Moral Distress Experienced by Nurses Involved in End-of-Life Care in the Intensive Care Units of Academic Affiliated, Tertiary/Quaternary Specialist Public Hospital in the Johannesburg Region

2.50
Hdl Handle:
http://hdl.handle.net/10755/303851
Category:
Abstract
Type:
Presentation
Title:
Moral Distress Experienced by Nurses Involved in End-of-Life Care in the Intensive Care Units of Academic Affiliated, Tertiary/Quaternary Specialist Public Hospital in the Johannesburg Region
Author(s):
Langley, Gayle Cartland
Lead Author STTI Affiliation:
Tau Lambda
Author Details:
Gayle Cartland Langley, PhD, gayle.langley@wits.ac.za
Abstract:

Session presented on: Wednesday, July 24, 2013

Purpose:

The purpose of this study was to elicit ICU nurses' perspectives of the clinical situations in Johannesburg's urban, academic public hospitals which evoke moral distress; the consequences thereof and means they employed to manage their distress.'

HREC no. M 10525.

'Methods:

A short survey /interview guide, derived from Corley, Elswick, Gorman and Clor's extensively used and validated 'Moral Distress Scale' (Corley et al, 2001), 'requiring narrative descriptions and explanations was distributed to registered nurses '(N= 100, n=100) in trauma, general medical and surgical and cardio-thoracic ICUs in 'tertiary, academic hospitals in Johannesburg. 'Data were triangulated by augmenting the information recorded from focus group discussions.'

Results:

Experiences of the situations, many engendered by perceived morality of the treatment and decisions made, as well as participants' reactions and subsequent actions are described.' The findings are compared with those described in the international literature.

Conclusion:

South Africa's health system is complex displaying diverse disease patterns: acute and infectious diseases, high maternal and child mortality, non-communicable diseases and violence and injuries often exacerbated by patients' HIV status (McNeilly, 2011).' these contextual issues impact upon and influence nurses and nursing care in intensive care units.

Keywords:
Intensive Care Units; Nurses; Moral distress
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013 ; 22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryAbstracten
dc.typePresentationen
dc.titleMoral Distress Experienced by Nurses Involved in End-of-Life Care in the Intensive Care Units of Academic Affiliated, Tertiary/Quaternary Specialist Public Hospital in the Johannesburg Regionen
dc.contributor.authorLangley, Gayle Cartlanden
dc.contributor.departmentTau Lambdaen
dc.author.detailsGayle Cartland Langley, PhD, gayle.langley@wits.ac.zaen
dc.identifier.urihttp://hdl.handle.net/10755/303851-
dc.description.abstract<p>Session presented on: Wednesday, July 24, 2013</p><b>Purpose: </b> <p>The purpose of this study was to elicit ICU nurses' perspectives of the clinical situations in Johannesburg's urban, academic public hospitals which evoke moral distress; the consequences thereof and means they employed to manage their distress.' <p>HREC no. M 10525. <p>'<b>Methods: </b> <p>A short survey /interview guide, derived from Corley, Elswick, Gorman and Clor's extensively used and validated 'Moral Distress Scale' (Corley et al, 2001), 'requiring narrative descriptions and explanations was distributed to registered nurses '(N= 100, n=100) in trauma, general medical and surgical and cardio-thoracic ICUs in 'tertiary, academic hospitals in Johannesburg. 'Data were triangulated by augmenting the information recorded from focus group discussions.' <p><b>Results: </b> <p>Experiences of the situations, many engendered by perceived morality of the treatment and decisions made, as well as participants' reactions and subsequent actions are described.' The findings are compared with those described in the international literature. <p><b>Conclusion: </b> <p>South Africa's health system is complex displaying diverse disease patterns: acute and infectious diseases, high maternal and child mortality, non-communicable diseases and violence and injuries often exacerbated by patients' HIV status (McNeilly, 2011).' these contextual issues impact upon and influence nurses and nursing care in intensive care units.en
dc.subjectIntensive Care Unitsen
dc.subjectNursesen
dc.subjectMoral distressen
dc.date.available2013-10-22T20:24:26Z-
dc.date.issued2013-10-22-
dc.date.issued2013-10-22en
dc.date.accessioned2013-10-22T20:24:26Z-
dc.conference.date2013en
dc.conference.name24th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationPrague, Czech Republicen
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en
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