TY - JOUR
T1 - Assessing and addressing moral distress and ethical climate part II
T2 - Neonatal and pediatric perspectives
AU - Sauerland, Jeanie
AU - Marotta, Kathleen
AU - Peinemann, Mary Anne
AU - Berndt, Andrea
AU - Robichaux, Catherine
N1 - Publisher Copyright:
Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins.
PY - 2015/12/12
Y1 - 2015/12/12
N2 - Moral distress remains a pervasive and, at times, contested concept in nursing and other health care disciplines. Ethical climate, the conditions and practices in which ethical situations are identified, discussed, and decided, has been shown to exacerbate or ameliorate perceptions of moral distress. The purpose of this-mixed-methods study was to explore perceptions of moral distress, moral residue, and ethical climate among registered nurses working in an academic medical center. Two versions of the Moral Distress Scale in addition to the Hospital Ethical Climate Survey were used, and participants were invited to respond to 2 open-ended questions. Part I reported the findings among nurses working in adult acute and critical care units. Part II presents the results from nurses working in pediatric/neonatal units. Significant differences in findings between the 2 groups are discussed. Subsequent interventions developed are also presented.
AB - Moral distress remains a pervasive and, at times, contested concept in nursing and other health care disciplines. Ethical climate, the conditions and practices in which ethical situations are identified, discussed, and decided, has been shown to exacerbate or ameliorate perceptions of moral distress. The purpose of this-mixed-methods study was to explore perceptions of moral distress, moral residue, and ethical climate among registered nurses working in an academic medical center. Two versions of the Moral Distress Scale in addition to the Hospital Ethical Climate Survey were used, and participants were invited to respond to 2 open-ended questions. Part I reported the findings among nurses working in adult acute and critical care units. Part II presents the results from nurses working in pediatric/neonatal units. Significant differences in findings between the 2 groups are discussed. Subsequent interventions developed are also presented.
KW - Acute care
KW - Ethical climate
KW - Interventions
KW - Moral distress
KW - Neonatal
KW - Pediatric
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U2 - 10.1097/DCC.0000000000000083
DO - 10.1097/DCC.0000000000000083
M3 - Article
C2 - 25470266
AN - SCOPUS:84918591203
SN - 0730-4625
VL - 34
SP - 33
EP - 46
JO - Dimensions of Critical Care Nursing
JF - Dimensions of Critical Care Nursing
IS - 1
ER -