Moral distress among undergraduate nursing students in clinical practice: A scoping review.

IF 2.9 1区哲学 Q1 ETHICS

Nursing Ethics Pub Date : 2024-10-14 DOI:10.1177/09697330241287856

Sara Soares Dos Santos, Simone de Godoy, Agostinho Ac Araújo, Diego Santiago Montandon, Ítalo Rodolfo Silva, Chris Gastmans, Isabel Amélia Costa Mendes

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引用次数: 0

Abstract

Background: The ethical challenges faced by undergraduate nursing students and nurses may lead to moral distress, negatively affecting learning capacity and self-confidence and potentially influencing the quality of patient care. Objective: To examine the state of knowledge regarding the moral distress among undergraduate nursing students during clinical practice. Methods: This scoping review followed JBI guidelines. First, the LILACS, Web of Science, Scopus, CINAHL, PubMed/MEDLINE, PsycINFO, Embase, and ProQuest databases were consulted. Next, the reference lists of the studies included in the sample were checked. Studies exploring moral distress among undergraduate nursing students during clinical practice were included regardless of language or date of publication. Two independent reviewers simultaneously selected the studies. Results: The sample included 12 articles with different research designs. Three conditions that trigger moral distress among undergraduate nursing students emerged: Interpersonal relationships between students and preceptors/supervisors and multidisciplinary teams; interpersonal relationships between students and patients; and the relationship between students and health services. Conclusions: This review identified the various circumstances that lead to moral distress among undergraduate nursing students. Therefore, these results highlight the importance of preventing moral distress in this group through teaching, especially before students begin their clinical practices.

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护理本科生在临床实践中的道德困扰：范围综述。

背景：护理本科生和护士面临的伦理挑战可能会导致道德困扰，对学习能力和自信心产生负面影响，并可能影响病人护理质量。研究目的研究有关护理本科生在临床实践中的道德困扰的知识状况。方法：本次范围界定综述遵循 JBI 指南。首先，查阅了 LILACS、Web of Science、Scopus、CINAHL、PubMed/MEDLINE、PsycINFO、Embase 和 ProQuest 数据库。然后，检查了样本中包含的研究的参考文献列表。不论语言或发表日期，均纳入了探讨本科护生在临床实践中的道德困扰的研究。两名独立审稿人同时对研究进行筛选。结果样本包括 12 篇不同研究设计的文章。研究发现，有三种情况会引发护理专业本科生的道德困扰：学生与实习导师/督导和多学科团队之间的人际关系；学生与患者之间的人际关系；学生与医疗服务机构之间的关系。结论：本综述确定了导致护理本科生道德困扰的各种情况。因此，这些结果强调了通过教学（尤其是在学生开始临床实践之前）预防该群体出现道德困扰的重要性。

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 Ethics 医学-护理

CiteScore

7.80

自引率

11.90%

发文量

117

审稿时长

6-12 weeks

期刊介绍： Nursing Ethics takes a practical approach to this complex subject and relates each topic to the working environment. The articles on ethical and legal issues are written in a comprehensible style and official documents are analysed in a user-friendly way. The international Editorial Board ensures the selection of a wide range of high quality articles of global significance.