A Qualitative Phenomenological Study on Moral Distress and the Nursing Student During the COVID-19 Pandemic PDF Download
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Author: Alan Peter Howard
Publisher:
ISBN:
Category : COVID-19 Pandemic, 2020-
Languages : en
Pages : 187
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Book Description
The purpose of this phenomenological study was to explore the phenomenon of moral distress on nursing students who engaged in clinical experiences during the COVID-19 pandemic. This research study was supported by Jean Watson’s theory of human caring (Watson, 2006) as it explained the relationship between a nursing students’ provision of care and the moral dilemma and potential moral distress related to threats to that care. This study was also presented within the conceptual framework of Patricia Benner’s model from novice to expert (Benner, 1984). Within this framework, the nursing student as novice may not have the skills or experience necessary to adequately deal with care related stressors, and therefore may be at higher risk for developing moral distress. This study was guided by the central research question: As described by participants, what is the lived experience of moral distress for nursing student’s during the COVID-19 pandemic? Participants were nursing students enrolled in a program of study enabling the participant to sit for the registered nurse state examination, and who had engaged in clinical nursing experiences during the COVID-19 pandemic. Data collection was via interview, journal entries, and artifact documents in the form of photographs or images with accompanying explanatory text. Five themes emerged from data analysis: compromised caring, mixed messages, personal perceptions, coping during COVID-19, and fearful future. Implications from findings were discussed, and recommendations for policy, practice, and future study were provided.
Author: Alan Peter Howard
Publisher:
ISBN:
Category : COVID-19 Pandemic, 2020-
Languages : en
Pages : 187
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Book Description
The purpose of this phenomenological study was to explore the phenomenon of moral distress on nursing students who engaged in clinical experiences during the COVID-19 pandemic. This research study was supported by Jean Watson’s theory of human caring (Watson, 2006) as it explained the relationship between a nursing students’ provision of care and the moral dilemma and potential moral distress related to threats to that care. This study was also presented within the conceptual framework of Patricia Benner’s model from novice to expert (Benner, 1984). Within this framework, the nursing student as novice may not have the skills or experience necessary to adequately deal with care related stressors, and therefore may be at higher risk for developing moral distress. This study was guided by the central research question: As described by participants, what is the lived experience of moral distress for nursing student’s during the COVID-19 pandemic? Participants were nursing students enrolled in a program of study enabling the participant to sit for the registered nurse state examination, and who had engaged in clinical nursing experiences during the COVID-19 pandemic. Data collection was via interview, journal entries, and artifact documents in the form of photographs or images with accompanying explanatory text. Five themes emerged from data analysis: compromised caring, mixed messages, personal perceptions, coping during COVID-19, and fearful future. Implications from findings were discussed, and recommendations for policy, practice, and future study were provided.
Author: Eric Vermetten
Publisher: Frontiers Media SA
ISBN: 2832515185
Category : Medical
Languages : en
Pages : 155
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Book Description
Author: Jonathan Ives
Publisher: Cambridge University Press
ISBN: 1316849074
Category : Law
Languages : en
Pages : 416
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Book Description
Bioethics has long been accepted as an interdisciplinary field. The recent 'empirical turn' in bioethics is, however, creating challenges that move beyond those of simple interdisciplinary collaboration, as researchers grapple with the methodological, empirical and meta-ethical challenges of combining the normative and the empirical, as well as navigating the difficulties that can arise from attempts to transcend traditional disciplinary boundaries. Empirical Bioethics: Theoretical and Practical Perspectives brings together contributions from leading experts in the field which speak to these challenges, providing insight into how they can be understood and suggestions for how they might be overcome. Combining discussions of meta-ethical challenges, examples of different methodologies for integrating empirical and normative research, and reflection on the challenges of conducting and publishing such work, this book will both introduce the novice to the field and challenge the expert.
