Moral Distress In Health Care Profession

Improved Essays
Is moral distress a significant problem for the health care professional?
Moral stress can be a significant problem for health care professional, patients and the work environment. Moral distress arises when a nurse knows the right thing to do, but institutional constraints make it nearly impossible to pursue the right course of action (Fernandez-Parsons, Rodriguez, & Goyal, 2013).
There are many different things that can cause moral stress some of the reasons are as follows:
• Health professionals trying to provide the best care for their patients but having to decrease costs, this affects how their decisions are being made which can cause moral stress.
• Working with nurses who short cut their patient care and not doing what should be done.
• Health professional
…show more content…
Think about potential pitfalls and strategies to get around these pitfalls.
Moral distress will never be eliminated from health care but it can be mitigated (Fernandez-Parsons, Rodriguez, & Goyal, 2013).
References
Epstein, E.G., & Delgado, S. (2010). "Understanding and Addressing Moral Distress" OJIN: The Online Journal of Issues in Nursing Vol. 15, No. 3, Manuscript 1. DOI:10.3912/OJIN.Vol15No03Man01
Fernandez-Parsons, R., Rodriquez, L. & Goyal, D. (2013). Moral distress in emergency nurses. Journal of Emergency Nursing 39(6), 547-552. http://dx.doi.org/10.1016/j.jen.2012.12.009
Ulrich, M. H. (2010). Moral distress: A growing problem in the health professions. Retrieved from Project Muse: https://muse.jhu.edu/article/370357/pdf

Hi Tonya, I know that as nurses that we are supposed to try and not be judgmental. When I am asked if I am judgmental my response is I try not to be judgmental. I think that at some point every nurse has been a little judgmental. When dealing with the sobering cell have you ever been judgmental? I ask that because it is hard not to be a little judgmental when you are dealing with the same frequent flyers in the sobering

Related Documents

  • Improved Essays

    Participants The participants were randomly selected and derived from licensing lists from four states. Total of 1000 nurses, 250 nurses selected from each of the four different states, and census regions in the United State of America (Maryland, Massachusetts, California and Ohio), basically to describe and assess the type, frequency, occurring rate of stress of ethical dilemmas encountered by nurses in their everyday practice, (Ulrich, 2010). The second article, a group was selected from teaching hospital in Tabriz in Iran, 345 were nurses, and in-patients were 500, selected to assess knowledge and performance about nursing ethic codes, professional ethical care from nurses' to patients' perspective.…

    • 353 Words
    • 2 Pages
    Improved Essays
  • Decent Essays

    Nurse leaders work under very stressful situations and these stressful situations can lead to ethical dilemmas which can create the potential for moral distress. Inadequate nurse leaders often fail to address ethical dilemmas which can put patients and their staff members in danger. True nurse leaders will have the courage to challenge people when they see healthcare violations. They are the ones that are able to see in ways that are out of the norm and then find solutions to help resolve these challenges. They must not be afraid to take the first steps in being a role model or help develop and practice moral courage in the nursing profession.…

    • 130 Words
    • 1 Pages
    Decent Essays
  • Superior Essays

    Ethical Dilemma in Nursing Regina Johnson Community College of Philadelphia Ethical Dilemma in Nursing An excerpt from Five Days at Memorial: Life and Death in a Storm Ravaged Hospital by Sheri Fink, depicts the events that occur during Hurricane Katrina as it unfolded for the individuals at Memorial Hospital. The authors write about the experiences of a group of health care professionals from both Memorial and Life Care, their patients, and patients’ family during hurricane Katrina. Many nursing professionals may have conflicting obligation when it comes to reporting to work during a disaster, however, it is the moral and ethical understanding that as a nurse they have a duty to their patient above themselves that compels them…

    • 1046 Words
    • 5 Pages
    Superior Essays
  • Decent Essays

    As mentioned by the American Nurses Association (ANA), the registered nurse must be prepared to be a part of an ethical dilemma and disaster (ANA, n.d.). With every ethical discussion, we ask the question, what is the right thing for the nurse to do? Every individual in the same situation would handle it differently. What is the healthcare provider's responsibility? Health care providers are obligated to practice and provide the best care to each patient; however, providers can only offer what they can.…

    • 208 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    Dnr Ethical Issues

    • 736 Words
    • 3 Pages

    This video was extremely difficult to watch as I saw a team of healthcare workers fail to work cohesively for the best interest of the patient. Not only was there an ethical issue unfolding, but the poor communication and lack of team continuity was heart-wrenching. When reviewing this clip, it was clear that the lead physician, Will, did not have the full support of his team when going against the patient’s wishes to resuscitate. I believe that the healthcare team struggled during this emergency because they felt an internal ethical conflict. According to Cynda Hylton Rushton (2006), “moral distress involves an irreconcilable conflict between one’s ethical commitments and the action required for congruence between or among them” (p. 1).…

    • 736 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Moral distress is defined as an inability to act according to one’s ethical principles by the moral agent due to various influencing external constraints such as time pressures, organizational, legal, and/or authoritative barriers (as cited by Ulrich & Hamric, 2008). According to de Veer, Francke, Struijs, and Willems (2013), nurses often experience moral distress due to the inadequate staffing, job pressure, higher societal demands, and conflicts between institutional rules and one’s moral values. Moral distress can lead to disturbing consequences, such as burnout, turnover, fatigue, frustration, physical illness, anger, powerlessness, and a host of other worrisome and painful outcomes. The moral distress I had experienced is when my patient walk against the medical advice (AMA). I took care of a middle-aged Native American woman, who was admitted to the adult surgical floor after an angiogram.…

