Moral distress in the resuscitation of extremely premature infants.

Abstract:

OBJECTIVE:To increase our understanding of moral distress experienced by neonatal registered nurses when directly or indirectly involved in the decision-making process of resuscitating infants who are born extremely premature. DESIGN:A secondary qualitative analysis was conducted on a portion of the data collected from an earlier study which explored the ethical decision-making process among health professionals and parents concerning resuscitation of extremely premature infants. SETTING:A regional, tertiary academic referral hospital in Ontario offering a perinatal program. PARTICIPANTS:A total of 15 registered nurses were directly or indirectly involved in the resuscitation of extremely premature infants. METHODS:Interview transcripts of nurses from the original study were purposefully selected from the original 42 transcripts of health professionals. Inductive content analysis was conducted to identify themes describing factors and situations contributing to moral distress experienced by nurses regarding resuscitation of extremely premature infants. ETHICAL CONSIDERATIONS:Ethical approval was obtained from the research ethics review board for both the initial study and this secondary data analysis. RESULTS:Five themes, uncertainty, questioning of informed consent, differing perspectives, perceptions of harm and suffering, and being with the family, contribute to the moral distress felt by nurses when exposed to neonatal resuscitation of extremely premature infants. An interesting finding was the nurses' perceived lack of power and influence in the neonatal resuscitation decision-making process. CONCLUSION:Moral distress continues to be a significant issue for nursing practice, particularly among neonatal nurses. Strategies are needed to help mediate the moral distress experienced by nurses, such as debriefing sessions, effective communication, role clarification, and interprofessional education and collaboration.

journal_name

Nurs Ethics

journal_title

Nursing ethics

authors

Molloy J,Evans M,Coughlin K

doi

10.1177/0969733014523169

subject

Has Abstract

pub_date

2015-02-01 00:00:00

pages

52-63

issue

1

eissn

0969-7330

issn

1477-0989

pii

0969733014523169

journal_volume

22

pub_type

杂志文章
  • Value conflicts in perioperative practice.

    abstract:BACKGROUND:The foundation of all nursing practice is respect for human rights, ethical value and human dignity. In perioperative practice, challenging situations appear quickly and operating theatre nurses must be able to make different ethical judgements. Sometimes they must choose against their own professional princ...

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1177/0969733018798169

    authors: Blomberg AC,Bisholt B,Lindwall L

    更新日期:2019-11-01 00:00:00

  • Reasons behind providing futile medical treatments in Iran.

    abstract:BACKGROUND:Despite their negative consequences, evidence shows that futile medical treatments are still being provided, particularly to terminally ill patients. Uncovering the reasons behind providing such treatments in different religious and sociocultural contexts can create a better understanding of medical futility...

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1177/0969733016638142

    authors: Aghabarary M,Nayeri ND

    更新日期:2017-02-01 00:00:00

  • Teaching ethics in religious or cultural conflict situations: a personal perspective.

    abstract::This article portrays the unique aspects of ethics education in a multicultural, multireligious and conflict-based atmosphere among Jewish and Arab nursing students in Jerusalem, Israel. It discusses the principles and the methods used for rising above this tension and dealing with this complicated situation, based on...

    journal_title:Nursing ethics

    pub_type: 杂志文章,评审

    doi:10.1177/0969733009104607

    authors: Benari G

    更新日期:2009-07-01 00:00:00

  • Ethical considerations of doll therapy for people with dementia.

    abstract::The use of doll therapy for people with dementia has been emerging in recent years. Providing a doll to someone with dementia has been associated with a number of benefits which include a reduction in episodes of distress, an increase in general well-being, improved dietary intake and higher levels of engagement with ...

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1177/0969733013518447

    authors: Mitchell G,Templeton M

    更新日期:2014-09-01 00:00:00

  • A critical lens on culture in nursing practice.

    abstract::Increasing evidence demonstrates that the Aboriginal population experience greater health disparities and receive a lower quality of health care services. The Canadian Nurses Association (CNA) code of ethics states that nurses are required to incorporate culture into all domains of their nursing practice and ethical c...

