A Longitudinal Study of the Impact of Schwartz Center Rounds on Moral Distress.

J Nurs Adm

Author Affiliations: Clinical Ethicist and Palliative Medicine Clinical Nurse Specialist at Carilion Clinic and Associate Professor at Virginia Tech Carilion School of Medicine, VTCSOM (Dr Whitehead); Biostatistician II (Dr Locklear); and Senior Director of Nursing Research, EBP, & Excellence (Dr Carter), Carilion Clinic, Roanoke, Virginia.

Published: August 2021

AI Article Synopsis

  • Moral distress impacts healthcare professionals when their moral integrity is compromised, and a study investigated how Schwartz Center Rounds (SCRs) affect this issue.
  • The study, conducted from 2015 to 2019, utilized a survey to assess attendees' moral distress before and after SCR participation, revealing that more than half experienced no change or a decrease in distress.
  • Particularly, doctors showed significant improvements, and while some topics increased distress among those working with adults, the findings suggest SCRs can promote team wellness and alleviate moral distress in healthcare settings.

Article Abstract

Moral distress occurs when moral integrity is compromised and can affect any healthcare professional. This study examined the impact of Schwartz Center Rounds (SCRs) on moral distress using a longitudinal, quasi-experimental design to examine SCR attendees from 2015 to 2019. Data were collected via a 2-part survey composed of demographics and Moral Distress Thermometer (MDT) readings before rounds and immediately after rounds. Most participants experienced either no change in moral distress (50.6%) or a decrease in moral distress (33.7%) after attending one of the SCRs. Participants who worked with adult populations had higher moral distress after participation for most topics. An increase in moral distress was associated with a longer time in the current position. Fifty percent of the physicians had a decrease in their moral distress immediately after the rounds. Schwartz Center Rounds is a promising approach to foster high-functioning teams while promoting wellness and mitigating moral distress among employees.

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Source
http://dx.doi.org/10.1097/NNA.0000000000001037DOI Listing

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