This article presents a scoping review aimed at mapping the main sources of moral distress among nursing professionals. The review was conducted according to the Arksey and O'Malley methodology, using the SPIDER framework to guide the systematic search in the BVS, PubMed, PsycArticles, Scielo, and Scopus databases. Initially, 2320 publications were identified. After the application of inclusion and exclusion criteria, 83 studies were selected for analysis in terms of their methodological characteristics, objectives, practice contexts, and various sources of moral distress identified. The analysis facilitated the grouping of these sources into specific situations, reflecting the challenges experienced by nurses under different practice settings. This review augments the knowledge of the causes of moral distress in nursing, highlighting the impact of this phenomenon on the physical and mental health of professionals, as well as on the quality of care provided.
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http://dx.doi.org/10.1177/09697330241312382 | DOI Listing |
Nurs Ethics
January 2025
Pontifícia Universidade Católica do Paraná (PUCPR).
This article presents a scoping review aimed at mapping the main sources of moral distress among nursing professionals. The review was conducted according to the Arksey and O'Malley methodology, using the SPIDER framework to guide the systematic search in the BVS, PubMed, PsycArticles, Scielo, and Scopus databases. Initially, 2320 publications were identified.
View Article and Find Full Text PDFPhilos Ethics Humanit Med
January 2025
Department of Allergy, Immunology and Respiratory Medicine, Central Clinical School, The Alfred Hospital, Monash University, Melbourne, Australia.
Background: Moral distress is reported to be a critical force contributing to intensifying rates of anxiety, depression and burnout experienced by healthcare workers. In this paper, we examine the moral dilemmas and ensuing distress personally and collectively experienced by healthcare workers while caring for patients during the pandemic.
Methods: Data are drawn from free-text responses from a cross-sectional national online survey of Australian healthcare workers about the patient care challenges they faced.
Intensive Crit Care Nurs
January 2025
Department of Psychosomatic Medicine and Psychotherapy, Professorship for Spiritual Care and Psychosomatic Health, University Hospital Rechts der Isar, Technical University of Munich, Kaulbachstraße 22a, Munich 80539, Germany.
Objective: In the wake of the COVID-19 pandemic, a significant number of critical care nurses have left their positions, citing overload, burnout, and moral distress. This scoping review is not just a theoretical exploration but a timely and crucial investigation into the aspects and structures of critical care nursing that can make the job fulfilling and appealing, thereby promoting intrinsic motivation and staff retention.
Methodology: A scoping review of studies reporting on factors that allow critical care nurses to fall back on their intrinsic job motivation.
Nurs Crit Care
January 2025
Paediatric Critical Care, Birmingham Children's Hospital, Birmingham, UK.
Background: Research has demonstrated that staff working in Paediatric Critical Care (PCC) experience high levels of burnout, post-traumatic stress and moral distress. There is very little evidence of how this problem could be addressed.
Aim: To develop evidence-based, psychologically informed interventions designed to improve PCC staff well-being that can be feasibility tested on a large scale.
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.
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