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Dissertations / Theses on the topic 'Moral distress'

Author: Grafiati
Published: 4 June 2021
Last updated: 26 July 2025

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1

Haddad, Lisa, and Sharon Bigger. "Radiology Nursing Ethics and Moral Distress." Digital Commons @ East Tennessee State University, 2020. https://dc.etsu.edu/etsu-works/8511.

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Ethics in health care is a topic that has been around since ancient times. It was the basis for the Hippocratic Oath. With the development of modern nursing and specialties in nursing, ethics in nursing becomes an important topic for consideration. This article gives an overview of the history of ethics, with particular considerations to nursing ethics. It provides an overview of moral distress within nursing and how ethical decisions affect care. It also provides examples of ethics within radiology nursing.
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2

Willis, Martin E. H. "Moral decisions, moral distress, and the psychological health of nurses." Thesis, Loughborough University, 2015. https://dspace.lboro.ac.uk/2134/16817.

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The major focus of this thesis is the role of feelings and emotions in moral thinking/knowing, ethical conduct and, in particular, moral distress in nursing. Research has consistently found that the moral decisions nurses must make can sometimes lead to distress. However, such experiences are overly individualised in the literature. An alternative view of the person, drawing on the philosophy of Alfred North Whitehead (e.g. 1927-8/1978) and the recent work of Paul Stenner (e.g. 2008), sees human subjectivity or mind as processual and always embodied and in-the-world. The emphasis upon the body
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3

Allen, Rose. "Addressing moral distress in critical care nurses." NSUWorks, 2015. https://nsuworks.nova.edu/hpd_con_stuetd/17.

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4

Baxter, Marian. ""Being certain": Moral distress in critical care nurses." VCU Scholars Compass, 2012. http://scholarscompass.vcu.edu/etd/2939.

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Published literature has focused on understanding moral distress from a descriptive standpoint. Missing from the literature is an exploration of the role a nurse can play in his/her/own moral distress.A qualitative study with an interpretive design incorporated Clandinin and Connelly' narrative methodology. Results highlighted assumptions were made by participants in the absence of resources, which led them to" know the right action to take" from their own perspective.
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5

Porling, Anna-Maria, and Anna Hemlin. "Moral distress och dess konsekvenser för sjuksköterskans yrkesutövning : Littersturstudie." Thesis, University of Gävle, Department of Caring Sciences and Sociology, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-374.

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<p>The aim of the present literature study was to describe the significant factors contributing to the development of moral distress and the consequences of moral distress can lead to in the nurse profession. A literature search was performed in the databases Medline through PubMed and Academic Search Elite on the basis of in advanced defined criterions. A total of 19 articles was reviewed and included in the study. The main result revealed that nurses experience moral distress and that it is frequent within the nurse profession. The findings revealed that there seem to be several significant
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6

Forozeiya, Dana. "Critical Care Nurses’ Experiences of Coping with Moral Distress." Thesis, Université d'Ottawa / University of Ottawa, 2017. http://hdl.handle.net/10393/35894.

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Over the last three decades, there has been a growing body of literature that has described moral distress as a prominent issue that negatively affects critical care nurses. However, little focus has been given to how nurses cope and continue on in their practice despite the hardship that moral distress can cause. This study sought to reveal nurses’ strategies of coping with moral distress to allow for a better understanding of this aspect of critical care nurses’ experiences. This study adopted a qualitative design that used Thorne’s (2008) approach to interpretative description. Face-to-face
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7

Mullen, Jenniffer Lynn. "Impact of End-of-Life Education on Nurses' Moral Distress." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/6071.

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Moral distress is a state of concern or anxiety that occurs when there is a correct action to take but an individual's ability to take that action is constrained in some way. Nurses, especially those who work in intensive care units (ICUs), may struggle with moral distress due to feelings of futility when caring for end-of-life patients. The purpose of this 1-group pretest-posttest quasi-experimental study, guided by Lazarus's theory of stress, coping, and adaptation, was to determine whether End-of-Life Nursing Education Consortium (ELNEC) education reduces moral distress in ICU nurses caring
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8

Jackson, Vincent Patrick. "Inescapable Wrongdoing and the Coherence of Morality: An Examination of Moral Dilemmas." Thesis, Virginia Tech, 2009. http://hdl.handle.net/10919/32871.

