Moral distress in critical care nursing practice: A concept analysis.

IF 2.2 Q1 NURSING

NURSING FORUM Pub Date : 2022-11-01 DOI:10.1111/nuf.12786

Samantha Cooke, Richard Booth, Kimberley Jackson

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引用次数: 1

Abstract

Aim: To provide a critical analysis of the concept of moral distress (MD) in critical care (CC) nursing.

Background: Despite extensive inquiry pertaining to the legitimacy of MD within nursing discourse, some authors still question its relevancy to the profession. However, amid the global COVID-19 pandemic, MD is generating a significant amount of discussion anew, warranting the further exploration of the concept within CC nursing to provide clarity and expand on the definition.

Design: Rodger's Evolutionary Concept Analysis method was used to guide this analysis.

Methods: Related terms, attributes, antecedents, and consequences of MD were identified using current literature.

Results: The results of this analysis demonstrate strong congruence between the attributes, antecedents, and negative consequences pertaining to MD. However, a new theme has emerged from this review of the contemporary literature, highlighting the potential unexpected positive outcomes perceived by nurses who experience MD, including the provision of better care, increased levels of empathy, and enhanced opportunities for ethical reflection.

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危重病护理实践中的道德困境:概念分析。

目的:对危重病护理中道德困扰(MD)的概念进行批判性分析。背景:尽管对医学博士在护理话语中的合法性进行了广泛的调查，一些作者仍然质疑其与专业的相关性。然而，在全球COVID-19大流行的背景下，MD再次引发了大量讨论，需要进一步探索CC护理中的概念，以提供清晰和扩展定义。设计:Rodger的进化概念分析方法被用来指导这个分析。方法:利用现有文献识别MD的相关术语、属性、前因和后果。结果:本分析的结果表明，医学博士的属性、前因和负面后果之间存在强烈的一致性。然而，从当代文献的回顾中出现了一个新的主题，强调了经历医学博士的护士所感知到的潜在的意想不到的积极结果，包括提供更好的护理、提高同理心水平和增加道德反思的机会。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

NURSING FORUM NURSING-

CiteScore

4.90

自引率

4.20%

发文量

151

期刊介绍： Nursing Forum is a peer-reviewed quarterly journal that invites original manuscripts that explore, explicate or report issues, ideas, trends and innovations that shape the nursing profession. Research manuscripts should emphasize the implications rather than the methods or analysis. Quality improvement manuscripts should emphasize the outcomes and follow the SQUIRE Guidelines in creating the manuscript. Evidence-based manuscripts should emphasize the findings and implications for practice and follow PICOT format. Concept analysis manuscripts should emphasize the evidence for support of the concept and follow an accepted format for such analyses.