Nurse Moral Distress and Ethical Work Environment

2005 ◽  
Vol 12 (4) ◽  
pp. 381-390 ◽  
Author(s):  
Mary C Corley ◽  
Ptlene Minick ◽  
R K Elswick ◽  
Mary Jacobs

This study examined the relationship between moral distress intensity, moral distress frequency and the ethical work environment, and explored the relationship of demographic characteristics to moral distress intensity and frequency. A group of 106 nurses from two large medical centers reported moderate levels of moral distress intensity, low levels of moral distress frequency, and a moderately positive ethical work environment. Moral distress intensity and ethical work environment were correlated with moral distress frequency. Age was negatively correlated with moral distress intensity, whereas being African American was related to higher levels of moral distress intensity. The ethical work environment predicted moral distress intensity. These results reveal a difference between moral distress intensity and frequency and the importance of the environment to moral distress intensity.

Blood ◽  
1998 ◽  
Vol 92 (8) ◽  
pp. 2959-2962 ◽  
Author(s):  
Arthur Schneider ◽  
Linda Forman ◽  
Beryl Westwood ◽  
Catherine Yim ◽  
James Lin ◽  
...  

Abstract In 424 African-American and 75 white subjects, we found that the −5 (TPI 592 A→G), −8 (TPI 589 G→A), and −24 (TPI 573 T→G) variants in the triosephosphate isomerase (TPI) gene occurred frequently (41.0%) in the African-American subjects but did not occur in the whites. These data suggest that this set of polymorphisms may turn out to be one of the higher-incidence molecular markers of African lineage, a surprising finding because others had reported that these nucleotide substitutions were restricted to a small subset of African Americans who had been characterized as TPI-deficiency heterozygotes. Additionally, we investigated the relationship of these variants to TPI-enzyme activity. Although the variant substitutions (occurring in three haplotypes: −5 alone, −5 −8, and −5 −8 −24) were associated with moderate reduction in enzyme activity, severe-deficiency heterozygotes could not be identified with certainty, and none of the haplotypes were restricted to subjects with marked reduction of enzyme activity. Three subjects were homozygous for the −5 −8 haplotype, a finding inconsistent with the putative role of this haplotype as the cause of a null variant incompatible with life in homozygotes. Despite these findings, the possibility remains that the −5 −8 or −5 −8 −24 haplotypes may in some instances contribute to compound heterozygosity and clinical TPI deficiency. © 1998 by The American Society of Hematology.


PEDIATRICS ◽  
1960 ◽  
Vol 26 (5) ◽  
pp. 817-821
Author(s):  
Thomas F. Dolan ◽  
Norman B. McCullough ◽  
Lewis E. Gibson

An unusual patient, characterized by recurrent infections, hepatosplenomegaly, low levels of gamma-globulin in the serum (400 mg/100 ml) and lymphocytosis, is described. The patient had pneumonia due to Nocardia asteroides followed by chronic Salmonella newport infection of 16 months' duration, kept in check by continuous antibiotic therapy. No antibodies were produced against specific antigenic challenges. The relationship of this case to those of congenital and acquired agammaglobulinemia is discussed.


2011 ◽  
Vol 85 (2) ◽  
pp. 247-266 ◽  
Author(s):  
Joseph G. Pickard ◽  
Megumi Inoue ◽  
Letha A. Chadiha ◽  
Sharon Johnson

2018 ◽  
Vol 41 (6) ◽  
pp. 816-833 ◽  
Author(s):  
Arunas Ziedelis

The purpose of this study was to explore the relationship of perceived calling and work engagement in nursing over and above major work environment factors. In all, 351 nurses from various health care institutions completed the survey. Data were collected about the most demanding aspects of nursing, major job resources, the degree to which nursing is perceived as a meaningful calling, work engagement, and main demographic information. Hierarchical linear regression was applied to assess the relation between perceived calling and work engagement, while controlling for demographic and work environment factors, and perceived calling was significantly related to two out of three components of nurses’ work engagement. The highest association was found with dedication component, and vigor component was related insignificantly. Results have shown that perceived calling might motivate nurses to engage in their work even in burdensome environment, although possible implications for the occupational well-being of nurses themselves remains unclear.


1977 ◽  
Vol 67 (3) ◽  
pp. 391-404 ◽  
Author(s):  
E. A. Bernays ◽  
R. F. Chapman ◽  
E. M. Leather ◽  
A. R. McCaffery ◽  
W. W. D. Modder

AbstractField and laboratory studies at Ibadan, Nigeria, showed that the young nymphs of Zonocerus variegatus (L.) normally reject cassava after biting it and die if they are confined on growing leaves. Later instars will eat cassava, especially when deprived of food for some time, but the adults progressively lose weight when restricted to feeding on growing cassava. On cut cassava, on the other hand, extensive feeding occurs and normal growth is maintained. The change from unpalatability to acceptability occurs within about an hour of cutting and is apparently associated with wilting. Cassava produces latex, but this was not distasteful to Zonocerus. The readiness to feed on growing cassava was associated with low levels of hydrogen cyanide production by the leaves; wilted leaves still produced hydrogen cyanide, but at a lower rate than turgid, growing leaves. In the area around Ibadan, Zonocerus regularly defoliates cassava in the latter part of the dry season, probably because a shortage of attractive foods forces the insect to eat cassava.


1998 ◽  
Vol 82 (2) ◽  
pp. 415-418 ◽  
Author(s):  
Shirley Moore ◽  
Michael Ward ◽  
Barry Katz

The relationship of Machiavellianism and Tolerance of Ambiguity was studied in 47 African-American college and university administrators. The mean score on Machiavellianism in the youngest group (30–40 yr.) of administrators was significantly higher on Machiavellianism than the mean of the oldest group (50 yr. and older) of administrators.


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