Based on the proceedings of a recent expert symposium, the special
report outlines strategies to mitigate the harmful effects of moral
distress in the health care workforce and to create healthy work
environments - with the goal of providing safe, high-quality care for
patients and families.
‘Recommendations on essential steps for addressing moral distress and supporting the cultivation of moral resilience among the nursing staff have been discussed in a new study.’
The supplement, titled "State of the Science: Transforming Moral Distress into Moral Resilience in Nursing,"
is now available on AJN's website. Cynda Hylton Rushton and Kathy Schoonover-Shoffner are the guest editors of the
special report.
Addressing Moral Distress by Building Moral Resilience
Moral distress occurs when nurses and others "recognize their
responsibility to respond to care situations but are unable to translate
their moral choices into action." For example, an oncology nurse may
know that a cancer patient wishes to refuse treatment, but doesn't do so
because his physician and family want him to "fight on"; or nurses on a
geriatric unit may know they are not providing needed care to patients
because of poor staffing.
At an invited symposium held in Baltimore in August 2016, 46 nursing
researchers, clinicians, ethicists and organization representatives met
to discuss moral distress and to develop strategies to address it.
Following a consensus process, the participants approved recommendations
on essential steps for addressing moral distress and supporting the
cultivation of moral resilience in individuals; and for building systems
that support ethical practice. In both areas, priorities for education,
practice, and policy are identified.
The project was a four-year collaborative effort of The Johns Hopkins School of Nursing and Berman Institute of Ethics, the
American Journal of Nursing, and the
Journal of Christian Nursing,
along with the American Association of Critical Care Nurses and the
American Nurses Association. Funding support came from Johnson &
Johnson, the Heilbrunn Family Foundation, and Nurses Christian
Fellowship/USA.
"We hope clinicians, administrators, educators, and researchers will
use this report to initiate conversations, plan strategies and
curricula, and conduct research toward creating effective ways to
respond to situations that provoke moral distress," according to an
introductory editorial by Maureen Shawn Kennedy, Editor-in-Chief of
American Journal of Nursing.
The Editors voice the hope that the information presented will lead
to new approaches to lessening the occurrence and harmful effects of
moral distress. They write, "With determined action, we can help nurses
and other providers mitigate the effects of moral distress, enhance the
ethical environment in which they practice, and improve the quality of
health care."
Source: Eurekalert