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In this thesis, I propose an argument against the possibility of moral dilemmas, which I construe as situations in which moral wrongdoing is inescapable. The first chapter addresses some terminological matters and attempts to sort out the main issues of contention between proponents and opponents of moral dilemmas. The second chapter lays out my argument, which I dub the â Argument from Action-Guidingness,â against proponents of moral dilemmas. Negative moral judgments of the sort â X is wrongâ typically carry with them the implication that X ought not to be done. If judgments of wron
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9

Altman, Marian. "A Biobehavioral Approach to Examining Moral Distress in Critical Care Nurses." VCU Scholars Compass, 2017. https://scholarscompass.vcu.edu/etd/5148.

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Moral distress is a complex and challenging problem that may cause negative biopsycohosical and professional outcomes for critical care nurses. The purpose of this work was to explore the relationship between the ethical climate of the work environment and moral distress as experienced by critical care nurses; and to explore relationships among mediators of stress (nurse characteristics e.g. education (BSN, nonBSN), years certified as a critical care nurse, and tolerance of ambiguity) and their relationship with perceived stress, moral distress, health status and salivary alpha amylase. A desc
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10

Bradshaw, Trevor. "Canadian Forces Military Nursing Officers And Moral Distress: A Grounded Theory Approach." Thesis, University of Ottawa (Canada), 2010. http://hdl.handle.net/10393/28839.

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Background: Deployed military nurses frequently experience moral dilemmas in their delivery of care, putting them at risk to suffer moral distress. Purpose: The purpose of this study was to understand the experience of deployed Canadian Forces nurses and moral distress. Methods: A grounded theory approach provided the framework for the study's design and data analysis. Semi-structured interviews were conducted with ten nurses previously deployed on combat or humanitarian missions. Findings: A new Moral Distress Model was developed reflecting four contributing factors to the development of mora
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11

Sikerbol, Catherine Ann. "Relational Equality or Moral Distress? How Managers Make Sense of Speaking Up." Thesis, Fielding Graduate University, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10817663.

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<p> Much of the research on employee voice has focused on voice as a property of the individual, emphasizing the characteristics of front line, individual employees, and leader behaviour that enables or constrains voice. This qualitative study explored the lived experience of mid-level managers speaking up to their supervisors with the aim of understanding how managers experience and make sense of speaking up in the workplace, and the relational and contextual factors that enable or constrain voice. </p><p> Semi-structured interviews were conducted with 17 senior and mid-level academic manag
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12

Porter, Rebecca Blanche. "Nurse managers' moral distress in the context of the hospital ethical climate." Diss., University of Iowa, 2010. https://ir.uiowa.edu/etd/2758.

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Moral distress is a negative emotional and somatic response to external constraints on moral action. The constraints are typically identified as a component of the work environment, called the ethical climate. Moral distress is identified as a primary reason for job attrition by up to one-quarter of registered nurses who leave their jobs. One strategy suggested to staff nurses who experience moral distress is to consult their Nurse Manager (NM). However, the moral distress of NMs who are employed in acute care hospitals is poorly understood. The purpose of this qualitative study was to examine
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Wojtowicz, Bernadine. "Moral distress during psychiatric clinical placements : perspectives of nursing students and their instructors." Thesis, Lethbridge, Alta. : University of Lethbridge, Faculty of Health Sciences, c2012, 2012. http://hdl.handle.net/10133/3240.

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The purpose of this study is to gain a richer understanding of the experiences of moral distress for nursing students within the context of psychiatric-mental health clinical placements, examine strategies students use to effectively manage distress, and explore student and instructor roles as agents of change to reduce the negative impact of moral distress. Nursing students and instructors engaged in semi-structured interviews and focus groups, respectively, to examine the complexities of this phenomenon. This study utilized second-person action research based on Jürgen Habermas’ Theory of Co
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14

Cummings, Cynthia L. "The Effect of Moral Distress on Nursing Retention in the Acute Care Setting." UNF Digital Commons, 2009. http://digitalcommons.unf.edu/etd/371.

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This descriptive study explored the relationship between moral distress, professional stress and intent to stay in the hospital setting. The study involved 234 nursing participants and was conducted via an online survey over a 90 day period. The survey tool consisted of 51 items taken from known moral distress, professional stress and intent to stay tools. The items were divided into frequency and intensity of occurrence. Various statistical measures were utilized to conclude that moral distress and professional stress factors were significant (p
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15

Morley, Georgina. "What is 'moral distress' in nursing and how should we respond to it?" Thesis, University of Bristol, 2018. http://hdl.handle.net/1983/08e7e5ca-14f6-443d-91a2-b50d4cd00cbc.

