Moral distress in workers Nursing of a philanthropic hospital
DOI:
https://doi.org/10.33448/rsd-v9i8.5391Keywords:
Nursing; Nursing team; Ethics; Morale; Occupational health.Abstract
Aimed to investigate the frequency and intensity of moral distress in nursing workers in a philanthropic hospital. Cross-sectional study, carried out with 177 nursing workers from a philanthropic hospital. An instrument was used with data sociodemographic, labor and the scale Moral Distress Scale-Revised. For data analysis, descriptive statistics were used. The average intensity of moral distress experienced by the nursing team ranged from 1.32 to 2.12, while the frequency varied from 0.52 to 2.08. Higher averages were evidenced in situations that involved following the family's wishes to maintain life and therapeutic obstinacy. Global moral distress had an average frequency and intensity of 67.83. It is concluded that nursing workers presented low to moderate moral distress.
References
Barlem, E. L. D. (2014). Formação profissional do enfermeiro e desafios éticos da profissão. Rev Rene,15(5),731. DOI: dx.doi.org/10.15253/21756783.2014000500001
Barlem, E. L. D., & Ramos, F. R. S. (2015). Constructing a theoretical model of moral distress. Nurs Ethics, 22(5), 608-15. DOI: dx.doi.org/10.1177/096973301455159
Bresolin, J. Z., et al. (2016). Validade e confiabilidade do Moral Distress Scale Adaptado em
uma amostra de enfermeiros. Rev. Enferm. Foco, 7(1),81-86. DOI: https://doi.org/10.21675/2357-707X.2016.v7.n1.673
CNES. Cadastro Nacional de Estabelecimento de Saúde.Consulta estabelecimento – identificação. [Internet]. Disponível em: http://cnes.datasus.gov.br/pages/ estabelecimentos/ficha/identificacao/4300402248328. Acesso em: 06 de maio de 2018.
Corley, M. C. et al. (2001). Development and evaluation of a moral distress scale. J Adv Nurs., 33(2),250-256. DOI: https://doi.org/10.1111/j.1365-2648.2001.01658.x
Costa, M. R., et al. (2017). Moral suffering of nurses, in end-of-life situations, in intensive therapy units. Rev enferm UFPE on line, 11(9),3607-16. DOI: 10.5205/reuol.10620-94529-1-SM.1109sup201714
Dalmolin, G. L., et al. (2014). Nurses, nursing technicians and assistants: who experiences more moral distress?. Rev. Esc. Enferm USP, 48(3),521-29. DOI: dx.doi.org/10.1590/S0080-623420140000300019
Hamric, A. B., Borchers, C., & Epstein, E. G. (2012) Development and Testing of an Instrument to Measure Moral Distress in Healthcare Professionals. AJOB Primary Research, 3(2),1–9. DOI: dx.doi.org/10.1080/21507716.2011.652337
Hiler, C. A., et al. (2018). Predictors of Moral Distress in a US sample of critical care nurses. Am J Crit Care, 27(1),59-66. DOI: dx.doi.org/10.4037/ajcc2018968
Jameton, A. (2013). A Reflection on Moral Distress in Nursing Together With a Current application of the Concept. J Bioeth Inq., 10(3),297-308. DOI: 10.1007/s11673-013-9466-3
Nia, H. S., et al. (2017). A second-order confirmatory factor analysis of the Moral Distress Scale-Revised for nurses. Nurs Ethics, 20(10),1–12. DOI: dx.doi.org/10.1177/0969733017742962
Nora, C. R. D., Zaboli, E., & Vieira, M. (2017). Moral sensitivity of nurses assessed through scoping review. Cogitare Enferm, 22(2:e47162), 1-10. DOI: http://dx.doi.org/10.5380/ce.v22i1.47162
Ramos, A. M., et al. (2017). Cross-cultural adaptation and validation of the Moral Distress Scale-Revised for nurses. Rev. Bras. Enferm., 70(5),1011-1017. DOI: http://dx.doi.org/10.1590/0034-7167-2016-0518.
Ramos, F. R., et al. (2016). Effects of moral distress on nurses: integrative literature review. Cogitare Enferm., 21(2),01-13. DOI: http://dx.doi.org/10.5380/ce.v21i2.45247
Schaefer, R., &Vieira, M. (2015). Ethical competence as a coping resource for moral distress in nursing. Texto contexto - enferm., 24(2),563-573. DOI: http://dx.doi.org/10.1590/0104-07072015001032014.
Schaefer, R., Zoboli, E. L. C. P., & Vieira, M. (2018). Sofrimento moral em enfermeiros:
descrição do risco para profissionais. Texto contexto - enferm., 27(4), e4020017.
DOI: http://dx.doi.org/10.1590/0104-07072018004020017
Silva, V. N., Santos, G. R., & Durães, S. J. A. (2017). Trabalho: dimensões, significados e ampliação do conceito. Revista Ibero-Americana Estudos em Educação, 12(2),739-754. DOI: http://dx.doi.org/10.21723/riaee.v12.n2.8356
Streiner, D. L., Norman, G. R. (2015). Health measurement scales a practical guide to their development and use. 5 thed. United Kingdom: Oxford University Press.
Whitehead, P. S. et al. (2015). Moral Distress among healthcare professionals: report of an institution-wide survey. J Nurs Scholarship, 47(2),117-25. DOI: dx.doi.org/10.1111/jnu.12115
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