Switch to: Citations

Add references

You must login to add references.
  1. Moral Distress: Tensions as Springboards for Action. [REVIEW]Colleen Varcoe, Bernadette Pauly, George Webster & Janet Storch - 2012 - HEC Forum 24 (1):51-62.
    In the previous four papers in this series, individual versus structural or contextual factors have informed various understandings of moral distress. In this final paper, we summarize some of the key tensions raised in previous papers and use these tensions as springboards to identify directions for action among practitioners, educators, researchers, policymakers and others. In particular, we recognize the need to more explicitly politicize the concept of moral distress in order to understand how such distress arises from competing values within (...)
    Download  
     
    Export citation  
     
    Bookmark   37 citations  
  • Nurses' Moral Sensitivity and Hospital Ethical Climate: a Literature Review.Jessica Schluter, Sarah Winch, Kerri Holzhauser & Amanda Henderson - 2008 - Nursing Ethics 15 (3):304-321.
    Increased technological and pharmacological interventions in patient care when patient outcomes are uncertain have been linked to the escalation in moral and ethical dilemmas experienced by health care providers in acute care settings. Health care research has shown that facilities that are able to attract and retain nursing staff in a competitive environment and provide high quality care have the capacity for nurses to process and resolve moral and ethical dilemmas. This article reports on the findings of a systematic review (...)
    Download  
     
    Export citation  
     
    Bookmark   73 citations  
  • Ethical Decision Making in Nurses.Marcia L. Raines - 2000 - Jona's Healthcare Law, Ethics, and Regulation 2 (1):29-41.
    Download  
     
    Export citation  
     
    Bookmark   51 citations  
  • Registered Nurses' Perceptions of Moral Distress and Ethical Climate.Bernadette Pauly, Colleen Varcoe, Janet Storch & Lorelei Newton - 2009 - Nursing Ethics 16 (5):561-573.
    Moral distress is a phenomenon of increasing concern in nursing practice, education and research. Previous research has suggested that moral distress is associated with perceptions of ethical climate, which has implications for nursing practice and patient outcomes. In this study, a randomly selected sample of registered nurses was surveyed using Corley’s Moral Distress Scale and Olson’s Hospital Ethical Climate Survey (HECS). The registered nurses reported moderate levels of moral distress intensity. Moral distress intensity and frequency were found to be inversely (...)
    Download  
     
    Export citation  
     
    Bookmark   88 citations  
  • Framing the Issues: Moral Distress in Health Care. [REVIEW]Bernadette M. Pauly, Colleen Varcoe & Jan Storch - 2012 - HEC Forum 24 (1):1-11.
    Moral distress in health care has been identified as a growing concern and a focus of research in nursing and health care for almost three decades. Researchers and theorists have argued that moral distress has both short and long-term consequences. Moral distress has implications for satisfaction, recruitment and retention of health care providers and implications for the delivery of safe and competent quality patient care. In over a decade of research on ethical practice, registered nurses and other health care practitioners (...)
    Download  
     
    Export citation  
     
    Bookmark   53 citations  
  • Moral distress experienced by psychiatric nurses in Japan.Kayoko Ohnishi, Yasuko Ohgushi, Masataka Nakano, Hirohide Fujii, Hiromi Tanaka, Kazuyo Kitaoka, Jun Nakahara & Yugo Narita - 2010 - Nursing Ethics 17 (6):726-740.
    This study aimed to: (1) develop and evaluate the Moral Distress Scale for Psychiatric nurses (MDS-P); (2) use the MDS-P to examine the moral distress experienced by Japanese psychiatric nurses; and (3) explore the correlation between moral distress and burnout. A questionnaire on the intensity and frequency of moral distress items (the MDS-P: 15 items grouped into three factors), a burnout scale (Maslach Burnout Inventory — General Survey) and demographic questions were administered to 391 Japanese psychiatric nurses in 2007—2008. These (...)
    Download  
     
    Export citation  
     
    Bookmark   38 citations  
  • Moral Distress Reconsidered.Joan McCarthy & Rick Deady - 2008 - Nursing Ethics 15 (2):254-262.
    Moral distress has received much attention in the international nursing literature in recent years. In this article, we describe the evolution of the concept of moral distress among nursing theorists from its initial delineation by the philosopher Jameton to its subsequent deployment as an umbrella concept describing the impact of moral constraints on health professionals and the patients for whom they care. The article raises worries about the way in which the concept of moral distress has been portrayed in some (...)
    Download  
     
    Export citation  
     
    Bookmark   83 citations  
  • Developing the Concept of Moral Sensitivity in Health Care Practice.Kim Lützén, Vera Dahlqvist, Sture Eriksson & Astrid Norberg - 2006 - Nursing Ethics 13 (2):187-196.
    The aim of this Swedish study was to develop the concept of moral sensitivity in health care practice. This process began with an overview of relevant theories and perspectives on ethics with a focus on moral sensitivity and related concepts, in order to generate a theoretical framework. The second step was to construct a questionnaire based on this framework by generating a list of items from the theoretical framework. Nine items were finally selected as most appropriate and consistent with the (...)
    Download  
     
