Moral distress in nursing: Contributing factors, outcomes and interventions

Nursing Ethics

Volumn 20, Issue 3, 2013, Pages 312-324

  Burston, Adam S ^a   Tuckett, Anthony G ^a  

^a UNIVERSITY OF QUEENSLAND   (Australia)

Author keywords

Literature review; moral distress; nursing; retention; workforce

Indexed keywords

AUSTRALIA; CONFLICT; EDUCATION; ELDERLY CARE; HUMAN; LITERATURE REVIEW; MEDICAL ETHICS; MENTAL STRESS; METHODOLOGY; MORAL DISTRESS; MORALITY; NURSE PATIENT RELATIONSHIP; NURSING; PERSONNEL MANAGEMENT; RETENTION; REVIEW; WORKFORCE;

LITERATURE REVIEW; MORAL DISTRESS; NURSING; RETENTION; WORKFORCE;

AUSTRALIA; CONFLICT (PSYCHOLOGY); ETHICS, NURSING; HEALTH SERVICES FOR THE AGED; HUMANS; MORALS; NURSE-PATIENT RELATIONS; PERSONNEL LOYALTY; STAFF DEVELOPMENT; STRESS, PSYCHOLOGICAL;

EID: 84876981072     PISSN: 09697330     EISSN: 14770989     Source Type: Journal    
DOI: 10.1177/0969733012462049     Document Type: Review

References (81)