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Within this thesis, I explore the concept of ‘moral distress’ in nursing using both theoretical and empirical methods. Using a feminist empirical bioethics methodology, I explore issues of voice, power, responsibility and relationships and the way in which these impact nurses’ experiences of moral distress. I present qualitative data from interviews with 21 critical care nurses in which they describe different moral events that caused them to feel the various emotions of ‘distress’. Using the empirical findings and tort law, I suggest causal criteria which explains the causal story between the
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16

St, Ledger Una. "Moral distress in end-of-life care decisions in the intensive care unit." Thesis, Queen's University Belfast, 2016. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.711907.

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Background: Moral distress is a poorly recognised and understood phenomenon and little is known of the triggering factors in ICU end-of-life decisions. Prior research focused largely on nurses, less was known about doctors’ experiences, and moral distress in relatives was under-investigated. Aim: To identify the triggers and constraints generating moral distress in end-of-life decisions in ICU and the consequences of moral distress for the clinical staff and relatives involved. Methods: A qualitative narrative thematic analysis of in-depth interviews with 20 bereaved relatives and 45 nurses an
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17

Andersson, Sara, and Linnéa Sjögren. "Sjuksköterskan och den moraliska stressen." Thesis, Malmö högskola, Fakulteten för hälsa och samhälle (HS), 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-26850.

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Bakgrund: Den moraliska stressen är ett vanligt förekommande tema inom sjukvården idag och en av de drabbade professionerna är sjuksköterskor. Moralisk stress upplevs av en individ då den upplever att den agerar felaktigt, men på grund av situationen känner sig oförmögen att agera annorlunda. Denna påfrestning kan ha stor påverkan på vården och påverka både patienter och sjuksköterskor mycket negativt. Säker vård är en av sjuksköterskans kärnkompetenser, därmed är undanröjande av den moraliska stressen samt säkerställandet av patientsäkerheten av stor vikt.Syfte: Att belysa sjuksköterskors erf
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18

Lawrence, Lisa Ann. "Work Engagement, Moral Distress, Education Level, and Critical Reflective Practice in Intensive Care Nurses." Diss., The University of Arizona, 2009. http://hdl.handle.net/10150/193772.

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The purpose of this study was to examine how nurses' critical reflective practice, education level, and moral distress related to their work engagement. This is an area of study relevant to nursing, given documented United States Registered Nurse (RN) experiences of job related distress and work dissatisfaction, and the nursing shortage crisis. Nurses are central players in the provision of quality health care. There is need for better understanding of RNs' work engagement and factors that may enhance their work experience. A theoretical framework of critical reflective practice was develop
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19

Silén, Marit. "Encountering ethical problems and moral distress as a nurse : Experiences, contributing factors and handling." Doctoral thesis, Högskolan i Jönköping, Hälsohögskolan, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-16429.

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The aim of this thesis was to explore and describe what nurses find ethically problematic and morally distressing in their work, the factors contributing to the arising of ethically problematic situations and the actions reported taken in order to handle them, thus creating an ethical climate. Descriptive as well as correlational and exploratory designs were employed in the four papers on which this thesis is based. A total of 283 nurses from 21 acute care wards at four Swedish hospitals participated. Interviews were analyzed using qualitative content analysis and the critical incident techniq
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20

Kortje, Jodi-rae. "Canadian Nurse Leaders' Experiences with and Perceptions of Moral Distress: An Interpretive Descriptive Study." Antioch University / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1473624886412243.

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21

Hartranft, Susan R. "The effect of ethical ideology and professional values on registered nurses' intentions to act accountably." [Tampa, Fla.] : University of South Florida, 2009. http://digital.lib.usf.edu/?e14.2844.

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22

Kälvemark, Sporrong Sofia. "Ethical Competence and Moral Distress in the Health Care Sector : A Prospective Evaluation of Ethics Rounds." Doctoral thesis, Uppsala University, Department of Public Health and Caring Sciences, 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-7493.

