Surgical nurses’ perceptions of ethical dilemmas, moral distress and quality of care

2011 ◽  
Vol 68 (7) ◽  
pp. 1516-1525 ◽  
Author(s):  
Freda DeKeyser Ganz ◽  
Keren Berkovitz
Keyword(s):  
Quality Of Care ◽  
Moral Distress ◽  
Ethical Dilemmas ◽  
Surgical Nurses ◽  
Nurses Perceptions

Nurses’ Perceptions of a Care Plan Information Technology Solution With Hundreds of Clinical Practice Guidelines in Adult Intensive Care Units: Survey Study (Preprint)

2018 ◽  
Author(s):  
Azizeh Khaled Sowan ◽  
Meghan Leibas ◽  
Albert Tarriela ◽  
Charles Reed
Keyword(s):  
Intensive Care ◽  
Quality Of Care ◽  
Clinical Practice ◽  
Nursing Care ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Care Plan ◽  
System Use ◽  
Nurses Perceptions

BACKGROUND The integration of clinical practice guidelines (CPGs) into the nursing care plan and documentation systems aims to translate evidence into practice, improve safety and quality of care, and standardize care processes. OBJECTIVE This study aimed to evaluate nurses’ perceptions of the usability of a nursing care plan solution that includes 234 CPGs. METHODS A total of 100 nurses from 4 adult intensive care units (ICUs) responded to a survey measuring nurses’ perceptions of system usability. The survey included 37 rated items and 3 open-ended questions. RESULTS Nurses’ perceptions were favorable with more than 60.0% (60/100) in agreement on 12 features of the system and negative to moderate with 20.0% (20/100), to 59.0% (59/100) in agreement on 19 features. The majority of the nurses (80/100, 80.0% to 90/100, 90.0%) agreed on 4 missing safety features within the system. More than half of the nurses believed they would benefit from refresher classes on system use. Overall satisfaction with the system was just above average (54/100, 54.0%). Common positive themes from the narrative data were related to the system serving as a reminder for complete documentation and individualizing patient care. Common negative aspects were related to duplicate charting, difficulty locating CPGs, missing unit-specific CPGs, irrelevancy of information, and lack of perceived system value on patient outcomes. No relationship was found between years of system use or ICU experience and satisfaction with the system (P=.10 to P=.25). CONCLUSIONS Care plan systems in ICUs should be easy to navigate; support efficient documentation; present relevant, unit-specific, and easy-to-find information; endorse interdisciplinary communication; and improve safety and quality of care.

scholarly journals Burnout, Moral Distress, and Job Turnover in Critical Care Nurses

2018 ◽  
Vol 3 (3) ◽  
pp. 108 ◽  
Author(s):  
Brooke A. Whittaker ◽  
Deborah R. Gillum ◽  
Judith M. Kelly
Keyword(s):  
Critical Care ◽  
Quality Of Care ◽  
Moral Distress ◽  
Nurse Retention ◽  
Critical Care Nurses ◽  
Ethnographic Study ◽  
Job Turnover ◽  
Nurse Turnover ◽  
Excessive Stress

Nurse turnover, shortages, and lack of nurse retention have all been linked to stress among nurses. This ethnographic study explored if burnout and moral distress, often a result of excessive stress, led to job turnover among critical care nurses in northern Indiana and southern Michigan. It also explored the factors that may cause burnout and moral distress in the identified population. Although burnout and moral distress have been studied in various professions and locales over the years, research specific to critical care nurses has been limited in the northern Indiana, southern Michigan area. In this study, 100% of the nurses felt that burnout and moral distress led to turnover. These same nurses attributed burnout and moral distress to affecting the quality of care given to patients. The guiding framework for this study’s design was Corley’s theory of moral distress.

scholarly journals Nurses’ Perceptions on the Implementation of a Safe Drug Administration Protocol and Its Effect on Error Notification

2021 ◽  
Vol 18 (7) ◽  
pp. 3718
Author(s):  
Francisco Miguel Escandell-Rico ◽  
Juana Perpiñá-Galvañ ◽  
Lucía Pérez-Fernández ◽  
Ángela Sanjuán-Quiles ◽  
Piedras Albas Gómez-Beltrán ◽  
...  
Keyword(s):  
Patient Safety ◽  
Quality Of Care ◽  
Adverse Events ◽  
Intervention Group ◽  
Surgical Units ◽  
Event Notification ◽  
The Mean ◽  
Nurses Perceptions ◽  
Administration Protocol

Patient safety and quality of care are fundamental pillars in the health policies of various governments and international organizations. The purpose of this study is to evaluate nurses’ perceptions on the degree of implementation of a protocol for the standardization of care and to measure its influence on notification of adverse events related to the administration of medications. This comparative study used data obtained from questionnaires completed by 180 nurses from medical and surgical units. Our analyses included analysis of variance and regression models. We observe that the responses changed unevenly over time in each group, finding significant differences in all comparisons. The mean response rating was increased at 6 months in the intervention group, and this level was maintained at 12 months. With the new protocol, a total of 246 adverse events and 481 incidents without harm was reported. Thus, actions such as the use of protocols and event notification systems should be implemented to improve quality of care and patient safety.