Author: Marsha Diane Mary Fowler
Publisher:
ISBN: 9781558106031
Category : Nursing ethics
Languages : en
Pages : 0
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Book Description
"An essential resource for nursing classrooms, in-service training, workshops and conferences, self-study, and wherever nursing professionals use ANA's Code of Ethics for Nurses with Interpretive Statements in Their Daily Practice" -- Page four of cover.
Author: Haibo Yang
Publisher: Frontiers Media SA
ISBN: 2832524834
Category : Medical
Languages : en
Pages : 445
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Book Description
Author:
Publisher:
ISBN:
Category : COVID-19 Pandemic, 2020-
Languages : en
Pages : 0
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Book Description
The COVID-19 pandemic has brought rapid changes, increased stress, and ethical challenges to nurses across the globe. These factors may place nurses at increased risk for developing moral distress and substance use disorder. This stress can also increase nurse vulnerability to substance use. Previously there was little evidence about the rates of moral distress and substance use disorder among nurses during the COVID-19 pandemic. The primary objective of this evidence-based project was to describe levels of moral distress and substance use among nurses in a community hospital during the COVID-19 pandemic and to make recommendations for interventions to improve nurse wellbeing and patient safety based on findings. An online survey, consisting of demographic questions, the Measure of Moral Distress in Healthcare Professional Tool, the Alcohol Use Disorder Identification Tool, the Drug Use Screening Tool-10 items 1 and 2, and a single item asking about amount of time caring for COVID-19 patients was sent to inpatient and emergency department nurses working at a rural, community hospital. Frequency statistics and measures of central tendency are used to describe the rates of moral distress, substance use disorder risk for alcohol and drugs, and time spent caring for patients with COVID-19. A total of 57 nurses completed the survey. Nurses were found to be experiencing various levels of moral distress, with the collective group experiencing scores in the middle of the moral distress range. One-third of the nurses reported an intention to leave their position due to moral distress. In addition, a third of nurses who participated in the survey reported risky alcohol use, while 5.3% reported harmful alcohol use. Fully 21.1% of nurses reported using illicit substances, while 5.3% reported using illicit substances daily or nearly daily. Given the literature on the crescendo effect of moral distress and the nature of substance use disorder, the lasting effects to nurses during the COVID-19 pandemic will be important to the profession for years to come. Nursing leadership must commit to implementing resources to help prevent and care for nurses who experience moral distress and substance use disorder.Keywords: Moral distress, substance use disorder, substance misuse, COVID-19
Author: Cynda Hylton Rushton
Publisher: Oxford University Press
ISBN: 0190619295
Category : Medical
Languages : en
Pages : 321
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Book Description
Suffering is an unavoidable reality in health care. Not only are patients and families suffering but also the clinicians who care for them. Commonly the suffering experienced by clinicians is moral in nature, in part a reflection of the increasing complexity of health care, their roles within it, and the expanding range of available interventions. Moral suffering is the anguish that occurs when the burdens of treatment appear to outweigh the benefits; scarce human and material resources must be allocated; informed consent is incomplete or inadequate; or there are disagreements about goals of treatment among patients, families or clinicians. Each is a source of moral adversity that challenges clinicians' integrity: the inner harmony that arises when their essential values and commitments are aligned with their choices and actions. If moral suffering is unrelieved it can lead to disengagement, burnout, and undermine the quality of clinical care. The most studied response to moral adversity is moral distress. The sources and sequelae of moral distress, one type of moral suffering, have been documented among clinicians across specialties. It is vital to shift the focus to solutions and to expanded individual and system strategies that mitigate the detrimental effects of moral suffering. Moral resilience, the capacity of an individual to restore or sustain integrity in response to moral adversity, offers a path forward. It encompasses capacities aimed at developing self-regulation and self-awareness, buoyancy, moral efficacy, self-stewardship and ultimately personal and relational integrity. Clinicians and healthcare organizations must work together to transform moral suffering by cultivating the individual capacities for moral resilience and designing a new architecture to support ethical practice. Used worldwide for scalable and sustainable change, the Conscious Full Spectrum approach, offers a method to solve problems to support integrity, shift patterns that undermine moral resilience and ethical practice, and source the inner potential of clinicians and leaders to produce meaningful and sustainable results that benefit all.
