2.50
Hdl Handle:
http://hdl.handle.net/10755/308015
Category:
Abstract
Type:
Presentation
Title:
Moral distress experienced by proficient nurses in Japan
Author(s):
Miyawaki, Mihoko; Miyabayashi, Ikuko
Lead Author STTI Affiliation:
Tau Nu
Author Details:
Mihoko Miyawaki, PhD, RN, mmiyawa@sfc.keio.ac.jp; Ikuko Miyabayashi, PhD-c;
Abstract:

Poster presented on: Saturday, November 16, 2013, Sunday, November 17, 2013

Purpose: The present study was conducted to illustrate clearly the distinctive moral distress experienced by proficient nurses in Japan.

Methods: Qualitative research was conducted using study design and semi-structured interviews. The participants were recruited using the network sampling method. A total of 17 nurses participated in this study. According to the interview guide, participants were asked their moral distress in nursing practice. A qualitative and inductive method was applied for analysis. This study was reviewed and approved by the Research Ethics Committee and informed consent was obtained from all nurses.
Results: Six themes were extracted from the data of the experience that causes moral distress by proficient nurses. These were a impaired dignity of patients, an acting for one's own self-interests, an institutional control and constraints, an omission of care for patients, not fair or equitable, and an acting in bad faith. All nursing practice involves ethical decisions and moral distress appears to manifest within a relational and contextual environment. Nevertheless, work style of nurses in which they performed only routine work and ceased examining themselves with moral issues. Further, nurses often find institutional control and constraints in their daily clinical practice. Nurses were not able to talk with a peer professional about one's suffering. These experiences were all linked feelings of compunction and powerlessness.

Discussions: The study results suggest that patients-centered nursing demands a willingness to confront moral issues and nurses do not to struggle alone with them. It is important for nurses to support of peers, encourages respectful interactions with colleagues, and a caring for climate.

Keywords:
ethical climate; proficient nurses; moral distress
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleMoral distress experienced by proficient nurses in Japanen_GB
dc.contributor.authorMiyawaki, Mihokoen_GB
dc.contributor.authorMiyabayashi, Ikukoen_GB
dc.contributor.departmentTau Nuen_GB
dc.author.detailsMihoko Miyawaki, PhD, RN, mmiyawa@sfc.keio.ac.jp; Ikuko Miyabayashi, PhD-c;en_GB
dc.identifier.urihttp://hdl.handle.net/10755/308015-
dc.description.abstract<p>Poster presented on: Saturday, November 16, 2013, Sunday, November 17, 2013</p>Purpose: The present study was conducted to illustrate clearly the distinctive moral distress experienced by proficient nurses in Japan. <p>Methods: Qualitative research was conducted using study design and semi-structured interviews. The participants were recruited using the network sampling method. A total of 17 nurses participated in this study. According to the interview guide, participants were asked their moral distress in nursing practice. A qualitative and inductive method was applied for analysis. This study was reviewed and approved by the Research Ethics Committee and informed consent was obtained from all nurses.<br /="/">Results: Six themes were extracted from the data of the experience that causes moral distress by proficient nurses. These were a impaired dignity of patients, an acting for one's own self-interests, an institutional control and constraints, an omission of care for patients, not fair or equitable, and an acting in bad faith. All nursing practice involves ethical decisions and moral distress appears to manifest within a relational and contextual environment. Nevertheless, work style of nurses in which they performed only routine work and ceased examining themselves with moral issues. Further, nurses often find institutional control and constraints in their daily clinical practice. Nurses were not able to talk with a peer professional about one's suffering. These experiences were all linked feelings of compunction and powerlessness. <p>Discussions: The study results suggest that patients-centered nursing demands a willingness to confront moral issues and nurses do not to struggle alone with them. It is important for nurses to support of peers, encourages respectful interactions with colleagues, and a caring for climate.en_GB
dc.subjectethical climateen_GB
dc.subjectproficient nursesen_GB
dc.subjectmoral distressen_GB
dc.date.available2013-12-19T17:25:26Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:25:26Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.