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<p>Ongoing structural and financial changes in the health care sector have resulted in increased risks for ethical dilemmas and moral distress. It is purported that increased ethical competence will help staff manage ethical dilemmas and hence decrease moral distress. To enhance ethical competence several approaches may be used – theoretical education, and methods focusing on reflection and decision-making abilities.</p><p>Ethics rounds are a widespread systematic method hypothesized to improve ethical competence, nurture a reflective climate, and help in ethical decision-making. Despite its p
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23

Kälvemark, Sporrong Sofia. "Ethical competence and moral distress in the health care sector : a prospective evaluation of ethics rounds /." Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distributör], 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-7493.

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24

Anthin, Katarzyna, and Maria Trygg. "Moralisk stress hos intensivvårdssjuksköterskor." Thesis, Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-25623.

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Intensivvårdssjuksköterskor uttrycker upplevelser av moralisk stress i det dagliga arbetet och detta kan leda till utbrändhet eller behov av att byta yrke då de inte lyckas bemästra sin situation. Studiens syfte var att kartlägga moralisk stress hos intensivvårdssjuksköterskor med hjälp av Moral Distress Scale(MDS). Studien utfördes med en deskreptiv metod av tvärsnittsdesign där 45 sjusköterskor med intensivvårdsutbildning i västsverige tillfrågades att vid ett tillfälle besvara en enkät med en validerad svensköversatt MDS. Resultatet påvisade att det finns signifikant höga nivåer av moralisk
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Schaefer, Rafaela. "Sofrimento moral : avaliação de risco em enfermeiros." Universidade de São Paulo, 2017. http://www.teses.usp.br/teses/disponiveis/7/7141/tde-20092018-172944/.

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O sofrimento moral é descrito na literatura como o sentimento resultante do impedimento à uma ação considerada moralmente apropriada, devido, sobretudo, a obstáculos institucionais, como a falta de recursos e a carga de trabalho. As consequências envolvem sintomas físicos, como mal estar, choro e desordens do sono e sintomas psicológicos, como frustração, impotência e culpa, além de implicações organizacionais, principalmente relacionadas com afastamentos e abandono do emprego. Considerando que o contexto de trabalho pode influenciar na vivência de situações moralmente problemáticas, o objetiv
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Manalo, Mernyll. "THE ROLE OF SELF-COMPASSION IN THE RELATIONSHIP BETWEEN MORAL INJURY AND PSYCHOLOGICAL DISTRESS AMONG MILITARY VETERANS." CSUSB ScholarWorks, 2019. https://scholarworks.lib.csusb.edu/etd/845.

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While there is considerable research linking trauma to psychological distress, such as posttraumatic stress disorder (PTSD), among military populations, some service members may develop other variants of psychological difficulties following exposure to traumatic life events. For example, moral injury, a more recently studied outcome within the field of trauma, is conceptualized to occur when a person perceives their response to a morally challenging situation as a transgression that may lead to an incongruence with their morals producing moral emotions (i.e., shame, guilt, and anxiety; Litz et
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LAMIANI, GIULIA MARTA. "Moral distress among critical care clinicians: Protective factors and consequences on clinicians’ well-being and quality of care." Doctoral thesis, Università degli studi di Pavia, 2017. http://hdl.handle.net/11571/1203381.

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Introduction. Psychological well-being of people working in the helping professions has received increased attention in the last decade. Working in critical care settings, such as Intensive Care Units (ICUs), is especially stressful as it exposes clinicians to high patient morbidity and mortality, challenging work routines, and regular encounters with traumatic and ethical issues. Growing literature highlights that the experience of moral distress, that means not acting accordingly to what one perceives to be ethically right, is relevant among clinicians working in critical care. However, ther
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Schaefer, Rafaela. "Sofrimento moral : avaliação de risco em enfermeiros." Doctoral thesis, Universidade de São Paulo, 2017. http://hdl.handle.net/10400.14/24202.

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O sofrimento moral é descrito na literatura como o sentimento resultante do impedimento à uma ação considerada moralmente apropriada, devido, sobretudo, a obstáculos institucionais, como a falta de recursos e a carga de trabalho. As consequências envolvem sintomas físicos, como mal estar, choro e desordens do sono e sintomas psicológicos, como frustração, impotência e culpa, além de implicações organizacionais, principalmente relacionadas com afastamentos e abandono do emprego. Considerando que o contexto de trabalho pode influenciar na vivência de situações moralmente problemáticas, o objetiv
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Rehnström, Karin, and Pia Sundberg. "Moralisk stress hos sjuksköterskor : en littearturöversikt." Thesis, Högskolan Väst, Avd för vårdutbildningar på grundnivå, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-3476.

