Medical College of Wisconsin
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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



Pubmed ID




Scopus ID

2-s2.0-84860241548   41 Citations


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


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
Critical Care
Health Care Surveys
Interprofessional Relations
Moral Obligations
Nurse's Role
Nursing Staff, Hospital
Occupational Health
Professional Practice
Prospective Studies
Quality of Health Care
jenkins-FCD Prod-467 7c8a156729bba74d775d9c546792cde315827259