Assessing and addressing moral distress and ethical climate, part 1

Dimensions of Critical Care Nursing

Volumn 33, Issue 4, 2014, Pages 234-245

  Sauerland, Jeanie ^a   Marotta, Kathleen ^b   Peinemann, Mary Anne ^c   Berndt, Andrea ^b   Robichaux, Catherine ^d,e  

^a University Hospital   (United States)

^b UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO   (United States)

^c St Paul's School of Nursing   (United States)

^d OLD DOMINION UNIVERSITY   (United States)

^e Department of Molecular Biology and Genetics   (United States)

Author keywords

Administrative interventions; Education; Ethical climate; Interprofessional; Moral distress; Moral residue

Indexed keywords

ADAPTIVE BEHAVIOR; ADULT; BURNOUT; FEMALE; HUMAN; INTENSIVE CARE NURSING; JOB SATISFACTION; MALE; MEDICAL ETHICS; MENTAL STRESS; MIDDLE AGED; MORALITY; NURSING STAFF; ORGANIZATION; PSYCHOLOGY; PUBLIC RELATIONS; UNIVERSITY HOSPITAL;

ACADEMIC MEDICAL CENTERS; ADAPTATION, PSYCHOLOGICAL; ADULT; BURNOUT, PROFESSIONAL; CRITICAL CARE NURSING; ETHICS, NURSING; FEMALE; HUMANS; INTERPROFESSIONAL RELATIONS; JOB SATISFACTION; MALE; MIDDLE AGED; MORALS; NURSING STAFF, HOSPITAL; ORGANIZATIONAL CULTURE; STRESS, PSYCHOLOGICAL;

EID: 84902151105     PISSN: 07304625     EISSN: 15388646     Source Type: Journal    
DOI: 10.1097/DCC.0000000000000050     Document Type: Article

References (49)