Moral distress in nursing

2012 ◽  
Vol 20 (3) ◽  
pp. 312-324 ◽  
Author(s):  
Adam S Burston ◽  
Anthony G Tuckett
Keyword(s):  
Quality Of Care ◽  
Physical Health ◽  
Moral Distress ◽  
Nursing Workforce ◽  
Staff Retention ◽  
Workplace Satisfaction ◽  
Core Set ◽  
Organizational Levels

Moral distress has been widely reviewed across many care contexts and among a range of disciplines. Interest in this area has produced a plethora of studies, commentary and critique. An overview of the literature around moral distress reveals a commonality about factors contributing to moral distress, the attendant outcomes of this distress and a core set of interventions recommended to address these. Interventions at both personal and organizational levels have been proposed. The relevance of this overview resides in the implications moral distress has on the nurse and the nursing workforce: particularly in regard to quality of care, diminished workplace satisfaction and physical health of staff and increased problems with staff retention.

scholarly journals Moral distress in medicine: An ethical analysis

2021 ◽  
pp. 135910532110145
Author(s):  
Alexandra Kherbache ◽  
Evelyne Mertens ◽  
Yvonne Denier
Keyword(s):  
Job Satisfaction ◽  
Quality Of Care ◽  
Emotional Response ◽  
Moral Distress ◽  
Care Ethics ◽  
Ethical Analysis ◽  
Ethical Aspects ◽  
Ethical Theories ◽  
External Constraints

Moral distress is a negative emotional response that occurs when physicians know the morally correct action but are prevented from taking it because of internal or external constraints. Moral distress undermines a physician’s ethical integrity, leading to anger, poor job satisfaction, reduced quality of care and burnout. Scarce literature exists on the ethical aspects of moral distress in medicine. We conducted an ethical analysis of moral distress as experienced by physicians and analysed it from the literature using two predominant ethical theories: principlism and care ethics. Finally, we consider the emergence of moral distress in medicine during the COVID-19 pandemic.

Perceptions on the Implementation of Accreditation Requirements and Standards in the Primary Healthcare Centres, Ras Al Khaimah, UAE

2021 ◽  
pp. 097206342110352
Author(s):  
Salhah Taresh Ahmed Ali Al Seraidi ◽  
Shukri Adam ◽  
Pooja Shivappa
Keyword(s):  
Quality Of Care ◽  
Demographic Data ◽  
Healthcare Setting ◽  
Healthcare Services ◽  
Demographic Variables ◽  
Cross Sectional ◽  
Level Of Education ◽  
Nurses Perceptions ◽  
And Gender

The purpose of this study was to assess the changes resulting from the implementation of an accreditation programme on quality of care. This study aims to find the association between nurses’ perceptions of the implementation of accreditation requirements and standards in the healthcare services at primary health centres (PHCs) with selected demographic variables (age, gender, nationality, level of education and designation). A cross-sectional quantitative study was conducted by a self-administered questionnaire. The study sample ( n = 130) nurses who were working in accredited governmental PHCs and the research was conducted in eight PHCs out of the 18 PHCs in Ras Al Khaimah (RAK), UAE. The association between nurses’ perceptions on the implementation of accreditation requirements and standards in the healthcare services in PHCs with selected demographic variables: gender X2 (2. N = 130) = 0.28, p > 0.05, age X2 (1. N = 130) = 1.76, p > 0.05, level of education X2 (6. N = 130) = 0.94, p < .05, designation X2 (4. N = 130) = 13.3, p < .05. Level of education and designation demonstrates the same perception levels (60% moderate and 40% high). There is a significant association between nurses perception of the implementation of JCI accreditation requirement and standard in health serive of PHC’s with the selected demographic data age and designation (p < 0.05). However level of education and gender are not significant(p > 0.05). Nurses are the backbone of any healthcare setting, and they spend more time with the patient. Being a part of the quality of care and patient safety is essential.

Moral distress, compassion fatigue and burn-out in veterinary practice

2020 ◽  
Vol 11 (7) ◽  
pp. 292-295
Author(s):  
Amber Foote
Keyword(s):  
Quality Of Life ◽  
Compassion Fatigue ◽  
Moral Distress ◽  
Ethical Dilemmas ◽  
Work Related Stress ◽  
Veterinary Practice ◽  
Work Related ◽  
Burn Out ◽  
Related Stress

Concerns regarding compassion fatigue and burn-out in veterinary practice are steadily increasing. Burn-out is defined as the state in which a person feels emotionally, physically and mentally exhausted. Work-related stress can have a significant impact on our quality of life and unfortunately lead to burn-out, moral distress and compassion fatigue. As veterinary professionals are exposed to ethical dilemmas and stressful situations daily, it is important that they are aware of the signs of burn-out and how it can be managed.

Sign in / Sign up

Export Citation Format

Share Document