Abstract：
BACKGROUND:Moral distress is the psychological response to knowing the appropriate action but not being able to act due to constraints. Previous authors reported moral distress among nurses, especially those that work in critical care units. AIMS:The aims of this study were: (1) to examine the level of moral distress among nurses who work at an academic health system, (2) to compare the level of moral distress in nurses who work across specialty units at an academic health system, (3) to compare moral distress by the demographic characteristics of nurses and work experience variables, and (4) to identify demographic characteristics and type of clinical setting that may predict which nurses are at high risk for moral distress. METHODS:A cross-sectional survey design was used with staff nurses who work on inpatient units and ambulatory units at an academic medical center. The moral distress scale-revised (MDS-R) was used to assess the intensity and frequency of moral distress. RESULTS:The overall mean MDS-R score in this project was low at 94.97 with mean scores in the low to moderate range (44.57 to 134.58). Nurses who work in critical care, perioperative services, and procedure areas had the highest mean MDS-R scores. There have been no previous reports of higher scores for nurses working in perioperative and procedure areas. There was weak positive correlation between MDS-R scores and years of experience (Rho = .17, p = .003) but no correlation between age (Rho = .02, p = .78) or education (Rho = .05, p = .802) and moral distress. LINKING EVIDENCE TO ACTION:Three variables were found useful in predicting moral distress: the type of unit and responses to two qualitative questions related to quitting their job. Identification of these variables allows organizations to focus their interventions.
journal_name
Worldviews Evid Based Nursjournal_title
Worldviews on evidence-based nursingauthors
Sirilla J,Thompson K,Yamokoski T,Risser MD,Chipps Edoi
10.1111/wvn.12213subject
Has Abstractpub_date
2017-04-01 00:00:00pages
128-135issue
2eissn
1545-102Xissn
1741-6787journal_volume
14pub_type
杂志文章abstract：BACKGROUND:Metacognitive training (MCT) was developed in 2007 and widely used to modify the delusions for patient with schizophrenia. However, its effectiveness remains unclear. AIMS:To investigate the overall effectiveness of MCT for delusion in schizophrenia patients from 2007 to 2016, and to investigate the variabl...
journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章,meta分析,评审
doi：10.1111/wvn.12282
更新日期：2018-04-01 00:00:00
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journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章,评审
doi：10.1111/wvn.12177
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journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章
doi：10.1111/wvn.12046
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journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章
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更新日期：2019-10-01 00:00:00
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journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章,多中心研究
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更新日期：2004-01-01 00:00:00
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journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章,评审
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更新日期：2011-06-01 00:00:00
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journal_title：Worldviews on evidence-based nursing
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更新日期：2016-02-01 00:00:00
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journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章
doi：10.1111/wvn.12260
更新日期：2017-12-01 00:00:00
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journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章
doi：10.1111/wvn.12208
更新日期：2017-04-01 00:00:00
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journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章,随机对照试验
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更新日期：2011-09-01 00:00:00
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journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章
doi：10.1111/wvn.12026
更新日期：2014-04-01 00:00:00
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journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章
doi：10.1111/wvn.12323
更新日期：2018-10-01 00:00:00
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journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章
doi：10.1111/j.1741-6787.2012.00256.x
更新日期：2012-12-01 00:00:00
abstract：BACKGROUND:Ventilator-associated pneumonia (VAP) is an ongoing challenge for critical care nurses as they use current evidence-based strategies to decrease its incidence and prevalence. Mechanical intubation negates effective cough reflexes and impedes mucociliary clearance of secretions, causing leakage and microaspir...
journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章,评审
doi：10.1111/j.1741-6787.2008.00140.x
更新日期：2008-01-01 00:00:00
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journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章
doi：10.1111/wvn.12289
更新日期：2018-06-01 00:00:00
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journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章
doi：10.1111/wvn.12376
更新日期：2019-10-01 00:00:00
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journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章
doi：10.1111/j.1741-6787.2010.00197.x
更新日期：2010-12-01 00:00:00
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journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章,随机对照试验
doi：10.1111/wvn.12097
更新日期：2015-08-01 00:00:00
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journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章
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journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章,评审
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journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章,评审
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journal_title：Worldviews on evidence-based nursing
pub_type： 临床试验,杂志文章,多中心研究
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更新日期：2008-01-01 00:00:00
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journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章,meta分析,评审
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更新日期：2014-08-01 00:00:00
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journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章,评审
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更新日期：2006-01-01 00:00:00
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journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章
doi：10.1111/wvn.12109
更新日期：2016-02-01 00:00:00
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journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章
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更新日期：2016-02-01 00:00:00
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journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章
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更新日期：2020-08-01 00:00:00
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journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章
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更新日期：2014-12-01 00:00:00
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journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章
doi：10.1111/wvn.12061
更新日期：2014-12-01 00:00:00
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journal_title：Worldviews on evidence-based nursing
pub_type： 杂志文章
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更新日期：2015-12-01 00:00:00