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1177/0969733011408048

    authors: Bourque Bearskin RL

    更新日期:2011-07-01 00:00:00

  • The mediating effect of ethical climate on religious orientation and ethical behavior.

    abstract:BACKGROUND:Nurses' behavior in Educational-Medical centers is very important for improving the condition of patients. Ethical climate represents the ethical values and behavioral expectations. Attitude of people toward religion is both intrinsic and extrinsic. Different ethical climates and attitude toward religion cou...

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1177/0969733017738133

    authors: Hassanian ZM,Shayan A

    更新日期:2019-06-01 00:00:00

  • Ethical climate and nurse competence - newly graduated nurses' perceptions.

    abstract:BACKGROUND:Nursing practice takes place in a social framework, in which environmental elements and interpersonal relations interact. Ethical climate of the work unit is an important element affecting nurses' professional and ethical practice. Nevertheless, whatever the environmental circumstances, nurses are expected t...

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1177/0969733014557137

    authors: Numminen O,Leino-Kilpi H,Isoaho H,Meretoja R

    更新日期:2015-12-01 00:00:00

  • The development and implications of a case-based computer program to train ethical decision-making.

    abstract::To effectively train ethical decision-making of nursing students, a case-based computer program was developed using Flash animation. Seven ethical cases collected from practicing registered nurses' actual clinical experiences and a six-step Integrated Ethical Decision-Making Model developed by the author were employed...

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1177/0969733013484489

    authors: Park EJ

    更新日期:2013-12-01 00:00:00

  • Nurses' attitudes toward ethical issues in psychiatric inpatient settings.

    abstract:BACKGROUND:Nursing is an occupation that deals with humans and relies upon human relationships. Nursing care, which is an important component of these relationships, involves protection, forbearance, attention, and worry. OBJECTIVES:The aim of this study is to evaluate the ethical beliefs of psychiatric nurses and eth...

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1177/0969733013500161

    authors: Eren N

    更新日期:2014-05-01 00:00:00

  • A Calvinist account of nursing ethics.

    abstract::A relatively small but intellectually robust strand in the Christian religion is the Reformed tradition. Especially, its Calvinist sensibilities inform this Protestant stance towards human culture in general and vocations in particular. Correspondingly, there are some small but robust contributions to academic discour...

    journal_title:Nursing ethics

    pub_type: 传,历史文章,杂志文章

    doi:10.1177/0969733012473010

    authors: Cusveller B

    更新日期:2013-11-01 00:00:00

  • The development of moral sensitivity of nursing students: A scoping review.

    abstract::Moral sensitivity is known to be the starting point for moral competence and even is a core concept in the curricula for bachelor's-level nursing students in the Netherlands. While the development of moral sensitivity in nursing is commonly agreed to be important, there is no clear understanding of how to develop mora...

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1177/0969733020972450

    authors: Spekkink A,Jacobs G

    更新日期:2020-12-16 00:00:00

  • Nurse Activism in the newborn intensive care unit: actions in response to an ethical dilemma.

    abstract::Nurses working in a newborn intensive care unit report that treatment decision disagreements for infants in their care may lead to ethical dilemmas involving all health-care providers. Applying Rest's Four-Component Model of Moral Action as the theoretical framework, this study examined the responses of 224 newborn in...

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1177/0969733012475254

    authors: Settle PD

    更新日期:2014-03-01 00:00:00

  • Habits in perioperative nursing culture.

    abstract::This study focuses on investigating habits in perioperative nursing culture, which are often simply accepted and not normally considered or discussed. A hermeneutical approach was chosen as the means of understanding perioperative nurses' experiences of and reflections on operating theatre culture. Focus group discuss...