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Background: Moral distress is an increasing concern among nurses in their workplace. Previous research has suggested that moral distress is associated with ethical climate and job dissatisfaction. Economic restraints in the organization have led to loss of nurses from the workplace. Aim: To examine nurses experience of moral distress and their causes. Method: The study was a literature review. Twelve articles were used in the study. They had both qualitative and quantitative approaches. The articles were published between 2000-2011. Results: Three themes emerged from the articles: Powerlessnes
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Andersson, Malin, and Sofie Johansson. "Sjuksköterskans upplevelser av moralisk stress : Med maktlöshet i centrum." Thesis, Högskolan i Halmstad, Akademin för hälsa och välfärd, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-28207.

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Sjuksköterskor upplever stora krav och stor belastning i sitt dagliga arbete, dels från patienter, dels från kollegor och dels från sig själva vilket gör att de ofta känner sig otillräckliga. Den stora fysiska och psykiska belastningen leder till att sjuksköterskor känner oro över kvaliteten på vården vilket ger upphov till moralisk stress. Sjuksköterskor upplever moralisk stress i högre grad än andra professioner och är en betydande orsak till att sjuksköterskor avslutar sin anställning. I tidigare forskning har få studier moralisk stress som huvudsyfte. Därför syftar denna allmänna litteratu
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Ekström, David, and Eric Fridjonsson. "Sjuksköterskors upplevelser av etisk stress : En litteraturöversikt." Thesis, Ersta Sköndal högskola, Institutionen för vårdvetenskap, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-5606.

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Bakgrund: Sjuksköterskor förhåller sig till etiska och moraliska värderingar för att kunna ge en etiskt försvarbar vård till sina patienter. Grunden i det etiska vårdandet är att sjuksköterskor använder sina empatiska och sympatiska förmågor. Den etiska förmågan kan påverkas negativt av stress. Stress är ett begrepp med många olika innebörder, en typ av stress som sjuksköterskor utsätts för är den etiska stressen. Den är ofta svårbegriplig och svårhanterbar och uppstår när sjuksköterskor måste göra avkall på sina etiska värderingar. Etisk stress är emotionellt utmanande och kan få många konsek
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Crewe, Crystal Denise. "The Watson Room: Managing Compassion Fatigue in Clinical Nurses on the Front Line." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2531.

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The concept of compassion fatigue (CF) emerged in the early 1990s in North America to explain a phenomenon observed in nurses employed in emergency departments. A precursor to burnout, CF is a well-known phenomenon associated with emotional exhaustion, depersonalization, and an inability to work effectively. In nurses, CF has been shown to reduce productivity, increase staff turnover and sick days, and lead to patient dissatisfaction and risks to patient safety. The aim of this study was to determine if the use of a Watson Room designated as a 'quiet zone' with warm colors on the wall, massage
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Nilsson, Caroline, and Elin Sandgren. "Situationer av moralisk stress hos sjuksköterskor." Thesis, Malmö högskola, Fakulteten för hälsa och samhälle (HS), 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-24520.

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Syfte: Att undersöka i vilka situationer moralisk stress förekom hos sjuksköterskor inom somatisk vård och hur uppfattningen av moralisk stress påverkades av sjuksköterskans ålder och erfarenhet.Bakgrund: Moralisk stress hos sjuksköterskor uppkommer när de vet vad som borde göras, men strukturella, organisatoriska eller ekonomiska faktorer utgör ett hinder för att utföra rätt handling. Effekter av detta kan leda till dålig självkänsla, depression eller att arbetsplatsen lämnas.Metod: En litteraturstudie med granskning och bearbetning av tio kvantitativa vetenskapliga artiklar genomfördes.Resul
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Nyborg, Matilda, and Angelica Olsson. "Att ta den lätta vägen istället för den rätta vägen : En litteraturöversikt över sjuksköterskors upplevelse av etisk stress." Thesis, Högskolan i Jönköping, Hälsohögskolan, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-30202.

