Moral Distress Among Healthcare Professionals: Report of an Institution-Wide Survey

Journal of Nursing Scholarship

Volumn 47, Issue 2, 2015, Pages 117-125

  Whitehead, Phyllis B ^a   Herbertson, Robert K ^b   Hamric, Ann B ^c   Epstein, Elizabeth G ^d   Fisher, Joan M ^e  

^a VIRGINIA TECH CARILION SCHOOL OF MEDICINE   (United States)

^b Carillon Roanoke Medical Center   (United States)

^c VIRGINIA COMMONWEALTH UNIVERSITY   (United States)

^d UNIVERSITY OF VIRGINIA   (United States)

^e STANFORD UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

Comparative study; Ethical climate; Interprofessional; Moral distress

Indexed keywords

ADOLESCENT; ADULT; COMPARATIVE STUDY; ETHICS; ETIOLOGY; FEMALE; HEALTH CARE DELIVERY; HEALTH PERSONNEL ATTITUDE; HUMAN; INTENSIVE CARE UNIT; JOB SATISFACTION; MALE; MEDICAL STAFF; MENTAL STRESS; MIDDLE AGED; MORALITY; PSYCHOLOGY; STANDARDS; TERMINAL CARE; WORKPLACE; YOUNG ADULT;

ADOLESCENT; ADULT; ATTITUDE OF HEALTH PERSONNEL; DELIVERY OF HEALTH CARE; FEMALE; HUMANS; INTENSIVE CARE UNITS; JOB SATISFACTION; MALE; MEDICAL STAFF, HOSPITAL; MIDDLE AGED; MORALS; STRESS, PSYCHOLOGICAL; TERMINAL CARE; WORKPLACE; YOUNG ADULT;

EID: 84923838148     PISSN: 15276546     EISSN: 15475069     Source Type: Journal    
DOI: 10.1111/jnu.12115     Document Type: Article

References (32)