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1177/0969733008092875

    authors: Lindwall L,von Post I

    更新日期:2008-09-01 00:00:00

  • Sexuality among institutionalized elderly patients with dementia.

    abstract::The subject of sexuality among elderly patients with dementia was examined, focusing on two main aspects: the sexual behaviour of institutionalized elderly people with dementia; and the reactions of other patients, staff and family members to this behaviour. The behaviour was found to be mostly heterosexual and ranged...

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1177/096973309900600207

    authors: Ehrenfeld M,Bronner G,Tabak N,Alpert R,Bergman R

    更新日期:1999-03-01 00:00:00

  • 'What is professional ethics?'.

    abstract::The very term 'professional ethics' is puzzling with respect to what both 'professional' and 'ethics' might mean. I argue (1) that professionalism is ambiguous as to whether or not it is implicitly committed to ethical practice; (2) that to be 'professionally' ethical is at best ambiguous, if not in fact bizarre; and ...

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1177/0969733013484485

    authors: Brecher B

    更新日期:2014-03-01 00:00:00

  • Documentation of patients' participation in care at the end of life.

    abstract::The aim of this study was to describe how patients' participation in the care they received was documented in their health care records during the last three months of their lives. Two hundred and twenty-nine deceased adult persons were randomly identified from 12 municipalities in a Swedish county and their records w...

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1191/0969733006ne883oa

    authors: Lindström I,Gaston-Johansson F,Danielson E

    更新日期:2006-07-01 00:00:00

  • Philosophical counselling.

    abstract::Philosophical counselling is an approach that aims to assist people to deal with life events in an effective manner. As such, it is of interest to nurses who are concerned with helping clients who require assistance effectively to manage life events. The approach utilizes both ancient and contemporary philosophical pr...

    journal_title:Nursing ethics

    pub_type: 杂志文章,评审

    doi:10.1177/096973309700400105

    authors: Savage P

    更新日期:1997-01-01 00:00:00

  • Evaluating nurse understanding and participation in the informed consent process.

    abstract:BACKGROUND:Informed consent is fundamental to the autonomous decision-making of patients, yet much is still unknown about the process in the clinical setting. In an evolving healthcare landscape, nurses must be prepared to address patient understanding and participate in the informed consent process to better fulfill t...

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1177/0969733017740175

    authors: Axson SA,Giordano NA,Hermann RM,Ulrich CM

    更新日期:2019-06-01 00:00:00

  • Decision making in paediatric care: an overview with reference to nursing care.

    abstract::The purpose of this overview of published articles on decision making in paediatric care was to identify important aspects of its possible use in clinical practice and to obtain a base for future research. A literature review was undertaken utilizing snowball sampling to identify articles because of the diversity pres...

    journal_title:Nursing ethics

    pub_type: 杂志文章,评审

    doi:10.1191/0969733005ne785oa

    authors: Hallström I,Elander G

    更新日期:2005-05-01 00:00:00

  • Cultural safety and the socioethical nurse.

    abstract::This article explores the social and ethical elements of cultural safety and combines them in a model of culturally safe practice that should be of interest and relevance for nurses, nurse educators and nurse ethicists in other cultures. To achieve this, the article briefly reviews and critiques the main underpinnings...

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1177/0969733010379296

    authors: Woods M

    更新日期:2010-11-01 00:00:00

  • Teaching nursing ethics by cases: a personal perspective.

    abstract::This article is a reflection on the use of case study material in the teaching of ethics to nursing students. Given the main aims of a course in ethics for nurses and the limited effectiveness of formal moral theory, it seems inevitable that the mainstay of nursing ethics courses will continue to be case study materia...

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1177/096973309900600509

    authors: Holland S

    更新日期:1999-09-01 00:00:00

  • A systematic review of ethical and legal issues in elder care.

    abstract:BACKGROUND:Ethical and legal issues are increasingly being reported by health caregivers; however, little is known about the nature of these issues in geriatric care. These issues can improve work and care conditions in healthcare, and consequently, the health and welfare of older people. AIM:This literature review ai...

