Moral Distress: Contributing Factors, Outcomes and Interventions. an Overview of the Nursing Literature

2.50
Hdl Handle:
http://hdl.handle.net/10755/243553
Category:
Full-text
Type:
Presentation
Title:
Moral Distress: Contributing Factors, Outcomes and Interventions. an Overview of the Nursing Literature
Author(s):
Burston, Adam S.; Tuckett, Anthony G.
Lead Author STTI Affiliation:
N/A
Author Details:
Burston, Adam S., BN, GCertNsg, (Med/Surg), MHServMgt, a.burston@uq.edu.au; Tuckett, Anthony G., BN, MA, PhD;
Abstract:
Purpose:

Explore moral distress research across the nursing discipline to identify contributing factors, understand common outcomes, identify appropriate interventions, and detect knowledge gaps.

Methods:

Cumulative Index to Nursing and Allied Health (CINAHL) 1982-2010; PsycINFO 1980-2010; Medline 1982-2010 and Social Science Citation Index (SSCI) plus Arts and Humanities Citation Index 1982-2010 were used. Key words used were: moral distress, moral distress scale, nursing home* and long-term care. Mining of reference lists provided additional sources. The review excluded doctoral dissertations, abstracts to meetings, and papers not published in English. Furthermore, a number of electronic journal and online content alerts were established. While the review did not set out to answer a specified question, it was conducted in a systematic manner providing a rigorous representation of the literature.

Results:

Factors identified as contributing to moral distress stem from; individual characteristics, site specific systems, and/or broader external influences; and tend to be similar across care contexts. The attendant outcomes of this distress may manifest internally or externally, and are generally deleterious. A range of interventions have been proposed, but implemented sporadically and on a small scale. It appears that few intervention studies have been undertaken. 

Conclusion:

The relevance resides in the implications moral distress has on the nurse and the nursing workforce. Moral distress contributes to decreased quality of care, diminished workplace satisfaction, physical and emotional illness, burnout, and staff turnover. Costly flow on effects such as increased length of stay and the need for additional treatment interventions can arise. Poor care provision is deleterious to an organizations reputation. Change must be nurse driven, and engaging this next step is crucial if any real benefit is to be realized. Robust, contemporary organisations must address these issues to remain viable in a challenging healthcare environment.

Keywords:
moral distress; nursing workforce; workplace satisfaction
Repository Posting Date:
12-Sep-2012
Date of Publication:
12-Sep-2012 ; 12-Sep-2012
Conference Date:
2012
Conference Name:
23rd International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Brisbane, Australia

Full metadata record

DC FieldValue Language
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleMoral Distress: Contributing Factors, Outcomes and Interventions. an Overview of the Nursing Literatureen
dc.contributor.authorBurston, Adam S.en
dc.contributor.authorTuckett, Anthony G.en
dc.contributor.departmentN/Aen
dc.author.detailsBurston, Adam S., BN, GCertNsg, (Med/Surg), MHServMgt, a.burston@uq.edu.au; Tuckett, Anthony G., BN, MA, PhD;en
dc.identifier.urihttp://hdl.handle.net/10755/243553-
dc.description.abstract<b>Purpose: </b> <p>Explore moral distress research across the nursing discipline to identify contributing factors, understand common outcomes, identify appropriate interventions, and detect knowledge gaps. <p><b>Methods: </b> <p>Cumulative Index to Nursing and Allied Health (CINAHL) 1982-2010; PsycINFO 1980-2010; Medline 1982-2010 and Social Science Citation Index (SSCI) plus Arts and Humanities Citation Index 1982-2010 were used. Key words used were: moral distress, moral distress scale, nursing home<sup>*</sup> and long-term care. Mining of reference lists provided additional sources. The review excluded doctoral dissertations, abstracts to meetings, and papers not published in English. Furthermore, a number of electronic journal and online content alerts were established. While the review did not set out to answer a specified question, it was conducted in a systematic manner providing a rigorous representation of the literature. <p><b>Results: </b> <p>Factors identified as contributing to moral distress stem from; individual characteristics, site specific systems, and/or broader external influences; and tend to be similar across care contexts. The attendant outcomes of this distress may manifest internally or externally, and are generally deleterious. A range of interventions have been proposed, but implemented sporadically and on a small scale. It appears that few intervention studies have been undertaken.&nbsp; <p><b>Conclusion: </b> <p>The relevance resides in the implications moral distress has on the nurse and the nursing workforce. Moral distress contributes to decreased quality of care, diminished workplace satisfaction, physical and emotional illness, burnout, and staff turnover. Costly flow on effects such as increased length of stay and the need for additional treatment interventions can arise. Poor care provision is deleterious to an organizations reputation. Change must be nurse driven, and engaging this next step is crucial if any real benefit is to be realized. Robust, contemporary organisations must address these issues to remain viable in a challenging healthcare environment.en
dc.subjectmoral distressen
dc.subjectnursing workforceen
dc.subjectworkplace satisfactionen
dc.date.available2012-09-12T09:23:54Z-
dc.date.issued2012-09-12-
dc.date.issued2012-09-12en
dc.date.accessioned2012-09-12T09:23:54Z-
dc.conference.date2012en
dc.conference.name23rd International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationBrisbane, Australiaen
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