SlideShare una empresa de Scribd logo
1 de 40
Resolving Moral Distress in Health Care by: Jill Ritchey BSN RN
Happy Nurses Happy patients Moral Distress Patient Satisfaction
Inspiration Vision/Mission Goals Infrastructure Relationship Based Care Education Magnet Forces Evidence Patient/Nurse Satisfaction
Objectives ,[object Object],[object Object],[object Object]
Who are the Stakeholders? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Patients ,[object Object],[object Object]
Family of critically ill patients face: ,[object Object],[object Object],[object Object],[object Object]
Bedside Nurses ,[object Object],[object Object]
Nurses, continued: ,[object Object],[object Object]
Physicians ,[object Object],[object Object],[object Object],[object Object],[object Object]
Chaplains ,[object Object],[object Object],[object Object]
Social Workers ,[object Object],[object Object],[object Object]
Definition of moral distress ,[object Object]
How does it affect... ,[object Object],[object Object],[object Object],[object Object],[object Object]
How can nursing leaders impact moral distress? By empowering nurses ,[object Object],[object Object],[object Object],[object Object],[object Object]
Empowering and Inspiring Leaders...  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Strong Leaders provide opportunities for: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
How else can hospitals impact moral distress? Magnet Force # 2  Organizational Structure Cultural Change ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Are Magnet Forces at play in your unit/organization’s culture?   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Picker Institute’s Eight Dimensions of patient centered care    Patient satisfaction, what patients want   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Nurses experience less moral distress when they can advocate on behalf of their patients Magnet Force # 5 Professional Model of Care Relationship based or patient-centered care models promote patient and nursing autonomy
… it is well documented that nurses experience moral distress when they are given too much to do and too little to do it with ,[object Object],[object Object]
Nursing advocacy-power is important for: Vulnerable Patient/Family Populations ,[object Object],[object Object],[object Object],[object Object],[object Object]
Magnet Force # 8  Consultations/ Resources Utilizing Hospital Ethics Committee can help stakeholders in addressing ethical issues, thus reducing moral distress
Catholic Health has begun an initiative to reintegrate ethics at the point of care     The  Next Generation Ethics Model ,[object Object],[object Object],[object Object]
Re-integrating ethics at the point of care ,[object Object]
Helping Nurses Reclaim their Traditional Role as Patient Advocates (otherwise known as the Professional Practice of   Nursing)   ,[object Object],[object Object],[object Object],[object Object],[object Object]
 “ Ethics is Everyone’s Business” ,[object Object],[object Object]
Integration of Ethics with  Patient Centered Care   ,[object Object]
Grand Rounds  Interdisciplinary daily rounds conducted in a manner that ensures input from non-physicians is one way to promote...    ,[object Object],Autonomy
Magnet Force # 12 Image of Nursing ,[object Object],[object Object],[object Object]
Dis-empowered ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Magnet Force # 13 Collegial Nurse/Physician Relationships ,[object Object],[object Object],[object Object]
More about collaboration ,[object Object],[object Object],[object Object],[object Object]
Empower by…Communication ,[object Object],[object Object],[object Object],[object Object],[object Object]
Moral distress can be a catalyst for change In part, vulnerability of patients and families bestows caregivers privilege of  caring for another fellow human being in need
 