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Bakgrund: Etisk stress upplevs av sjuksköterskorna när deras handlingar är moralisk rätta men de blir hindrade av att utföra dessa på grund av reella eller upplevda hinder. När etiska problem uppstår har sjuksköterskorna ICN´s etiska kod att stödja sig på. Sjuksköterskor som var involverade i patientnära vård var mer troliga att uppleva etisk stress. Den etiska stressen kan leda till att sjuksköterskorna lämnar sin profession. Syftet: Syftet med studien var att beskriva sjuksköterskornas upplevelse av etisk stress i omvårdnadsarbetet. Metod: Studien är en kvalitativ litteraturöversikt med indu
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Sandberg, Maria, and Karin Zetterberg. "Contributing and protecting factors to moral distress : A qualitative study amongst nurses meeting patients with HIV/AIDS in primary healthcare in Swaziland." Thesis, Ersta Sköndal högskola, Institutionen för vårdvetenskap, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-3995.

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Background: Swaziland, a country in Sub-Saharan Africa, with an HIV prevalence of 26 % amongst 15-49 year olds. The nurses work conditions are heavily affected by the high prevalence of HIV/AIDS and of the increasing workload. Moral distress can have implications on the nurse’s social, physical, emotional and psychological wellbeing and can also serve as a wake-up call in morally questionable situations. Aim: To describe moral distress among nurses working with people living with HIV/AIDS in Swaziland. Method: A qualitative semi-structured interview study was carried out at two health clinics
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Estes, Joanne P. "Occupational Therapists' Experiences with Ethical and Occupation-based Practice in Hospital Settings." UKnowledge, 2014. http://uknowledge.uky.edu/rehabsci_etds/24.

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Changes in health care delivery practices are impacting the provision of care in all venues. Occupational therapists working in hospital settings strive to meet professional mandates for occupation-based practice within a medical-model system. Ethical practice is another aspect of service provision vulnerable to contextual influences. The aims of the two studies reported here were to explore occupational therapists’ experiences with occupation-based practice, and with ethical issues, in hospital settings. Grounded theory methods were employed for both studies. Data were collected via individua
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Beaty-Edwards, Dawn Tanesha. "ETHICS AT THE BEDSIDE: ADVOCACY FOR THE PATIENT AND THE COST." Master's thesis, Temple University Libraries, 2019. http://cdm16002.contentdm.oclc.org/cdm/ref/collection/p245801coll10/id/563468.

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Urban Bioethics<br>M.A.<br>As a healthcare professional at the bedside, it has been very difficult to advocate for the patient while all parties involved cannot respect what the patient wants. Four out of five Americans do not have an advance directive. The history and court cases that have led the country to make patient’s right to make their own healthcare decisions has been decades in the making, yet still bring daily challenges within the healthcare system. When a patient’s wishes are not being honored, medical futility may lead to moral distress and compassion fatigue. Institutions provid
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Lundström, Erik. "”Kyrkans visselblåsare!” : Diakoners syn på profetiskdiakoni och vad de behöverför att stå på de förtrycktas sida." Thesis, Uppsala universitet, Institutionen för pedagogik, didaktik och utbildningsstudier, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-233326.

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I den här studien intervjuas 13 diakoner i Svenska kyrkan om profetisk diakoni och vadde behöver för att utföra den. Syftet med studien är att undersöka diakoners syn påprofetisk diakoni och dess dilemman, kostnader och utmaningar. Slutsatsen är att diakonerna är mycket positivt inställda till profetisk diakoni, men de harsällan tid att ägna sig åt den – kyrkans struktur och ledarskap komplicerar arbetet. Dessutom upplever diakonerna att deras vigningslöften om att arbeta profetiskt kan varamycket tunga att bära och svåra att leva efter, vilket kan utlösa moralisk stress. Diakonerna vill att d
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Östergren, Jonny, and Gunilla Sjöberg. "Sjuksköterskors upplevelse av moralisk stress : En deskriptiv litteraturstudie." Thesis, Högskolan i Gävle, Avdelningen för vårdvetenskap, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-34278.

