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Moral distress, ethical climate, and compassion fatigue among oncology nurses: the mediating role of moral distress.
BMC Nurs
January 2025
Medical Ethics and Low Research Center, Student Research Committee, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Background: Oncology nurses have a vital role in providing care for individuals with cancer. Ethical dilemmas arise for oncology nurses caring for these patients. Nurses experience moral distress when work conflicts with personal beliefs, leading to inappropriate responses or uncertainty about ethics.
View Article and Find Full Text PDFWar-related continuous traumatic stress as a potential mediator of associations between moral distress and professional quality of life in nurses: a cross-sectional study in Ukraine.
BMC Nurs
January 2025
Department of General and Clinical Psychology, Lesya Ukrainka Volyn National University, Lutsk, Ukraine.
Background: At the beginning of 2022, Central Europe entered a state of emergency due to the Russian invasion of Ukraine. Nurses were particularly vulnerable to a decline in their professional quality of life, facing repeated exposure to military trauma, ethical dilemmas, prolonged working hours, and increased stress and fatigue. This study aimed to contribute to our understanding of the potential mediating effect of war-related continuous traumatic stress on the association between moral distress and professional quality of life, including compassion satisfaction and compassion fatigue, represented by burnout and secondary traumatic stress.
View Article and Find Full Text PDFThe Relationship between Spiritual Intelligence and Fatigue and Moral Distress in Emergency Nurses: A Cross-Sectional Study.
Iran J Nurs Midwifery Res
November 2024
Department of Nursing, Nursing and Midwifery School, Iranian Research Center on Healthy Aging, Sabzevar University of Medical Sciences, Sabzevar, Iran.
Background: Emergency nurses face various challenging conditions and many moral distress that may associated with fatigue from providing care. The spiritual intelligence of nurses has been found to have an impact on the quality of care. This study aimed to investigate the relationship between the spiritual intelligence of emergency nurses with fatigue from providing care and moral distress in emergency nurses.
View Article and Find Full Text PDFProviders' Beliefs and Values: Understanding Their Approach to Gender-Affirming Care.
J Prim Care Community Health
January 2025
University of Rochester, Rochester, NY, USA.
Objectives: This qualitative study explored the beliefs and values influencing healthcare providers' delivery of gender-affirming care (GAC) to transgender and gender-diverse (TGD) youth amidst current social and political dynamics.
Methods: The study PI conducted 43 semi-structured interviews with providers across states with varying GAC legislation. Responses from 41 providers were analyzed in this paper.
Investigating Moral Distress in Clinical Research Professionals-A Deep Dive into Troubled Waters.
Ethics Hum Res
January 2025
Professor of health humanities and ethics, psychiatry, and public health sciences at the Center for Health Humanities and Ethics at the University of Virginia School of Medicine.
Moral distress occurs when professionals are constrained from taking what they believe to be ethically appropriate actions or are forced to take actions they believe are ethically inappropriate, challenging their professional identities and representing systems-level issues within organizations. Moral distress has been recognized in a variety of health care-related fields; however, the phenomenon is still comparatively unexplored among clinical research professionals (CRPs). In this qualitative study, we interviewed ten CRPs to unearth root causes of moral distress in this ethically unique profession.
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