    • 1199 Words
    • 5 Pages
    Improved Essays
  • Superior Essays

    Duty To Care Role

    • 1520 Words
    • 7 Pages

    Patients, within the same context, turn to nurses for this care even when they are unable or unwilling to care for themselves. Nurses are ethically obligated to provide care for the patient, but are not pressed for the internal and psychological contexts of caring. However, patients can readily determine the nurse’s level of emotional care and can use this to internally determine their own value. As the nurse is expected to provide medical care for the overall wellbeing of the patient, this author asserts that this should include the patient’s sense of value and worth. While these assertions cannot be measure objectively, reports indicate that these two are clearly interrelated.…

    • 1520 Words
    • 7 Pages
    Superior Essays
  • Improved Essays

    Ethical Dilemma This case study shows an issue that sadly occurs in the health care field almost every day. This includes patient negligence from inadequate nurses providing unsafe patient quality care to nurses not receiving the support they deserve to allow them to provide the safe quality care that patients require. In this case, the health facility failed the nurses, the 40 patients, and Shirley especially.…

    • 986 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Case Study Nursing Ethics

    • 1692 Words
    • 7 Pages

    Nursing Ethics Nurses are obligated to have moral courage and to make ethical decisions daily, which is not easy to do. According to Vicki D. Lachman, moral courage is the individual’s capacity to overcome fear and stand up for his or her core vales and ethical obligations (Lachman, 2007). ANA stands for American Nurses Association; ANA developed the Code of Ethics for Nurses. " The code of ethics is the philosophical ideals of right and wrong that define the principles you will use to provide care to your patients" (Potter, Perry, Stockert, Hall, 2013, p. 4). Which nurses use as a guide to carry out nursing responsibilities.…

    • 1692 Words
    • 7 Pages
    Improved Essays
  • Improved Essays

    Ethical Issues In Nursing

    • 1349 Words
    • 6 Pages

    Pamela Warrick once said, “The difference between moral dilemmas and ethical ones, philosophers say, is that in moral issues, the choice is between right and wrong. In ethics, the choice is between two rights.” In today’s world with much technological advancement in technology and medicine, nurses are faced with many key issues and problems in the course of their practice that have the prospective to significantly influence their career. A major issue that most nurses and other healthcare givers in general irrespective of department or unit encounter is ethical issues. These ethical issues, even though may sometimes attract vague scrutiny, nurses faced with problems such as ethics, no matter how little, often times feel uneasy, troubled, and…

    • 1349 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    Moral distress compromises patient care because nurses might withdraw themselves in situations that are not in their comfort zone. Communication is key to helping nurses get through these issues if this is lacking then nurses tend to get burned out due to emotional exhaustion from being exposed to high levels of stress for a long period of…

    • 1056 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Moral Model In Nursing

    • 855 Words
    • 4 Pages

    In situations where ethical decisions needs to be made, nurses will require combining every elements of the moral model to resolve the clinical problems. The moral model includes five steps: (1) massage the dilemma, (2) outline the options, (3) resolve the dilemma, (4) act by applying the chosen option, and (5) look back and evaluate the entire process (Guido, 2014). Applying the MORAL model of ethical decision making to the clinical dilemma of the under insured/uninsured not frequently receiving the care they need, a nurse like myself can advocate for standard care for the patients. The first step in the MORAL decision making model helps to explain all areas of the ethical dilemma.…

    • 855 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    According to Kearney-Nunnery (2016), deontology focuses on obligations, duties and rules. The nursing shortage will result in inadequate staffing which is likely to result in ethical dilemmas for nurses. In keeping with the deontology theory, nurses will experience moral distress based on what their duty is according to the Nursing Code of Ethics and actually performing their duty. My ELI reveals I am a thinker and my analytical tool for critically thinking is reason.…

    • 934 Words
    • 4 Pages
    Improved Essays
  • Great Essays

    Nurses encounter a serious amount of ethical problems when providing patient care that can lead to ethics–related stress. Ethical-related stress is an occupational stress that is emotional, physical, and psychological consequences of moral distress (Ulrich, et al., 2007). It is a general assumption that nurse leaders should provide ethical training to other staff in need by demonstrating the ethical practice and providing ethical support as well. Even when frontline nurses assume the role of leaders to enhance ethical practices, their actions to build a moral community amongst nurses cannot be sustained if they are unsupported by their formal nurse managers (Storch, Makaroff, Pauly, & Newton, 2013).…

    • 1266 Words
    • 6 Pages
    Great Essays
  • Superior Essays

    Moral Issues In Nursing

    • 967 Words
    • 4 Pages

    Moral distress is one of the issues that can cause a nurse to experience feelings of powerlessness. In such a situation, the nurse knows the ethically right action to do but feels immobilized to perform the deed (Manoljovich, 2007). An example is when a nurse places a patient on life support for a long time even though ethically it does not benefit the patient. Another instance is when the nurse gives false hopes to patients and their families. If the moral distress is unresolved even after explaining the situation to the head of the emergency department or administrators, it can cause staff turnover.…

    • 967 Words
    • 4 Pages
    Superior Essays