The effect of intensive care physicians and nurses' inclination to ethical values on the moral sensitivity

2021 ◽  
Vol 11 (2) ◽  
pp. 48-56
Author(s):  
T. Menekli ◽  
S. Karaca Sivrikaya ◽  
B. Akay ◽  
S. Yarali Arslan ◽  
S. Sevis ◽  
...  
Keyword(s):  
Intensive Care ◽  
Ethical Values ◽  
Moral Sensitivity

This study was conducted to determine the effect of intensive care physicians and nurses' inclination to ethical values on the moral sensitivity.

scholarly journals Moral sensitivity components identified among nurses from Intensive Care Units

2019 ◽  
Vol 72 (suppl 1) ◽  
pp. 2-8 ◽  
Author(s):  
Cláudia Denise Schallenberger ◽  
Jamila Geri Tomaschewski-Barlem ◽  
Edison Luiz Devos Barlem ◽  
Laurelize Pereira Rocha ◽  
Graziele de Lima Dalmolin ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Professional Autonomy ◽  
Moral Perception ◽  
Moral Sensitivity ◽  
Structured Interviews ◽  
Ethical Problems ◽  
Team Members ◽  
The Face ◽  
South Of Brazil

ABSTRACT Objective: to identify ethical problems from the components of moral sensitivity among nurses of Intensive Care Units. Method: qualitative, exploratory-descriptive study developed in a hospital in the South of Brazil with 19 nurses working in intensive care units through semi-structured interviews that were analyzed through discursive textual analysis. Results: ethical education, dialogue, relationships with other health team members, professional autonomy, knowledge, personal values, effective communication, leadership and patients' positive outcomes were identified as important components of nurses' moral sensitivity, and comprise the domains of moral consciousness, benevolent motivation, and spontaneous moral perception. Final considerations: the components of moral sensitivity identified in this study facilitate nurses' instrumentalization in the face of decision making and ethical problems in the intensive care setting.

Moral sensitivity and moral distress in Iranian critical care nurses

2015 ◽  
Vol 24 (4) ◽  
pp. 474-482 ◽  
Author(s):  
Fariba Borhani ◽  
Abbas Abbaszadeh ◽  
Elham Mohamadi ◽  
Erfan Ghasemi ◽  
Mohammad Javad Hoseinabad-Farahani
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Moral Distress ◽  
Quality Care ◽  
Critical Care Nurses ◽  
Moderate Level ◽  
Moral Sensitivity ◽  
Medical Sciences ◽  
Ethical Considerations ◽  
The Relationship

Background: Moral sensitivity is the foremost prerequisite to ethical performance; a review of literature shows that nurses are sometimes not sensitive enough for a variety of reasons. Moral distress is a frequent phenomenon in nursing, which may result in paradoxes in care, dealing with patients and rendering high-quality care. This may, in turn, hinder the meeting of care objectives, thus affecting social healthcare standards. Research objective: The present research was conducted to determine the relationship between moral sensitivity and moral distress of nurses in intensive care units. Research design: This study is a descriptive-correlation research. Lutzen’s moral sensitivity questionnaire and Corley Moral Distress Questionnaire were used to gather data. Participants and research context: A total of 153 qualified nurses working in the hospitals affiliated to Shahid Beheshti University of Medical Sciences were selected for this study. Subjects were selected by census method. Ethical considerations: After explaining the objectives of the study, all the participants completed and signed the written consent form. To conduct the study, permission was obtained from the selected hospitals. Findings: Nurses’ average moral sensitivity grade was 68.6 ± 7.8, which shows a moderate level of moral sensitivity. On the other hand, nurses also experienced a moderate level of moral distress (44.8 ± 16.6). Moreover, there was no meaningful statistical relationship between moral sensitivity and moral distress (p = 0.26). Discussion: Although the nurses’ moral sensitivity and moral distress were expected to be high in the intensive care units, it was moderate. This finding is consistent with the results of some studies and contradicts with others. Conclusion: As moral sensitivity is a crucial factor in care, it is suggested that necessary training be provided to develop moral sensitivity in nurses in education and practical environments. Furthermore, removing factors that contribute to moral distress may help decrease it in nurses.

