How professional nurses working in hospital environments experience moral distress: a systematic review

Author(s):  
Leslie Rittenmeyer ◽  
Dolores Huffman
Author(s):  
Georgina Morley ◽  
Rosemary Field ◽  
Cristie Cole Horsburgh ◽  
Christian Burchill

Author(s):  
Yunmi Kim ◽  
Younjae Oh ◽  
Eunhee Lee ◽  
Shin-Jeong Kim

Although there is considerable literature on job satisfaction among nurses in various settings, there is little research about contributing factors, including moral distress to job satisfaction among a certain group of nurses, such as nurses acting as physician assistants. The purpose of this study was to verify the impact of nurse–physician collaboration, moral distress, and professional autonomy on job satisfaction among nurses acting as physician assistants. Descriptive and correlational research was conducted on a convenience sample of 130 nurses from five general hospitals in South Korea. In the final regression model, the adjusted R square was significant, explaining 38.2% of the variance of job satisfaction (F = 8.303, p < 0.001), where ‘cooperativeness’ (β = 0.469, p = 0.001) from nurse–physician collaboration, ‘institutional and contextual factor’ from moral distress (β = −0.292, p = 0.014), and professional autonomy (β = 0.247, p = 0.015) were included. In hospital environments, a more cooperative inter-professional relationship between nurses and physicians led to less moral distress caused by organisational constraints. A higher level of professional autonomy among nurses acting as physician assistants is required to increase their job satisfaction.


2000 ◽  
Vol 4 (3) ◽  
pp. 35-44 ◽  
Author(s):  
Gail Ann DeLuca Havens,

Exploring nurses’ moral perspectives may provide insight into the varying degrees of caring that nurses integrate into their professional nursing practice. Building an understanding of nurses’ moral perspectives also can illuminate the moral experiences of professional nurses who endorse different ethical ideologies, as well as the consequences, such as moral distress, of such experiences. Psychometric assessment of the Modified Ethics Position Questionnaire (MEPQ) yielded a reliable and valid measure of the moral perspectives of practicing nurses. Findings suggest that respondents assumed that desirable consequences can, with the right ethical action, always be obtained. Whether this is a common moral stance among professional nurses requires further inquiry.


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