This research was conducted as a descriptive study in order to examine the effects of the moral problems experienced by nurses working in intensive care clinics on their end of life care behaviors. The data were collected using the Moral Distress Scale and Caring Behaviors Inventory. It was found that 74.5% of the nurses were women and their mean age was 32.60 ± 6.6 years. The frequency of moral distress in the nurses was 44.27 ± 16.25 and total score was 111.02 ± 63.85. There were significant differences in the scores of the concept the use of futile treatment by nurses, the decision not to begin life-support treatment being made only by physicians, and moral distress and discomfort felt by pediatric intensive care nurses ( < .05). A statistically significant relationship was found between total scores of discomfort on moral distress and assurance, knowledge and skills, connectedness, and being respectful on the end of life care behaviors ( < .05).
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http://dx.doi.org/10.1177/00302228221107195 | DOI Listing |
Front Psychiatry
December 2024
School of Nursing, Pingdingshan University, Pingdingshan, Henan Province, China.
Objective: To identify the research status of nurses' moral distress and predict emerging research hotspots and development trends.
Methods: Articles on nurses' moral distress were retrieved from the Web of Science Core Collection database from the inception of the database to 2024. A bibliometric analysis was conducted using VOSviewer and CiteSpace software to analyze publication distributions by country, institution, journal, author contributions, keyword trends, and reference co-citations.
Adv Neonatal Care
January 2025
Author Affiliations: Nursing Care Research Center, Semnan University of Medical Sciences, Semnan, Iran(Professor Nobahar); Department of Nursing, Faculty of Nursing and Midwifery, Semnan University of Medical Sciences, Semnan, Iran(Professor Nobahar); Social Determinants of Health Research Center, Semnan University of Medical Sciences, Semnan, Iran (Professor Ghorbani); Social Medicine Department, Faculty of Medicine, Semnan University of Medical Sciences, Semnan, Iran(Professor Ghorbani); and Student Research Committee, Semnan University of Medical Sciences, Semnan, Iran(Mss Alipour, and Jahan).
Background: In the neonatal intensive care unit (NICU), nurses care for premature and critically ill neonates, interact with parents, and make clinical decisions regarding the treatment of neonates in life-threatening conditions. The challenges of managing unstable conditions and resuscitation decisions can cause moral distress in nurses.
Purpose: This study aims to determine the relationship between clinical decision-making and moral distress in NICU nurses.
Animals (Basel)
December 2024
Department of Medicine and Surgery Neuroscience Unity, University of Parma, 41122 Parma, Italy.
Veterinarians face ethical challenges during their careers, but despite evidence of work-related stress and burnout in veterinarians, moral distress has been poorly investigated. Using an online survey, professional experience, moral distress, and burnout were investigated in 704 Italian veterinarians caring for companion animals, farm animals, or both. The reliability of the moral distress questionnaire was optimal, and Factor analysis identified four factors for moral distress: I.
View Article and Find Full Text PDFESMO Open
January 2025
Office of Quality and Value, The University of Texas MD Anderson Cancer Center, Houston, USA.
Many patients with cancer approaching the end of life (EOL) continue to receive treatments that are unlikely to provide meaningful clinical benefit, potentially causing more harm than good. This is called overtreatment at the EOL. Overtreatment harms patients by causing side-effects, increasing health care costs, delaying important discussions about and preparation for EOL care, and occasionally accelerating death.
View Article and Find Full Text PDFBMC 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.
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