The Effect of a Workplace-Based Intervention on Moral Distress Among Registered Nurses

2.50
Hdl Handle:
http://hdl.handle.net/10755/291031
Category:
Full-text
Type:
Presentation
Title:
The Effect of a Workplace-Based Intervention on Moral Distress Among Registered Nurses
Author(s):
Powell, Nancy Miller
Lead Author STTI Affiliation:
Theta Sigma
Author Details:
Nancy Miller Powell, PhD, CNM, RNC-OB, preg_nancy@hotmail.com
Abstract:

Session presented on Saturday, April 13, 2013

The purpose of this study was to determine if RN’s attending a workplace-based educational program would have decreased intensity, frequency, and total moral distress, compared to nurses not attending the program.  This intervention was operationalized using the AACN program: The 4A's to Rise Above Moral Distress (2005). 

Moral distress is an insidious problem affecting many registered nurses, directly and or indirectly, with potentially harmful consequences.  Review of the literature revealed that consequences of moral distress produce a negative effect on the overall well being of nurses, their peers, patient care, the work environment, and the efficiency of healthcare institutions. 

A quasi-experimental, pretest-posttest control group design was selected for this study.  Bandura’s social cognitive theory and Corley’s theory of nurse moral distress served as the theoretical framework.  The 38 item, 7-point Likert scale, Moral Distress Scale was used to measure intensity and frequency, and total moral distress. 

Four community hospitals were randomly assigned to the treatment and control group.  The treatment and control group completed the Moral Distress Scale as a pretest.  The treatment group received the education intervention, and both the treatment and control groups completed the posttest. 

Analysis of covariance approach to data analysis was used to compare the treatment and control groups on change scores, using the pretest scores as the covariate. There was a statistically significant difference for the experimental group on intensity, frequency, and total moral distress.  Nurses employed in Magnet designated hospitals reported decreased posttest total moral distress scores and frequency, compared to the non-Magnet designated hospitals.

Nursing care should be valued and respected.  This study may benefit nurses to identify effective strategies to prevent or minimize the experience of moral distress.  The findings generated from this study may support staff nurses to explore strategies to enhance healthy work environments among nurses.

 

Keywords:
Moral distress; Healthy work environment; The 4A's to Rise Above Moral Distress
Repository Posting Date:
13-May-2013
Date of Publication:
13-May-2013
Conference Date:
2013
Conference Name:
Creating Healthy Work Environments
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
Creating Healthy Work Environments. Held at the JW Marriott, Indianapolis

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryFull-texten_GB
dc.typePresentationen_GB
dc.titleThe Effect of a Workplace-Based Intervention on Moral Distress Among Registered Nursesen_GB
dc.contributor.authorPowell, Nancy Milleren_GB
dc.contributor.departmentTheta Sigmaen_GB
dc.author.detailsNancy Miller Powell, PhD, CNM, RNC-OB, preg_nancy@hotmail.comen_GB
dc.identifier.urihttp://hdl.handle.net/10755/291031-
dc.description.abstract<p>Session presented on Saturday, April 13, 2013</p>The purpose of this study was to determine if RN&rsquo;s attending a workplace-based educational program would have decreased intensity, frequency, and total moral distress, compared to nurses not attending the program.&nbsp; This intervention was operationalized using the AACN program:&nbsp;<i>The 4A's to Rise Above Moral Distress</i> (2005).&nbsp; <p>Moral distress is an insidious problem affecting many registered nurses, directly and or indirectly, with potentially harmful consequences.&nbsp; Review of the literature revealed that consequences of moral distress produce a negative effect on the overall well being of nurses, their peers, patient care, the work environment, and the efficiency of healthcare institutions.&nbsp; <p>A quasi-experimental, pretest-posttest control group design was selected for this study.&nbsp;&nbsp;Bandura&rsquo;s social cognitive theory and Corley&rsquo;s theory of nurse moral distress served as the theoretical framework.&nbsp; The 38 item, 7-point Likert scale, Moral Distress Scale was used to measure intensity and frequency, and total moral distress.&nbsp; <p>Four community hospitals were randomly assigned to the treatment and control group. &nbsp;The treatment and control group completed the Moral Distress Scale as a pretest.&nbsp; The treatment group received the education intervention, and both the treatment and control groups completed the posttest.&nbsp; <p>Analysis of covariance approach to data analysis was used to compare the treatment and control groups on change scores, using the pretest scores as the covariate. There was a statistically significant difference for the experimental group on intensity, frequency, and total moral distress.&nbsp; Nurses employed in Magnet designated hospitals reported decreased posttest total moral distress scores and frequency, compared to the non-Magnet designated hospitals. <p>Nursing care should be valued and respected.&nbsp; This study may benefit nurses to identify effective strategies to prevent or minimize the experience of moral distress.&nbsp; The findings generated from this study may support staff nurses to explore strategies to enhance healthy work environments among nurses. <p><b><i>&nbsp;</i></b>en_GB
dc.subjectMoral distressen_GB
dc.subjectHealthy work environmenten_GB
dc.subjectThe 4A's to Rise Above Moral Distressen_GB
dc.date.available2013-05-13T10:27:09Z-
dc.date.issued2013-05-13-
dc.date.accessioned2013-05-13T10:27:09Z-
dc.conference.date2013en_GB
dc.conference.nameCreating Healthy Work Environmentsen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.descriptionCreating Healthy Work Environments. Held at the JW Marriott, Indianapolisen_GB
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