Summary: Moral Distress Among Nurses

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As mentioned in multiple researches, short of staff is one of contributing factors for moral distress among nurses (CNA, 2000; Funk & Wiegand, 2012; Pendry, 2007). As seen in recent freeze of budget in northern Ontario, hospitals’ budget constraint directly result in the numbers of front-line-nurses who work in the system (MacDonald, 2015; Valiani, 2013). In HSN Sudbury alone saved its cost of approximately 5.2 million dollars by not replacing 40 full time nurses, equivalent to about 85000 hours of patient care due to its budget cut in 2015 (ONA, n.d. ; Tollinnsky, 2015). Needless to say, it means the reminder of nurses are forced to make up for the 85000 hours of patient care without extra time, resources, or manpower. Thus, as Valiani (2013) …show more content…
If a physician has his/her medically and ethically appropriate explanation to order procedures or treatments that nurses may not be able to fully comprehend, the nurses would not be able to argue against the physician’s order. Also, the superiority of title ‘doctor’ gain undeniable trust and respect from the patients and their substitute decision makers more than nurses who spend more time with the patients and directly deliver the most of medical treatment (Philips & Zelek, 2003). Consequently, even if it is against the nurse’s gut feeling, the nurse would feel nothing she/he can do but to obey the …show more content…
As mentioned earlier, nurses resist to appreciate and pride in their unique position as a patient’s advocate. Nurses spend more time with the patient than any other health care workers and control the access of other members of multidisciplinary team and resources to the patient. With continuously expanding role of nurse practitioner, current nurses gain more power to control the delivery of cares to the patient. However, nurses continue to be receptive, respectful, obedient, and unwilling to treat themselves as equal importance to the patients as doctors (Philips & Zelek, 2003).
Lack of recognition and knowledge of moral distress in the organization, resources of moral distress, and support system that whoever experience moral distress can receive proper counseling and treatment are all important. In order to create truly equal working relationship and collaboration, and to resolve moral distress not only as a nurse but as a phenomena happens in any healthcare profession, not only the nursing stuff but the organization its self has to recognize the

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