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Influence of moral distress on the professional practice environment during prognostic conflict in critical care. J Trauma Nurs 2011 Oct-Dec;18(4):221-30

Date

12/14/2011

Pubmed ID

22157530

DOI

10.1097/JTN.0b013e31823a4a12

Scopus ID

2-s2.0-84860241548   37 Citations

Abstract

Study purpose was to describe critical care nurses' levels of moral distress and the effects of that distress on their professional practice environment. A descriptive, correlational, prospective, survey design was used. The intensity of moral distress was inversely related to physician/nurse collegial relationships and the frequency of moral distress was inversely related to all aspects of the professional practice environment except foundations for quality of care. It is important to monitor the frequency of moral distress. Strategies to improve the nurse's sense of control over practice, teamwork, communication, and autonomy need to be developed and tested in future research.

Author List

McAndrew NS, Leske JS, Garcia A

Author

Natalie McAndrew PhD, RN, ACNS-BC, CCRN Assistant Professor in the College of Nursing department at University of Wisconsin - Milwaukee




MESH terms used to index this publication - Major topics in bold

Attitude of Health Personnel
Burnout, Professional
Conflict (Psychology)
Critical Care
Female
Health Care Surveys
Humans
Interprofessional Relations
Male
Moral Obligations
Nurse's Role
Nursing Staff, Hospital
Occupational Health
Professional Practice
Prospective Studies
Quality of Health Care
jenkins-FCD Prod-388 89e904233d719332173309c68ab82b0b2a78a3a7