1. ANA Code of Ethics for Nurses With Interpretive Statements. Silver Springs, MD: ANA; 2001.
2. LaSala CA, Bjarnason D. Creating workplace environments that support moral courage. Online J Issues Nurs. 2010;15(3): manuscript 4.
3. Roberts D. What about ethics? Medsurg Nurs. 2011;20(4):162.
4. Ulrich CM, Taylor C, Soeken K, et al. Everyday ethics: ethical issues and stress in nursing practice. J Adv Nur. 2010;66(11): 2510-2519.
5. Wilson MA, Goettemoeller DM, Bevan NA, McCord JM. Moral distress: levels, coping, and preferred interventions in critical care and transitional care nurses. J Clin Nurs. 2013;22(9-10): 1455-1466.
6. Corley MC, Elswick RK, Gorman M, Clor T. Development and evaluation of a moral distress scale. J Adv Nurs. 2001;33(2): 250-256.
7. Olson L. Hospital nurses' perceptions of the ethical climate of their work setting. J Nurs Scholarsh. 1998;30(4):345-349.
8. Jameton A. Nursing Practice: The Ethical Issues. Englewood Cliffs, NJ: Prentice-Hall; 1984.
9. Epstein EG, Delgado S. Understanding and addressing moral distress. Online J Issues Nurs. 2010;15(3): manuscript 1.
10. Pauly B, Varcoe C, Storch J, Newton L. Registered nurses' perceptions of moral distress and ethical climate. Nurs Ethics. 2009; 16(5):561-573.
11. Special thematic issue: moral distress. HEC Forum. 2012;24(1): 1-62.
12. Symposium: moral distress. J Bioethical Inq. 2013;10(3):277-428.
13. Elpern EH, Covert B, Kleinpell R. Moral distress of staff nurses in a medical intensive care unit. Am J Crit Care. 2005; 14(6):523-530.
14. Zuzelo PR. Exploring the moral distress of registered nurses. Nurs Ethics. 2007;14(3):344-359.
15. Rice EM, Rady MY, Hamric A, Verheijde JL, Pendergast DK. Determinants of moral distress in medical and surgical nurses at an adult acute tertiary care hospital. J Nurs Manag. 2008;16(3): 360-373.
16. Kahl-Aft S. Moral Distress in Medical Surgical Nurses [master's thesis]. Cullowhee, NC: Western Carolina University; 2011.
17. Meltzer LS, Huckaby LM. Critical care nurses' perceptions of futile care and its effect on burnout. Am J Crit Care. 2004;13(3): 202-208.
18. McAndrew NS, Leske JS, Garcia A. Influence of moral distress on the professional practice environment during prognostic conflict in critical care. J Trauma Nurs. 2011;18(4):221-230.
19. Browning A. Moral distress and psychological empowerment in critical care nurses caring for patients at the end of life. Am J Crit Care. 2013;22(2):143-151.
20. Wilson M, Goettemoeller D, Bevan N, McCord J. Moral distress: levels, coping, and preferred interventions in critical care and transitional nurses. J Clin Nurs. 2013;22(5):1455-1466.
21. Wilkinson JM. Moral distress in nursing practice: experience and effect. Nurs Forum. 1988;23(1):16-29.
22. Gutierrez KM. Critical care nurses' perceptions of and responses to moral distress. Dimens Crit Care Nurs. 2005;24(5):229-241.
23. Wiegand DL, Funk M. Consequences of clinical situations that cause critical care nurses to experience moral distress. Nurs Ethics. 2012;19(4):479-487.
24. HuffmanDM, Rittenmeyer L. How professional nurses working in hospital environments experience moral distress: a systematic review. Critic Care Nurs Clinics North Am. 2012;24(1):91-100.
25. Hart SE. Hospital ethical climate and registered nurses' turnover intentions. J Nurs Scholarsh. 2005;37(2):173-177.
26. Ulrich C, O'Donnell P, Grady C. Ethical climate, ethics stress, and the job satisfaction of nurses and social workers in the United States. Soc Sci Med. 2007;85(8):1708-1719.
27. 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(2):422-429.
28. Corley MC, Minick P, Elswick RK, Jacobs M. Nurse moral distress and ethical work environment. Nurs Ethics. 2005;12(4): 381-390.
29. Fogel K. Moral Distress, Ethical Climate, and Intent to Turnover: Relationships in Critical Care Nurses. Saarbrücken, Germany: Lambert Academic Publishing; 2011.
30. Lachman VD. Strategies necessary for moral courage. Online J Issues Nurs. 2010;15(3): manuscript 3
31. ANA: Principles for Nurse Staffing. 2nd ed. Silver Springs, MD: Nursesbooks.org; 2012.
32. Blake N. Appropriate staffing for a healthy work environment. AACN Adv Crit Care. 2013.
33. Pickard B. Integration of ClairVia patient acuity system and EMR at Blessing Hospital leverages clinical data to drive evidence based, outcomes driven care. Reuters.com. 2009. www.reuters.com/article/2009/09/21/idUS73623+21- Sep-2009+BW20090921. Accessed January 2, 2014.
34. Trossman S. Code interwoven in job performance, peer review. Am Nurse. 2014. www.theamericannurse.org/index.php/2013/09/03/code-intrwoven-in-job- performance-peer-review/. Accessed January 2, 2014.
35. Bleich MR, Cleary BL, Davis K, Hatcher BJ, Hewlett PO, Hill KS. Mitigating knowledge loss: a strategic imperative for nurse leaders. J Nurs Adm. 2009;39(4):160-164.
36. Hirschkorn CA, West TB, Hill KS, Cleary BL, Hewlett PO. Experienced nurse retention strategies: what can be learned from top-performing organizations. J Nurs Adm. 2010;40(1):463-467.
37. Berry BA, Gillespie GL, Gates D, Schafer J. Novice nurse productivity following workplace bullying. J Nurs Scholarsh. 2012; 44(1):80-87.
38. Dumont C, Meisinger S, Whitacre MJ, Corbin G. Horizontal violence survey report. Nurs. 2012;42(1):44-49.
39. Leape LL, Shore MF, Dienstag JL, et al. Perspective: a culture of respect, part 1: the nature and causes of disrespectful behavior by physicians. Acad Med. 2012;87(7):845-852.
40. Dellasega C. When Nurses Hurt Nurses. Indianapolis, IN: Sigma Theta Tau International; 2011.
41. Leape LL, Shore MF, Dienstag JL, et al. Perspective: creating a culture of respect, part 2. Acad Med. 2012;87(7):853-858.
42. Briles J. Snakes at the nurses station. Am Nurs Today. 2007; 2(8):52-53.
43. Stagg S, Sheridan D, Jones R, Speroni K. Evaluation of a workplace bullying cognitive rehearsal program in a hospital setting. J Cont Ed Nurs. 2011;42(9):395-41.
44. Abderrahman E, Major K, Sweeney J. Crucial conversations in the workplace. Am J Nurs. 2013;113(4):66-70.
45. ANA. Tip cards: bullying in the workplace. 2012. www.nursesbooks.org/ Main-Menu/Specialties/Staffing-Workplace/Bullying-Cards. Accessed January 3, 2014.
46. Hamric A, Borchers C, Epstein E, Gingell E. Development and testing of an instrument to measure moral distress. AJOB Prim Res. 2012;3(2):1-9.
47. Burston AS, Tuckett AG. Moral distress in nursing: contributing factors, outcomes, and interventions. Nurs Ethics. 2013;20(3):312-324.
48. Robichaux C. Developing ethical skills: from sensitivity to action. Crit Care Nurs. 2012;32(3):65-72.
49. Lutzen K, Ewalds-Kvist B. Moral distress and its interconnection with moral sensitivity and moral resilience: viewed from the philosophy of Viktor E. Frankl. J Bioethical Inq. 2013;10(3):317-324.