Development and Testing of an Instrument to Measure Moral Distress in Healthcare Professionals

AJOB Primary Research

Volumn 3, Issue 2, 2012, Pages 1-9

  Hamric, Ann Baile ^a   Borchers, Christopher Todd ^b   Epstein, Elizabeth Gingell ^c  

^a VIRGINIA COMMONWEALTH UNIVERSITY   (United States)

^b VCU Health System   (United States)

^c UNIVERSITY OF VIRGINIA   (United States)

Author keywords

ethical climate; instrument development; measurement; moral distress; moral distress scale; moral residue

Indexed keywords

EID: 84858805668     PISSN: 21507716     EISSN: 21507724     Source Type: Journal    
DOI: 10.1080/21507716.2011.652337     Document Type: Article

References (87)

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36. Rogers, S., Babgi, A. and Gomez, C. 2008. Educational interventions in end-of-life care: Part I: An educational intervention responding to the moral distress of NICU nurses provided by an ethics consultation team. Advances in Neonatal Care, 8(1): 56-65.
37. Schwenzer, K. J. and Wang, L. 2006. Assessing moral distress in respiratory care practitioners. Critical Care Medicine, 34(12): 2967-2973.
38. Solomon, M. Z., Sellers, D. E.Heller, K. S. 2005. New and lingering controversies in pediatric end-of-life care. Pediatrics, 116(4): 872-883.
39. Sporrong, S. K., Hoglund, A. T. and Arnetz, B. 2006. Measuring moral distress in pharmacy and clinical practice. Nursing Ethics, 13(4): 416-427.
40. Sporrong, S. K., Hoglund, A. T., Hansson, M. G., Westerholm, P. and Arnetz, B. 2005. "We are white coats whirling round"-Moral distress in Swedish pharmacies. Pharmacy World & Science, 27(3): 223-229.
41. Ulrich, C., O'Donnell, P., Taylor, C., Farrar, A., Danis, M. and Grady, C. 2007. Ethical climate, ethics stress, and the job satisfaction of nurses and social workers in the United States. Social Science and Medicine, 65: 1708-1719.
42. Webster, G. and Bayliss, F. 2000. "Moral residue". In Margin of error: The ethics of mistakes in the practice of medicine, Edited by: Rubin, S. and Zoloth, L. 217-230. Hagerstown, MD: University Publishing Group.
43. Wiggleton, C., Petrusa, E.Loomis, K. 2010. Medical students' experiences of moral distress: Development of a web-based survey. Academic Medicine, 85(1): 111-117.
44. Wilkinson, J. M. 1988. Moral distress in nursing practice: Experience and effect. Nursing Forum, 23(1): 16-29.
45. 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.
46. Brazil, K., Kassalainen, S., Ploeg, J. and Marshall, D. 2010. Moral distress experienced by health care professionals who provide home-based palliative care. Social Science & Medicine, 71(9): 1687-1691.
47. Buerhaus, P. I., Auerbach, D. I. and Staiger, D. O. 2009. The recent surge in nurse employment: Causes and implications. Health Affairs, 28(4): w657-w68.
48. Catlin, A., Armigo, C.Volat, D. 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.
49. Colwill, J. M., Cultice, J. M. and Kruse, R. L. 2008. Will generalist physician supply meet demands of an increasing and aging population?. Health Affairs, 27(3): w232-w241.
50. Corley, M. C. 1995. Moral distress of critical care nurses. American Journal of Critical Care, 4(4): 280-285.
51. Corley, M. C., Elswick, R. K., Gorman, M. and Clor, T. 2001. Development and evaluation of a moral distress scale. Journal of Advanced Nursing, 33(2): 250-256.
52. Corley, M. C., Minick, P., Elswick, R. K. and Jacobs, M. 2005. Nurse moral distress and ethical work environment. Nursing Ethics, 12(4): 381-390.
53. Eizenberg, M. M., Desivilya, H. S. and Hirschfeld, M. J. 2009. Moral distress questionnaire for clinical nurses: Instrument development. Journal of Advanced Nursing, 65(4): 885-892.
54. Elpern, E. H., Covert, B. and Kleinpell, R. 2005. Moral distress of staff nurses in a medical intensive care unit. American Journal of Critical Care, 14(6): 523-530.
55. Epstein, E. G. 2008. End-of-life experiences of nurses and physicians in the newborn intensive care unit. Journal of Perinatology, 28: 771-778.
56. Epstein, E. G. and Hamric, A. B. 2009. Moral distress, moral residue, and the crescendo effect. Journal of Clinical Ethics, 20(4): 330-342.
57. Ferrell, B. R. 2006. Understanding the moral distress of nurses witnessing medically futile care. Oncology Nursing Forum.Online, 33(5): 922-930.
58. Gutierrez, K. M. 2005. Critical care nurses' perceptions of and responses to moral distress. Dimensions of Critical Care Nursing, 24(5): 229-241.