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Bakgrund: Stress är vanligt förekommande hos yrkesverksamma sjuksköterskor och nämns som en grundläggande orsak till psykisk ohälsa och ökat antal sjukskrivningar. Arbetsmiljöverket rapporterar in yrkesrelaterad stress som den vanligaste sjukskrivningsorsaken bland vårdpersonal. Moralisk stress definieras som situationer då vi vet vad som är rätt att göra, men institutionella begränsningar gör det i princip omöjligt att göra det rätta. Syfte: Att beskriva sjuksköterskors upplevelser av moralisk stress. Metod: En deskriptiv litteraturstudie med tematisk dataanalysmetod som utgår från 13 vetensk
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Santos, Raíssa Passos dos. "VIVÊNCIAS MORAIS E SOFRIMENTO MORAL DE ENFERMEIROS QUE CUIDAM DE CRIANÇAS COM NECESSIDADES ESPECIAIS DE SAÚDE." Universidade Federal de Santa Maria, 2016. http://repositorio.ufsm.br/handle/1/7470.

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Fundação de Amparo a Pesquisa no Estado do Rio Grande do Sul<br>Introduction: Pediatric nursing practice is becoming increasingly complex, since the profile of Brazilian children is in the process of change, bringing the increase in the number of children with special health care needs. Nurses are professionals with an important knowledge about the best interests of children and families, advocating on behalf of their welfare and are thus inclined to experience moral distress. Aim: The aim of this study was to examine the experiences of moral distress of nurses who care for children with speci
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Bolmvall, Astrid, and Cecilia Mossberg. "Anestesisjuksköterskors upplevelser av att söva oroliga barn." Thesis, Högskolan i Borås, Akademin för vård, arbetsliv och välfärd, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-23178.

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Att söva barn kan vara en utmaning för anestesisjuksköterskan då barn ofta är oroliga inför en operation. Oron kan orsaka lidande hos barnet och väcka ett medlidande hos anestesisjuksköterskan vilket kan orsaka en värdekonflikt mellan önskan att respektera barnets ovilja att sövas och viljan att hjälpa barnet. Syftet med studien var att undersöka anestesisjuksköterskors upplevelser av att söva oroliga barn. Metoden var semistrukturerade intervjuer som sedan analyserades med kvalitativ innehållsanalys med induktiv ansats. Detta ledde fram till fyra kategorier och tio subkategori
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Pillay, Isabella, and Johanna Larsson. "Sjuksköterskors upplevelse av samvetsstress i palliativ vård : en kvalitativ litteraturöversikt." Thesis, Sophiahemmet Högskola, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-4035.

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Bakgrund: Att arbeta som sjuksköterska i palliativ vård innebär bland annat teamarbete, stöd till närstående och symtomlindring till patienter - i en miljö där arbetsbelastning många gånger är hög. Att möta etiskt svåra situationer och tvingas handla emot sina värderingar kan leda till samvetsstress. Syfte: Syftet var att beskriva sjuksköterskors upplevelser av samvetsstress inom palliativ vård. Metod: En kvalitativ litteraturöversikt gjordes, där totalt 16 kvalitativa artiklar ingick. Artiklarna hittades i databaserna PubMed, Cinahl Complete och PsycInfo, där relevanta sökord användes. Artikl
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Aychiluhim, Hanna, and Åsa Stevenson. "Faktorer som leder till etiskt betingad stress och sjuksköterskors hantering av fenomenet i omvårdnadsarbete : En uppsats med inriktning mot vårdetik." Thesis, Ersta Sköndal University College, Department of Health Care Sciences, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-580.

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Baliza, Michelle Freire. "O sofrimento moral nas situações de final de vida em Unidades de Terapia Intensiva pediátrica: desenvolvimento do conceito." Universidade de São Paulo, 2017. http://www.teses.usp.br/teses/disponiveis/83/83131/tde-24092018-154158/.

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Introdução: Apesar de o conceito de sofrimento moral ter sido definido há mais de 30 anos, existe uma variedade de definições sobre o conceito e não há consenso sobre as principais características do fenômeno. Embora essa variação seja comum quando os conceitos são inicialmente explorados, tal variabilidade dificulta substancialmente a construção de um corpo coerente de conhecimento. Objetivo: Desenvolver o conceito de sofrimento moral nas situações de final de vida em unidades de terapia intensiva pediátrica (UTIp) e identificar antecedentes, atributos e consequências do fenômeno. Método: O M
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Arvidsson, Sanna, and Ann Eriksson. "Distriktssköterskans erfarenhet av stress i sitt arbete : - med fokus på moralisk stress." Thesis, Linnéuniversitetet, Institutionen för hälso- och vårdvetenskap (HV), 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-30160.

