Influence of moral distress on the professional practice environment during prognostic conflict in critical care. J Trauma Nurs 2011;18(4):221-30
Date
12/14/2011Pubmed ID
22157530DOI
10.1097/JTN.0b013e31823a4a12Scopus ID
2-s2.0-84860241548 (requires institutional sign-in at Scopus site) 61 CitationsAbstract
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 AAuthor
Natalie McAndrew PhD, RN, ACNS-BC, CCRN Assistant Professor in the College of Nursing department at University of Wisconsin - MilwaukeeMESH terms used to index this publication - Major topics in bold
Attitude of Health PersonnelBurnout, Professional
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