59. Hamric, A. B. and 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.
60. Hamric, A. B., Davis, W. S. and Childress, M. D. 2006. Moral distress in health care professionals. Pharos, 69(1): 16-23.
61. Hefferman, P. and Heilig, S. 1999. Giving "moral distress" a voice: Ethical concerns among neonatal intensive care unit personnel. Cambridge Quarterly of Healthcare Ethics, 8(2): 173-178.
62. Hilliard, R., Harrison, C. and Madden, S. 2007. Ethical conflicts and moral distress experienced by paediatric residents during their training. Paediatrics & Child Health, 12(1): 29-35.
63. Huckabay, L. M. and Tilem-Kessler, D. 1999. Patterns of parental stress in PICU emergency admission. Dimensions of Critical Care Nursing, 18(2): 36-42.
64. Jameton, A. 1984. Nursing practice: The ethical issues, Englewood Cliffs, NJ: Prentice Hall.
65. Kalvemark, S., Hoglund, A. T., Hansson, M. G., Westerholm, P. and Arnetz, B. 2004. Living with conflicts-ethical dilemmas and moral distress in the health care system. Social Science & Medicine, 58(6): 1075-1084.
66. Knapp, T. R. and Brown, J. K. 1995. Ten measurement commandments that often should be broken. Research in Nursing & Health, 18: 465-469.
67. Lutzen, K., Blom, T., Ewalds-Kvist, B. and Winch, S. 2010. Moral stress, moral climate and moral sensitivity among psychiatric professionals. Nursing Ethics, 17(2): 213-224.
68. McClendon, H. and Buckner, E. B. 2007. Distressing situations in the intensive care unit: A descriptive study of nurses' repsonses. Dimensions of Critical Care Nursing, 26(5): 199-206.
69. Meltzer, L. S. and 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.
70. Nunnally, J. C. and Bernstein, I. H. 1994. Psychometric theory, 3rd ed., New York: McGraw-Hill.
71. Ohnishi, K., Ohgushi, Y.Nakano, M. 2010. Moral distress experienced by psychiatric nurses in Japan. Nursing Ethics, 17(6): 726-740.
72. Olson, L. L. 1998. Hospital nurses' perceptions of the ethical climate of their work setting. Image, 30(4): 345-349.
73. Pauly, B., Varcoe, C., Storch, J. and Newton, L. 2009. Registered nurses' perceptions of moral distress and ethical climate. Nursing Ethics, 16(5): 561-573.
74. Pike, A. W. 1991. Moral outrage and moral discourse in nurse-physician collaboration. Journal of Professional Nursing, 7(6): 351-362.
75. Puntillo, K. A., Benner, P.Drought, T. 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.
76. Radzvin, L. C. 2011. Moral distress in certified registered nurse anesthetists: Implications for nursing practice. AANA Journal, 79(1): 39-45.
77. Redman, B. K. and Fry, S. T. 2000. Nurses' ethical conflicts: What is really known about them?. Nursing Ethics, 7(4): 360-366.
78. Rodney, P. 1988. Moral distress in critical care nursing. Canadian Critical Care Nursing Journal, 5(2): 9-11.
79. Rogers, S., Babgi, A. and Gomez, C. 2008. Educational interventions in end-of-life care: Part I: An educational intervention responding to the moral distress of NICU nurses provided by an ethics consultation team. Advances in Neonatal Care, 8(1): 56-65.
80. Schwenzer, K. J. and Wang, L. 2006. Assessing moral distress in respiratory care practitioners. Critical Care Medicine, 34(12): 2967-2973.
81. Solomon, M. Z., Sellers, D. E.Heller, K. S. 2005. New and lingering controversies in pediatric end-of-life care. Pediatrics, 116(4): 872-883.
82. Sporrong, S. K., Hoglund, A. T. and Arnetz, B. 2006. Measuring moral distress in pharmacy and clinical practice. Nursing Ethics, 13(4): 416-427.
83. Sporrong, S. K., Hoglund, A. T., Hansson, M. G., Westerholm, P. and Arnetz, B. 2005. "We are white coats whirling round"-Moral distress in Swedish pharmacies. Pharmacy World & Science, 27(3): 223-229.
84. Ulrich, C., O'Donnell, P., Taylor, C., Farrar, A., Danis, M. and Grady, C. 2007. Ethical climate, ethics stress, and the job satisfaction of nurses and social workers in the United States. Social Science and Medicine, 65: 1708-1719.
85. Webster, G. and Bayliss, F. 2000. "Moral residue". In Margin of error: The ethics of mistakes in the practice of medicine, Edited by: Rubin, S. and Zoloth, L. Hagerstown, MD: University Publishing Group.
86. Wiggleton, C., Petrusa, E.Loomis, K. 2010. Medical students' experiences of moral distress: Development of a web-based survey. Academic Medicine, 85(1): 111-117.
87. Wilkinson, J. M. 1988. Moral distress in nursing practice: Experience and effect. Nursing Forum, 23(1): 16-29.