1. Bernhardt BA,Rushton CH,Carrese J, et al.Distress and burnout among genetic service providers.Genet Med. 2009;11:527-535.
2. Harrowing J,Mill J.Moral distress among Ugandan nurses providing HIV care: a critical ethnography.Int J Nurs Stud. 2010;47:723-731.
3. Losa Iglesias ME,Becerro de Bengoa Vallejo R,Salvadores Fuentes P.Moral distress related to ethical dilemmas among Spanish podiatrists.J Med Ethics. 2010;36:310-314.
4. Carpenter C.Moral distress in physical therapy practice.Physiother Theory Pract. 2010;26:69-78.
5. Zuzelo PR.Exploring the moral distress of registered nurses.Nurs Ethics. 2007;14:344-359.
6. Hamric AB,Blackhall LJ.Nurse-physician perspectives on the care of dying patients in intensive care units: collaboration, moral distress, and ethical climate.Crit Care Med. 2007;35:422-429.
7. Sporrong SK,Höglund A,Arnetz B.Measuring moral distress in pharmacy and clinical practice.Nurs Ethics. 2006;13:416-427.
8. Knapp S,Gottlieb M,Berman J, et al.Ethics collide: what should psychologists do?.Prof Psychol: Res Pr. 2007;38:54-59.
9. Austin W,Kagan L,Rankel M, et al.The balancing act: psychiatrists' experience of moral distress.Med Health Care Philos. 2008;11:89-97.
10. Schwenzer KJ,Wang LMA.Assessing moral distress in respiratory care practitioners.Crit Care Med. 2006;34:2967-2973.
11. Hanna D.Moral distress: the state of the science.Res Theory Nurs Pract. 2004;18:79-93.
12. Suhonen R,Stolt M,Virtanen H, et al.Organizational ethics: a literature review.Nurs Ethics. 2011;18:285-303.
13. Repenshek M.Moral distress: inability to act or discomfort with moral subjectivity?.Nurs Ethics. 2009;16:734-742.
14. Jameton ANursing practice: the ethical issues. Englewood Cliffs, NJ: Prentice Hall; 1984:.
15. Jameton A.Dilemmas of moral distress: moral responsibility and nursing practice.AWHONNS Clin Issues Perinat Women's Health Nurs. 1993;4:542-551.
16. Fry ST,Harvey RM,Hurley AC, et al.Development of a model of moral distress in military nursing.Nurs Ethics. 2002;9:373-387.
17. Hanna DR.The lived experience of moral distress: nurses who assisted with elective abortions.Res Theory Nurs Pract. 2005;19:95-124.
18. Pauly B,Varcoe C,Storch J, et al.Registered nurses' perceptions of moral distress and ethical climate.Nurs Ethics. 2009;16:561-573.
19. Solum LL,Schaffer MA.Ethical problems experienced by school nurses.J Sch Nurs. 2003;19:330-337.
20. Meaney M.Moral distress: I just can't take it anymore!.Case Manager. 2002;13:32-33.
21. Green AE,Jeffers BR.Exploring moral distress in the long term care setting.Perspectives. 2006;30:5-9.
22. Corley MC,Minick P,Elswick RK, et al.Nurse moral distress and ethical work environment.Nurs Ethics. 2005;12:381-390.
23. Godfrey NS,Smith KV.Moral distress and the nurse practitioner.J Clin Ethics. 2002;13:330-336.
24. Rice P,Ezzy DQualitative research methods. South Melbourne, VIC, Australia: Oxford University Press; 2000:.
25. Malloy DC,Hadjistavropoulos T,McCarthy EF, et al.Culture and organizational climate: nurses' insights into their relationship with physicians.Nurs Ethics. 2009;16:719-733.
26. Corley MC,Minick P.Moral distress or moral comfort.Bioethics Forum. 2002;18:7-14.
27. Epstein EG,Delgardo S.Understanding and addressing moral distress.Online J Issues Nurs. 2010;15(3):1.
28. Rice EM,Rady MY,Hamrick A, et al.Determinants of moral distress in medical and surgical nurses at an adult acute tertiary care hospital.J Nurs Manag. 2008;16:360-373.
29. Tiedje LB.Moral distress in perinatal nursing.J Perinat Neonatal Nurs. 2000;14:36-43.
30. Wilkinson JM.Moral distress: a labor and delivery nurse's experience.J Obstet Gynecol Neonatal Nurs. 1989;18:513-519.
31. Laabs CA.Primary care nurse practitioners' integrity when faced with moral conflict.Nurs Ethics. 2007;14:795-809.
32. Ohnishi K,Ohgushi Y,Nakano M, et al.Moral distress experienced by psychiatric nurses in Japan.Nurs Ethics. 2010;17:726-740.
33. Krishnasamy M.Nursing, morality, and emotions: phase I and phase II clinical trials and patients with cancer.Cancer Nurs. 1999;22:251-259.
34. Montagnino B,Ethier A.The experiences of pediatric nurses caring for children in a persistent vegetative state.Pediatr Crit Care Med. 2007;8:440-446.
35. Lang KR.The professional ills of moral distress and nurse retention: is ethics education an antidote?.Am J Bioeth. 2008;8:19-21.
36. Grady C,Danis M,Soeken KL, et al.Does ethics education influence the moral action of practicing nurses and social workers?.Am J Bioeth. 2008;8:4-11.
37. Austin W,Bergum V,Goldberg L.Unable to answer the call of our patients: mental health nurses' experience of moral distress.Nurs Inq. 2003;10:177-183.
38. Lützén K,Blom T,Ewalds-Kvist B, et al.Moral stress, moral climate and moral sensitivity among psychiatric professionals.Nurs Ethics. 2010;17:213-224.
39. Cutcliffe JR,Links PS.Whose life is it anyway? An exploration of five contemporary ethical issues that pertain to the psychiatric nursing care of the person who is suicidal: part two.Int J Ment Health Nurs. 2008;17:246-254.
40. Yam BMC,Rossiter JC,Cheung KYS.Caring for dying infants: experiences of neonatal intensive care nurses in Hong Kong.J Clin Nurs. 2001;10:651-659.
41. Redman BK,Fry ST.Nurses' ethical conflicts: what is really known about them?.Nurs Ethics. 2000;7:360-366.