    Export citation  
     
    Bookmark   58 citations  
  • Moral Distress: A Comparative Analysis of Theoretical Understandings and Inter-Related Concepts. [REVIEW]Kim Lützén & Beatrice Ewalds Kvist - 2012 - HEC Forum 24 (1):13-25.
    Research on ethical dilemmas in health care has become increasingly salient during the last two decades resulting in confusion about the concept of moral distress. The aim of the present paper is to provide an overview and a comparative analysis of the theoretical understandings of moral distress and related concepts. The focus is on five concepts: moral distress, moral stress, stress of conscience, moral sensitivity and ethical climate. It is suggested that moral distress connects mainly to a psychological perspective; stress (...)
    Download  
     
    Export citation  
     
    Bookmark   27 citations  
  • Moral stress, moral climate and moral sensitivity among psychiatric professionals.Kim Lützén, Tammy Blom, Béatrice Ewalds-Kvist & Sarah Winch - 2010 - Nursing Ethics 17 (2):213-224.
    The aim of the present study was to investigate the association between work-related moral stress, moral climate and moral sensitivity in mental health nursing. By means of the three scales Hospital Ethical Climate Survey, Moral Sensitivity Questionnaire and Work-Related Moral Stress, 49 participants’ experiences were assessed. The results of linear regression analysis indicated that moral stress was determined to a degree by the work place’s moral climate as well as by two aspects of the mental health staff’s moral sensitivity. The (...)
    Download  
     
    Export citation  
     
    Bookmark   55 citations  
  • Empirical Research on Moral Distress: Issues, Challenges, and Opportunities. [REVIEW]Ann B. Hamric - 2012 - HEC Forum 24 (1):39-49.
    Abstract Studying a concept as complex as moral distress is an ongoing challenge for those engaged in empirical ethics research. Qualitative studies of nurses have illuminated the experience of moral distress and widened the contours of the concept, particularly in the area of root causes. This work has led to the current understanding that moral distress can arise from clinical situations, factors internal to the individual professional, and factors present in unit cultures, the institution, and the larger health care environment. (...)
    Download  
     
    Export citation  
     
    Bookmark   44 citations  
  • Development and Initial Validation of the Stress of Conscience Questionnaire.Ann-Louise Glasberg, Sture Eriksson, Vera Dahlqvist, Elisabeth Lindahl, Gunilla Strandberg, Anna Söderberg, Venke Sørlie & Astrid Norberg - 2006 - Nursing Ethics 13 (6):633-648.
    Stress in health care is affected by moral factors. When people are prevented from doing ‘good’ they may feel that they have not done what they ought to or that they have erred, thus giving rise to a troubled conscience. Empirical studies show that health care personnel sometimes refer to conscience when talking about being in ethically difficult everyday care situations. This study aimed to construct and validate the Stress of Conscience Questionnaire (SCQ), a nine-item instrument for assessing stressful situations (...)
    Download  
     
    Export citation  
     
    Bookmark   28 citations  
  • Nurse moral distress and ethical work environment.Mary C. Corley, Ptlene Minick, R. K. Elswick & Mary Jacobs - 2005 - Nursing Ethics 12 (4):381-390.
    This study examined the relationship between moral distress intensity, moral distress frequency and the ethical work environment, and explored the relationship of demographic characteristics to moral distress intensity and frequency. A group of 106 nurses from two large medical centers reported moderate levels of moral distress intensity, low levels of moral distress frequency, and a moderately positive ethical work environment. Moral distress intensity and ethical work environment were correlated with moral distress frequency. Age was negatively correlated with moral distress intensity, (...)
    Download  
     
    Export citation  
     
    Bookmark   118 citations  
  • Nurse Moral Distress: a proposed theory and research agenda.Mary C. Corley - 2002 - Nursing Ethics 9 (6):636-650.
    As professionals, nurses are engaged in a moral endeavour, and thus confront many challenges in making the right decision and taking the right action. When nurses cannot do what they think is right, they experience moral distress that leaves a moral residue. This article proposes a theory of moral distress and a research agenda to develop a better understanding of moral distress, how to prevent it, and, when it cannot be prevented, how to manage it.
    Download  
     
    Export citation  
     
    Bookmark   131 citations  
  • Moral Distress and the Contemporary Plight of Health Professionals.Wendy Austin - 2012 - HEC Forum 24 (1):27-38.
    Once a term used primarily by moral philosophers, “moral distress” is increasingly used by health professionals to name experiences of frustration and failure in fulfilling moral obligations inherent to their fiduciary relationship with the public. Although such challenges have always been present, as has discord regarding the right thing to do in particular situations, there is a radical change in the degree and intensity of moral distress being expressed. Has the plight of professionals in healthcare practice changed? “Plight” encompasses not (...)
    Download  
     
    Export citation  
     
    Bookmark   26 citations