Eileen T. Lake PhD, RN, FAAN , Jessica G. Smith PhD, RN , Jeannette A. Rogowski PhD , Emily Cramer PhD , Vaneh Hovsepian PhD, RN , Hal Chen MS , Nehemiah Weldeab MPH , Connie Ulrich PhD, RN, FAAN
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Nurses’ moral distress and leadership communication in hospitals serving Black patients during COVID-19
Background
Poorer leadership communication during COVID-19 may have contributed to the moral distress of nurses in hospitals where Black patients predominantly access their care (BSH).
Purpose
To compare nurse moral distress and leadership communication during the COVID-19 pandemic in hospitals that serve disproportionately many or few patients of Black race.
Methods
In a national hospital sample (n = 90), nurse survey data were collected (March 2021). Nurse moral distress was analyzed in linear regression models. The key covariates were BSH category (Medicare Black patient percentage) and leadership communication.
Discussion
Nurses in high-BSH had significantly greater moral distress and more difficulty accessing personal protective equipment than nurses in low-BSH. The percentage of nurses in high-BSHs with high moral distress was double that of nurses in low-BSHs. Poorer leadership communication in BSHs accounted for the nurses’ greater moral distress.
Conclusion
Policies should improve leadership communication, mitigate distress, and support nurses in under-resourced settings.
期刊介绍：
Nursing Outlook, a bimonthly journal, provides innovative ideas for nursing leaders through peer-reviewed articles and timely reports. Each issue examines current issues and trends in nursing practice, education, and research, offering progressive solutions to the challenges facing the profession. Nursing Outlook is the official journal of the American Academy of Nursing and the Council for the Advancement of Nursing Science and supports their mission to serve the public and the nursing profession by advancing health policy and practice through the generation, synthesis, and dissemination of nursing knowledge. The journal is included in MEDLINE, CINAHL and the Journal Citation Reports published by Clarivate Analytics.
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