42. Pendry PS.Moral distress: recognizing it to retain nurses.Nurs Econ. 2007;25:217-221.
43. Torjuul K,Sorlie V.Nursing is different than medicine: ethical difficulties in the process of care in surgical units.J Adv Nurs. 2006;56:404-413.
44. Klein SM.Moral distress in pediatric palliative care: a case study.J Pain Symptom Manage. 2009;38:157-160.
45. Ahlström G,Wadensten B.Encounters in close care relations from the perspective of personal assistants working with persons with severe disability.Health Soc Care Community. 2010;18:180-188.
46. Nordam A,Torjuul K,Sørlie V.Ethical challenges in the care of older people and risk of being burned out among male nurses.J Clin Nurs. 2005;14:1248-1256.
47. Kain V,Gardner G,Yates P.Neonatal palliative care attitude scale: development of an instrument to measure the barriers to and facilitators of palliative care in neonatal nursing.Pediatrics. 2009;123:e207-e213.
48. Almonte ALC.Humanitarian nursing challenges: a grounded theory study.Mil Med. 2009;174:479-485.
49. Kälvemark S,Höglund AT,Hansson MG, et al.Living with conflicts-ethical dilemmas and moral distress in the health care system.Soc Sci Med. 2004;58:1075-1084.
50. Meaney M.Moral distress, part 2: I still can't take it!.Case Manager. 2002;13:34-35.
51. Oberle K,Hughes D.Doctors' and nurses' perceptions of ethical problems in end-of-life decisions.J Adv Nurs. 2001;33:707-715.
52. Laabs C.Moral problems and distress among nurse practitioners in primary care.J Am Acad Nurse Pract. 2005;17:76-84.
53. Silen M,Tang PF,Wadensten B, et al.Workplace distress and ethical dilemmas in neuroscience nursing.J Neurosci Nurs. 2008;40:222-231.
54. Grace PJ,Fry ST,Schultz GS.Ethics and human rights issues experienced by psychiatric-mental health and substance abuse registered nurses.J Am Psychiatr Nurses Assoc. 2003;9:17-23.
55. Brazil K,Kassalainen S,Ploeg J, et al.Moral distress experienced by health care professionals who provide home-based palliative care.Soc Sci Med. 2010;71:1687-1691.
56. Dudzinski DM,Shannon SE.Competent patients' refusal of nursing care.Nurs Ethics. 2006;13:608-621.
57. Kirk TW.Managing pain, managing ethics.Pain Manag Nurs. 2007;8:25-34.
58. Couillard P,Brownell AKW.Ethical perspectives in neurology.Continuum (Minneap Minn). 2009;15:159-164.
59. Ferrell BR.Understanding the moral distress of nurses witnessing medically futile care.Oncol Nurs Forum. 2006;33:922-930.
60. Epstein EG.Moral obligations of nurses and physicians in neonatal end-of-life care.Nurs Ethics. 2010;17:577-589.
61. Mauleon AL,Palo-Bengtsson L,Ekman S-L.Anaesthesia care of older patients as experienced by nurse anaesthetists.Nurs Ethics. 2005;12:263-272.
62. Severinsson E,Hummelvoll JK.Factors influencing job satisfaction and ethical dilemmas in acute psychiatric care.Nurs Health Sci. 2001;3:81-90.
63. Silva DS,Gibson JL,Sibbald R, et al.Clinical ethicists' perspectives on organisational ethics in healthcare organisations.J Med Ethics. 2008;34:320-323.
64. Deady R,McCarthy J.A study of the situations, features, and coping mechanisms experienced by Irish psychiatric nurses experiencing moral distress.Perspect Psychiatr Care. 2010;46:209-220.
65. Garel M,Etienne E,Blondel B, et al.French midwives' practice of termination of pregnancy for fetal abnormality. At what psychological and ethical cost?.Prenat Diagn. 2007;27:622-628.
66. Sturm BA.Issues of ethics and care in psychiatric home care: multidisciplinary perspectives revealed through ethnographic research.Home Health Care Manag Pract. 2007;19:94-103.
67. Attree M.Factors influencing nurses' decisions to raise concerns about care quality.J Nurs Manag. 2007;15:392-402.
68. Nelson WA.Ethical uncertainty and staff stress.Healthc Exec. 2009;:38-39.
69. DeWolf-Bosek MS,Ring ME.Does good documentation equate to good nursing care?.JONAS Healthc Law Ethics Regul. 2010;12:43-47.
70. Curl M.Commentary - chronic moral distress among childbirth educators: is there a cure?.J Perinat Educ. 2009;18:48-50.
71. Schwarz JK.Understanding and responding to patients' requests for assistance in dying.J Nurs Scholarsh. 2003;35:377-384.
72. Weissman DE.Moral distress in palliative care - notes from the editor.J Palliat Med. 2009;12:865-866.
73. Cohen JS,Erickson JM.Ethical dilemmas and moral distress in oncology nursing practice.Clin J Oncol Nurs. 2006;10:775-782.
74. Epstein EG,Hamric AB.Moral distress, moral residue, and the crescendo effect.J Clin Ethics. 2009;20:330-342.
75. Fenton M.Moral distress in clinical practice: implications for the nurse administrator.Can J Nurs Adm. 1988;1:8-11.
76. Bell JMA,Breslin JMP.Healthcare provider moral distress as a leadership challenge.JONAS Healthc Law Ethics Regulr. 2008;10:94-97.
77. Meaney M.Taking action against moral distress.Case Manager. 2002;13:34-35.
78. VonDras DD,Flittner D,Malcore SA, et al.Workplace stress and ethical challenges experienced by nursing staff in a nursing home.Educ Gerontol. 2009;35:323-341.
79. Sporrong SK,Arnetz B,Hansson MG, et al.Developing ethical competence in health care organizations.Nurs Ethics. 2007;14:825-837.
80. Erlen JA.Moral distress: a pervasive problem.Orthop Nurs. 2001;20:76-80.
81. Glasberg A-L,Eriksson S,Norberg A.Factors associated with 'stress of conscience' in healthcare.Scand J Caring Sci. 2008;22:249-258.