Author: Katherine Merchent Johnson
Publisher:
ISBN:
Category : Nursing students
Languages : en
Pages : 44
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Book Description
The purpose of this senior honors thesis was to obtain descriptive data about the moral distress experienced by nursing students during clinical rotations in nursing school. This senior honors thesis is significant to nursing because, although moral distress is a well-researched topic, little to no information has been gathered regarding moral distress among the nursing student sub-culture. Nursing students are likely one of the most important groups in which moral distress needs to be explored, because experiencing it could lead to fewer people wanting to become a part of the nursing profession. The research design used quantitative methodology. The approach was a descriptive survey, with the survey being developed by the researcher. The nursing students' perspectives were evaluated by asking questions about the student's experiences in the clinical setting with faculty, health care providers within the hospital, and fellow students. The survey contained 25 questions. Twenty-four students signed consents to complete the survey in the graduating classes of Fall 2016 and Spring 2016. Twenty-two students responded and completed the survey. It was found that although only 9 of 22 students answered that they had experienced moral distress, more than half of the students answered yes to questions that focused on ethics-related experiences they had encountered. Also, more than half indicated unpleasant symptoms experienced after witnessing an unethical action, which typically might be described as moral distress. It was found that the nurses employed by the organizations were the main group that were perceived to be practicing unethically. --Page iv.
Author: Mohammadreza Shalbafan
Publisher: Frontiers Media SA
ISBN: 2832550568
Category : Medical
Languages : en
Pages : 708
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Book Description
The COVID-19 outbreak has impacted many areas of our lives, including mental health. Lockdown and physical distancing measures have been one major effective intervention to counter the spread of the virus and reduce the impact of the disease. However, they have negatively impacted mental well-being and behaviors, either triggering the onset of new psychiatric symptoms and diseases or amplifying pre-existing ones. The pandemic and lockdown measures have also been associated with reduced access to treatment and facilities all over the world, further worsening mental health outcomes. The impact on mental health, although universal, varied between nations. Cultural and societal variables, including norms, values, religion, and stigma have played an important role in shaping COVID-19-related mental health symptoms, including anxiety, depression, grief, psychosis, and addiction. These sociocultural factors have also molded how mental health interventions are tailored and provided. Highlighting the intertwining relationship between the pandemic, mental health, and sociocultural factors are essential to managing emerging mental health symptoms adequately.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309145449
Category : Medical
Languages : en
Pages : 436
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Book Description
Collaborations of physicians and researchers with industry can provide valuable benefits to society, particularly in the translation of basic scientific discoveries to new therapies and products. Recent reports and news stories have, however, documented disturbing examples of relationships and practices that put at risk the integrity of medical research, the objectivity of professional education, the quality of patient care, the soundness of clinical practice guidelines, and the public's trust in medicine. Conflict of Interest in Medical Research, Education, and Practice provides a comprehensive look at conflict of interest in medicine. It offers principles to inform the design of policies to identify, limit, and manage conflicts of interest without damaging constructive collaboration with industry. It calls for both short-term actions and long-term commitments by institutions and individuals, including leaders of academic medical centers, professional societies, patient advocacy groups, government agencies, and drug, device, and pharmaceutical companies. Failure of the medical community to take convincing action on conflicts of interest invites additional legislative or regulatory measures that may be overly broad or unduly burdensome. Conflict of Interest in Medical Research, Education, and Practice makes several recommendations for strengthening conflict of interest policies and curbing relationships that create risks with little benefit. The book will serve as an invaluable resource for individuals and organizations committed to high ethical standards in all realms of medicine.