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1177/0969733020921488

    authors: Podgorica N,Flatscher-Thöni M,Deufert D,Siebert U,Ganner M

    更新日期:2020-05-29 00:00:00

  • Ethical sensitivity, burnout, and job satisfaction in emergency nurses.

    abstract:BACKGROUND:Rising levels of burnout and decreasing job satisfaction can inhibit healthcare professionals from providing high-quality care due to a corresponding decrease in their ethical sensitivity. AIM:This study aimed to determine the relationship between the level of ethical sensitivity in emergency service nurses...

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1177/0969733017720846

    authors: Palazoğlu CA,Koç Z

    更新日期:2019-05-01 00:00:00

  • A socratic dialogue on the question 'what is love in nursing?

    abstract::It is the thesis of the authors that the caring ethic and moral state of being of nurses ideally suffuses their professional caring and is thus implicit in their ethical decision making. Socratic dialogue is a technique that allows such moral attitudes to be made explicit. This article describes a Socratic dialogue co...

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1177/096973300000700604

    authors: Fitzgerald L,van Hooft S

    更新日期:2000-11-01 00:00:00

  • Professional self-concept and professional values of senior students of the nursing department.

    abstract:AIM:This study was carried out in order to determine professional self-concept and professional values in the students, who were studying in the final year of the nursing department in schools providing undergraduate education in the Inner Anatolia Region. METHOD:This cross-sectional study was conducted on a total of ...

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1177/0969733018761171

    authors: Çöplü M,Tekinsoy Kartın P

    更新日期:2019-08-01 00:00:00

  • Relationship between ethical work climate and nurses' perception of organizational support, commitment, job satisfaction and turnover intent.

    abstract:BACKGROUND:Healthcare organizations are now challenged to retain nurses' generation and understand why they are leaving their nursing career prematurely. Acquiring knowledge about the effect of ethical work climate and level of perceived organizational support can help organizational leaders to deal effectively with dy...

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1177/0969733015594667

    authors: Abou Hashish EA

    更新日期:2017-03-01 00:00:00

  • Origins of difficulty in the nurse-patient encounter.

    abstract::The purpose of this study was to look beyond the patient as the source of difficulty and to examine the context of care encounters for factors that contributed to the construction of difficulty in the nurse-patient encounter. The study explains the origins of difficulty in the nurse-patient encounter. This explanation...

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1177/0969733007077885

    authors: Macdonald M

    更新日期:2007-07-01 00:00:00

  • Struggling to become ready for consolation: experiences of suicidal patients.

    abstract::Although there has been a vast amount of research about suicide, very few studies focus on the inner world of the suicidal patient. A secondary analysis of two exemplar narrative interviews with Norwegian patients reveals a glimpse of the inner world of suicidal patients' longing for consolation. The results of a phen...

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1191/0969733003ne651oa

    authors: Talseth AG,Gilje F,Norberg A

    更新日期:2003-11-01 00:00:00

  • Knowledge development, technology and questions of nursing ethics.

    abstract::This article explores emerging ethical questions that result from knowledge development in a complex, technological age. Nursing practice is at a critical ideological and ethical precipice where decision-making is enhanced and burdened by new ways of knowing that include artificial intelligence, algorithms, Big Data, ...

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1177/0969733019840752

    authors: Peirce AG,Elie S,George A,Gold M,O'Hara K,Rose-Facey W

    更新日期:2020-02-01 00:00:00

  • Pediatric nurses' ethical difficulties in the bedside care of children.

    abstract:BACKGROUND::Pediatric nurses experience ethically difficult situations in their everyday work. Several studies have been conducted to reveal ethical issues among pediatric nurses; we do not think their ethical difficulties have been explored sufficiently from their own perspective. OBJECTIVES::This study aimed to expl...

    journal_title:Nursing ethics

    pub_type: 杂志文章

    doi:10.1177/0969733017708330

    authors: Choe K,Kim Y,Yang Y

    更新日期:2019-03-01 00:00:00