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Putting a Rest to Moral Distress

Aragon, Jacqueline
Badura-O’Connor, Lexi
Berardi, Arianna
Ortiz, Janelle
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Poster (Research)
Date
2018
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Department
Nursing
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DOI
http://dx.doi.org/10.34944/dspace/9120
Abstract
The purpose of this project is to examine how nurses, particularly in ICUs, are at risk for moral distress and compassion fatigue, leading to factors associated with nurse burnout, as well as the resulting decreased ability to provide compassionate patient care. Moral distress is stress that occurs in situations when one knows the right course of action but is unable to carry it out due to institutional constraints. Accompanying moral distress, compassion fatigue is a feeling that results from the inability to protect or heal a patient that leads to stress and self-blame (Mattioli, Walters, & Cannon, 2018). The most commonly reported causes of moral distress surround futility of care, lack of autonomy, and institutional constraints. The experience of moral distress leads to depersonalization of care, diminished interprofessional collaboration, and increased emotional distress within the nursing profession. Although not many interventions have been put in place or tested to address moral distress, common themes involve harboring constructive interprofessional communication, “offering critical stress debriefings” (Browning & Cruz, 2018), and involving all aspects of the care team in decision making including nurses, patients, and families (Pishgooie et al.,2018).
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