Moral distress in emergency and critical care nurses: A metaethnography
Background:Moral distress has detrimental effects on nurses which impacts the entire healthcare cycle. Described as a crescendo effect, resolved situations of moral distress leave residue on the nurse with three potential outcomes: moral numbing, conscious objection to the situation, and burnout.Obj...
| Main Author: | |
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| Format: | Electronic Article |
| Language: | English |
| Check availability: | HBZ Gateway |
| Journals Online & Print: | Drawer...
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| Fernleihe: | Fernleihe für die Fachinformationsdienste |
| Published: |
Sage
2020
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| In: |
Nursing ethics
Year: 2020, Volume: 27, Issue: 8, Pages: 1681-1693 |
| Further subjects: | B
Literature Review
B qualitative synthesis B metasynthesis B Critical care B Metaethnography B Moral Distress |
| Online Access: |
Volltext (Resolving-System) |
| Summary: | Background:Moral distress has detrimental effects on nurses which impacts the entire healthcare cycle. Described as a crescendo effect, resolved situations of moral distress leave residue on the nurse with three potential outcomes: moral numbing, conscious objection to the situation, and burnout.Objective:This metaethnography strives to achieve a fuller understanding of moral distress by interpreting the body of qualitative work of moral distress in emergency and critical care nurses.Method:This study used the Noblit and Hare’s approach of interpretative synthesis. Ten studies met the criteria and were used in this synthesis.Ethical considerations:Ethical issues were minimal since no human subjects were involved. Ethical requirements were respected in all study phases.Results:The synthesis of qualitative research on moral distress resulted in one central theme, “the battle within,” and five subthemes.Conclusions:The unique nature of this nursing specialty resulted in a lasting inner conflict for nurses that is consistent with the previously described crescendo effect. The effects are complex and long lasting and may potentially affect the nurses’ future patient care. |
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| ISSN: | 1477-0989 |
| Contains: | Enthalten in: Nursing ethics
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| Persistent identifiers: | DOI: 10.1177/0969733020935952 |