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Bakgrund: Sjuksköterskor skattar sig att bli stressade av tidsbrist och resursbrist. Moralisk stress uppstår ur dilemman. Dilemmat uppstår när det finns begränsningar i organisationen, konflikter med bedömningar som andra har gjort hindrar en att göra det som egentligen anses riktigt och tankar uppkommer om vad som ska göras istället.   Syfte: Att undersöka distriktssköterskans erfarenhet av stress i sitt arbete på vårdcentral med fokus på moralisk stress.   Metod: En kvalitativ studie med semistrukturerade intervjuer har genomförts med åtta distriktssköterskor och analyserades med manifest kv
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McClure, Anne Carey. "Ritualized Futility via Clinical Momentum at the End of Life in the Intensive Care Unit:An Ethical Inquiry into Moral Distress in Nurses as a Response to a Culturally MediatedHealthcare System Failure." The Ohio State University, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=osu1587082543896911.

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Barth, Priscila Orlandi. "Distresse moral em enfermeiras da atenção básica brasileira." reponame:Repositório Institucional da UFSC, 2016. https://repositorio.ufsc.br/xmlui/handle/123456789/174447.

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Tese (doutorado) - Universidade Federal de Santa Catarina, Centro de Ciências da Saúde, Programa de Pós-Graduação em Enfermagem, Florianópolis, 2016.<br>Made available in DSpace on 2017-04-04T04:15:05Z (GMT). No. of bitstreams: 1 344633.pdf: 1417300 bytes, checksum: c74bf3c1ea81cdbf4aa20e1c07fda653 (MD5) Previous issue date: 2016<br>O conceito de distresse moral se relaciona à situação na qual um enfermeiro é incapaz de tomar a ação por ele reconhecida como moralmente adequada por diferentes barreiras. Neste estudo é concebido um fenômeno processual e uma experiência singular, que integra a
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Holm, Rebecca, and Sara Arvedal. "I svallvågorna av förändrad rättspraxis och Försäkringskassans tolkning och tillämpning av den : LSS-handläggarnas syn på dess konsekvenser i deras yrkesutövning och för brukare." Thesis, Hälsohögskolan, Högskolan i Jönköping, HHJ, Avd. för socialt arbete, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-41121.

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Studien syftar till att undersöka erfarenheter som handläggare av personlig assistans har av att arbeta i en kontext som är föränderlig till följd av rättspraxis och Försäkringskassans tolkning och tillämpning av den. Studien syftar även till att undersöka de konsekvenser som detta medför för LSS-handläggarna i deras yrkesutövning och vilka konsekvenser som de anser att det fått för brukarna. För att uppnå syftet har semistrukturerade intervjuer använts som datainsamlingsmetod. Den teoretiska ansatsen har bestått av Michael Lipskys teori om gräsrotsbyråkrater och handlingsutrymme och Andrew Ja
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Malola, Pascal. "Harcèlement moral au travail et inducteurs organisationnels, quels impacts sur l’engagement affectif, l’intention de quitter et la détresse psychologique : le soutien social et la théorie de l'autodétermination comme mécanisme explicatifs." Thesis, Lille, 2018. http://www.theses.fr/2018LIL3H042.

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La présente thèse porte sur le harcèlement moral au travail (HMT). Elle a pour objectif d’étudier d’une part ses effets sur la justice organisationnelle (JO), le climat de sécurité psychosociale (PSC), la détresse psychologique, l’intention de quitter l’entreprise et l’engagement affectif. D’autre part, elle cherche à étudier le rôle médiateur du soutien social de la hiérarchie et de la théorie de l’autodétermination (TAD) (satisfaction et frustration des besoins psychologiques).Afin de répondre à ces objectifs, trois études ont été réalisées. La première étude évalue d’une part les effets du
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Fuentealba, Ortiz Patricio Fabián Verfasser], Frank [Gutachter] [Ortmeier, and Bernhard [Gutachter] Preim. "Automatic fetal distress assessment during labor based on modal and parametrical analysis of the cardiotocographic recording / Patricio Fabián Fuentealba Ortiz ; Gutachter: Frank Ortmeier, Bernhard Preim." Magdeburg : Universitätsbibliothek Otto-von-Guericke-Universität, 2020. http://d-nb.info/1223615529/34.

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