians in the newborn intensive care unit. Journal of Perinatology, 28, 771-778.
15. Epstein, E. G., & Hamric, A. B. (2009). Moral distress, moral residue, and the crescendo effect. Journal of Clinical Ethics, 20(4), 330-342.
16. Forde, R., & Aasland, O.G. (2008). Moral distress among Norwegian doctors. Journal of Medical Ethics, 34(7), 521-525.
17. Hamric, A. B., & Blackhall, L. J. (2007). Nurse-physician perspectives on the care of dying patients in intensive care units: Collaboration, moral distress, and ethical climate. Critical Care Medicine, 35(2), 422-429.
18. Hamric, A. B., Davis, W. S., & Childress, M. D. (2006). Moral distress in health care professionals. Pharos, 69(1), 16-23.
19. Hanna, D. R. (2004). Moral distress: The state of the science. Research & Theory for Nursing Practice, 18(1), 73-93.
20. Hardingham, L. B. (2004). Integrity and moral residue: Nurses as participants in a moral community. Nursing Philosophy, 5(2), 127-134.
21. Jameton, A. (1984). Nursing practice: The ethical issues. Englewood Cliffs, NJ: Prentice-Hall.
22. Jameton, A. (1993). Dilemmas of moral distress: Moral responsibility and nursing practice. AWHONNS Clinical Issues in Perinatal & Womens Health Nursing, 4(4), 542-551.
23. Lee, K. J., & Dupree, C. Y. (2008). Staff experiences with end-of-life care in the pediatric intensive care unit. Journal of Palliative Medicine, 11(7), 986-990.
24. Lilly, C. M., De Meo, D. L., Sonna, L. A., Haley, K. J., Massaro, A. F., Wallace, R. F., & Cody, S. (2000). An intensive communication intervention for the critically ill. American Journal of Medicine, 109(6), 469-475.
25. Lomis, K. D., Carpenter, R. O., & Miller, B. M. (2009). Moral distress in the third year of medical school; a descriptive review of student case reflections. American Journal of Surgery, 197(1), 107-112.
26. McCarthy, J., & Deady, R. (2008). Moral distress reconsidered. Nursing Ethics, 15(2), 254-262.
27. Meltzer, L. S., & Huckabay, L. M. (2004). Critical care nurses' perceptions of futile care and its effect on burnout. American Journal of Critical Care, 13(3), 202-208.
28. Puntillo, K. A., & McAdam, J. L. (2006). Communication between physicians and nurses as a target for improving end-of-life care in the intensive care unit: Challenges and opportunities for moving forward. Critical Care Medicine, 34(11 Suppl), S332-40.
29. Rushton, C. H. (2006). Defining and addressing moral distress: Tools for critical care nursing leaders. AACN Advanced Critical Care, 17(2), 161-168.
30. Schwenzer, K. J., & Wang, L. (2006). Assessing moral distress in respiratory care practitioners. Critical Care Medicine, 34(12), 2967-2973.
31. Sporrong, S. K., Hoglund, A. T., Hansson, M. G., Westerholm, P., & Arnetz, B. (2005). "We are white coats whirling round"--moral distress in Swedish pharmacies. Pharmacy World & Science, 27(3), 223-229.
32. Webster, G., & Bayliss, F. (2000). Moral residue. In S. Rubin, & L. Zoloth (Eds.), Margin of error: The ethics of mistakes in the practice of medicine. Hagerstown, MD: University Publishing Group, Inc.
33. Wilkinson, J. M. (1988). Moral distress in nursing practice: Experience and effect. Nursing Forum, 23(1), 16-29.