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...

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Bibliographic Details
Main Author: Arnold, Tracey C (Author)
Format: Electronic Article
Language:English
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Published: Sage 2020
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)

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520 |a 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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