1. Ajeibe, D. O., McNeese-Smith, D., Leach, L. S., & Phillips, L. R. (2013). Nurse-physician teamwork in the emergency department: Impact on perceptions of job environment, autonomy, and control over practice. Journal of Nursing Administration, 43(3), 142-148.
2. Allen, R., Judkins-Cohn, T., deVelasco, R., Forges, E., Lee, R., Clark, L., & Procunier, M. (2013). Moral distress among healthcare professionals at a health system. JONA's Healthcare Law, Ethics, and Regulation, 15(3), 111-118.
3. Bahcecik, N., & Ozturk, H. (2003). The hospital ethical climate survey in Turkey. JONA's Healthcare Law, Ethics, & Regulation, 5(4), 94-99.
4. Bell, J., & Breslin, J. M. (2008). Healthcare provider moral distress as a leadership challenge. JONA's Healthcare Law, Ethics, & Regulation, 10(4), 94-97.
5. Brazil, K., Kassalainen, S., Ploeg, J., & Marshall, D. (2010). Moral distress experienced by health care professionals who provide home-based palliative care. Social Science & Medicine, 71(9), 1687-1691.
6. Browning, A. M. (2013). Moral distress and psychological empowerment in critical care nurses caring for adults at end of life. American Journal of Critical Care, 22(2), 143-152. doi:10.4037/ajcc2013437
7. Carney, B. T., West, P., Mills, P. D., & Bagian, J. P. (2011). Improving perceptions of teamwork climate with Veterans Health Administration medical team training program. American Journal of Medical Quality, 26(6), 480-484.
8. Chambliss, D. F. (1996). Beyond caring: Hospitals, nurses, and the social organization of ethics. Chicago, IL: University of Chicago Press.
9. Corley, M. C. (1995). Moral distress of critical care nurses. American Journal of Critical Care, 4(4), 280-285.
10. Corley, M. C., Minick, P., Elswick, R. K., & Jacobs, M. (2005). Nurse moral distress and ethical work environment. Nursing Ethics, 12(4), 381-390.
11. Epstein, E. G. (2008). End-of-life experiences of nurses and physicians in the newborn intensive care unit. Journal of Perinatology, 28, 771-778. doi:10.1038/jp.2008.96
12. Epstein, E. G., & Hamric, A. B. (2009). Moral distress, moral residue, and the crescendo effect. Journal of Clinical Ethics, 20(4), 330-342.
13. Ferrell, B. R. (2006). Understanding the moral distress of nurses witnessing medically futile care. Oncology Nursing Forum Online, 33(5), 922-930.
14. Hamric, A. B. (2014). A case study of moral distress. Journal of Hospice and Palliative Nursing, 16(8), 457-463.
15. 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.
16. Hamric, A. B., Borchers, C. T., & Epstein, E. G. (2012). Development and testing of an instrument to measure moral distress in healthcare professionals. American Journal of Bioethics Primary Research, 3(2), 1-9.
17. Hamric, A. B., Epstein, E. G., & White, K. R. (2013). Moral distress and the healthcare organization. In G. L. Filerman, A. E. Mills, & P. M. Schyve (Eds.), Managerial ethics in healthcare: A new perspective (pp. 137-158). Chicago, IL: Health Administration Press.
18. Hefferman, P., & 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.
19. Hilliard, R., Harrison, C., & Madden, S. (2007). Ethical conflicts and moral distress experienced by paediatric residents during their training. Paediatrics & Child Health, 12(1), 29-35.
20. Jameton, A. (1993). Dilemmas of moral distress: Moral responsibility and nursing practice. AWHONNS Clinical Issues in Perinatal & Women's Health Nursing, 4(4), 542-551.
21. Kross, E. K., & Curtis, J. R. (2012). ICU clinicians' perceptions of appropriateness of care and the importance of nurse-physician collaboration. Archives of Internal Medicine, 172(11), 889-890.
22. Lutzen, K., Blom, T., Ewalds-Kvist, B., & Winch, S. (2010). Moral stress, moral climate and moral sensitivity among psychiatric professionals. Nursing Ethics, 17(2), 213-224.
23. 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, 202-208.
24. Mitton, C., Peacock, S., Storch, J., Smith, N., & Cornelissen, E. (2010). Moral distress among healthcare managers: Conditions, consequences, and potential responses. Healthcare Policy, 6(2), 99-112.
25. Nair, D. M., Fitzpatrick, J. J., McNulty, R., Click, E. R., & Glembocki, M. M. (2012). Frequency of nurse-physician collaborative behaviors in an acute care hospital. Journal of Interprofessional Care, 26(2), 115-120.
26. Olson, L. L. (1998). Hospital nurses' perceptions of the ethical climate of their work setting. Journal of Nursing Scholarship, 30(4), 345-349.
27. Pauly, B., Varcoe, C., Storch, J., & Newton, L. (2009). Registered nurses' perceptions of moral distress and ethical climate. Nursing Ethics, 16(5), 561-573.
28. Piers, R. D., Van den Eynde, M., Steeman, E., Vlerick, P., Benoit, D. D., & Van de Noortgat, N. J. (2012). End of life care of geriatric patients and nurses' moral distress. Journal of American Medical Directors Association, 13(1), 80.e7-80.e13. doi:10.1016/j.jamda.2010.12.014
29. Rodney, P. (1988). Moral distress in critical care nursing. Canadian Critical Care Nursing Journal, 5(2), 9-11.
30. 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. doi:10.1007/s11096-004-3703-0
31. Varcoe, C., Pauly, B., Webster, G., & Storch, J. (2012). Moral distress: Tensions as springboards for action. HEC Forum, 24, 51-62.
32. Wood, D. (2014). 10 best practices for addressing ethical issues and moral distress. AMN Healthcare News. Retrieved from http://www.amnhealthcare.com/latest-healthcare-news/10-best-practices-addressing-ethical-issues-moral-distress/