scholarly journals Nurses’ Moral Sensitivity Regarding the Terminally Ill

2019 ◽  
Vol 37 (3) ◽  
Author(s):  
Yolima Carmona González ◽  
Amparo Montalvo Prieto
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Nursing Care ◽  
Terminally Ill ◽  
Two Dimensions ◽  
Public Institution ◽  
Moral Sensitivity ◽  
Chronic Patients ◽  
Cross Sectional ◽  
Response Options

Objective. The purpose, herein, was to determine the moral sensitivity of nurses when caring for terminally ill patients.Methods. Descriptive study conducted in the city of Cartagena (Colombia) with the participation of 118 nurses with minimum experience of six months in caring for the terminally ill in general hospitalization, caring for chronic patients, and intensive care units. The study used the 23-item questionnaire on Moral Sensitivity in Nursing Care – (Sensibilidad Moral en el Cuidado Enfermero -CuSMCE-23, in spanish) - by Campillo, which has six Likert-type response options (0 = total disagreement, to 5 = total agreement) and which has two dimensions: Nurse values (12 items) and Care responses (11 items). A higher score meant a higher degree of moral sensitivity.Results. It was found that 89.8% of the participants were women; 20.3% had a graduate degree; 39.8% had less than five years of care experience; 58.5% worked in a public institution – by type of service: 58.5% worked in general hospitalization; 32.2% in the intensive care unit; and 9.3% with chronic patients. The global moral sensitivity regarding the terminally ill in the study group was at 80%. By dimensions, while the Values dimension obtained 90%, the Care responses dimension only reached 70.4%, with the latter dimension showing difficulties in the items: ‘Often, when I am with a patient, I talk about myself to be more comfortable’ (27.1%), ‘It is hard for me to accept certain decisions by the patients’ (55.1%), and ‘It is hard for me to identify concerns regarding the religious expression’ (60.2%).Conclusion. Although the global levels of nurse’s moral sensitivity regarding the terminally ill and of the dimension Nurse Values are high, the dimension of Care responses has limitations, especially in accepting the diversity of expressions presented by patients Descriptors: nursing care, terminally ill, intensive care units; hospitalization; morals; ethics, nursing; surveys and questionnaires; cross-sectional studies. How to cite this article: Carmona Y, Montalvo A. Nurses’ Moral Sensitivity Regarding the Terminally Ill. Invest. Educ. Enferm. 2019; 37(3):e07. 

The Psychosocial Aspects of Feeding in the Neonatal Intensive Care Unit and Beyond

2019 ◽  
Vol 4 (6) ◽  
pp. 1507-1515
Author(s):  
Lauren L. Madhoun ◽  
Robert Dempster
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Hospital Discharge ◽  
Neonatal Intensive Care ◽  
Oral Feeding ◽  
Medical Attention ◽  
Primary Role ◽  
Speech Language Pathologists ◽  
The Family

Purpose Feeding challenges are common for infants in the neonatal intensive care unit (NICU). While sufficient oral feeding is typically a goal during NICU admission, this can be a long and complicated process for both the infant and the family. Many of the stressors related to feeding persist long after hospital discharge, which results in the parents taking the primary role of navigating the infant's course to ensure continued feeding success. This is in addition to dealing with the psychological impact of having a child requiring increased medical attention and the need to continue to fulfill the demands at home. In this clinical focus article, we examine 3 main areas that impact psychosocial stress among parents with infants in the NICU and following discharge: parenting, feeding, and supports. Implications for speech-language pathologists working with these infants and their families are discussed. A case example is also included to describe the treatment course of an infant and her parents in the NICU and after graduation to demonstrate these points further. Conclusion Speech-language pathologists working with infants in the NICU and following hospital discharge must realize the family context and psychosocial considerations that impact feeding progression. Understanding these factors may improve parental engagement to more effectively tailor treatment approaches to meet the needs of the child and family.

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