Buresh, B & Gordon, S.  From Silence to Voice: What Nurses Know and Must    Communicate to the Public .  1 st  edition. Ottawa, Ontario: Canadian Nurses  Association, 2000.  California Thoracic Society.  “End-of-Life in the Hospital: Strategies to Improve Quality    Life-Sustaining Treatments and Limit Conflict through Identifying and Following Patient Wishes.”    Position Paper-  American Lung Association of California  2005. Corley, Mary Ph.D. RN et al.  “Development and Evaluation of a Moral Distress Scale.”    Methodological Issues in Nursing Research  33.2 (2001): 250 Davidson, Judy E RN FCCM et al.  “Clinical Practice Guidelines for Support of the    Family in the Patient-Centered Intensive Care Unit: American College of Critical    Care Medicine Task Force 2004-2005.”  Critical Care Medicine  35.2 (2007): 605  Duval, Gordon SJD et al.  “A National Survey of U.S. Internists’ Experiences with    Ethical Dilemmas and Ethics Consultation.”  Journal of General Internal     Medicine  19.3 (2004): 251 Elpern, Ellen and Silver, Michael.  “Improving Outcomes: Focus on Workplace Issues.”    Current Opinion in Critical Care  12.5 (2006): 395 Frick, S, Uehlinger DE and Zuercher, Zenklusen RM.  “Medical Futility: Predicting    Outcome of Intensive Care Unit Patients by Nurses and Doctors—A Prospective    Comparative Study.”  Critical Care Medicine  31.2 (2003): 456
Giganti, Ed.  “A New Center for Spirituality and Leadership at Bon Secours Richmond.”  Health Progress  87.1 (2006): 4 Hamric, Ann B Ph.D., RN, FAAN and Blackhall, Leslie J. MD, MTS.  “Nurse-Physician    Perspectives on the Care of Dying Patients in Intensive Care Units:  Collaboration, Moral Distress, and Ethical Climate.”  Critical Care Medicine  35.2    (2007): 422 Khatri, et. al.  “Relationship between management philosophy and clinical outcomes.”   Health Care Management Review   32.2 (2007): 128     McClendon, Heather RN, BSN and Buckner, Ellen B. DSN, RN.  “Distressing Situations    In the Intensive Care Unit-A Descriptive Study of Nurses’ Responses.”    Dimensions of Critical Care Nursing  26.5 (2007): 199 McManis and Monslave Associates.  “Healthy Work Environments: Striving for    Excellence.”  http://www. aone .org/ aone /docs/ hwe _excellence_full. pdf Murphy, Kevin Ph.D.  “A ‘Next Generation’ Ethics Committee.”  Health Progress  87.2  (2006): 26 Peter, Elizabethand Liaschenko, Joan.  “Perils of Proximity: A Spatiotemporal Analysis  of Moral Distress and Moral Ambiguity.”  Nursing Inquiry  11.4 (2004): 218
Ray, Daniel MD et al.  “Integrating Palliative Medicine and Critical Care in a    Community Hospital.”  Critical Care Medicine  34.11 (2006): S394  Schmalenberg, Claudia, MSN, RN et al.  “Excellence through Evidence-Securing    Collegial/Collaborative Nurse-Physician Relationships, Part 2.”  Journal of    Nursing Administration  35.11 (2005): 507 Silow-Carroll, Sharon, T. Alteras and L. Stepnick.  “Patient-Centered Care for Under Served Populations: Definition and Best Practices.”  Economic and   Social Research Institute .  Washington DC.  January, 2006.  www. esresearch .org Spence Laschinger et al. “  , A longitudinal analysis of the impact of workplace    empowerment on work satisfaction.”  Journal of Nursing Administration  35    (2003): 410 Taylor, Carol, RN Ph.D. “Dealing with Tough Situations: When Families and    Caregivers Disagree.” telecom Lecture MCSA Columbus, OH 2007 Treece, Patsy D RN, MN et al.  “Integrating Palliative and Critical Care: Description of    an Intervention.”  Critical Care Medicine  34.11 (2006): S380

Más contenido relacionado

La actualidad más candente

Basic Principles of the Person Centered Approach
Basic Principles of the Person Centered ApproachBasic Principles of the Person Centered Approach
Basic Principles of the Person Centered ApproachHouse of New Hope
 
Mental health and recovery in USA.
Mental health and recovery in USA.Mental health and recovery in USA.
Mental health and recovery in USA.JibPo Po
 
Crisis Counseling and Trauma
Crisis Counseling and TraumaCrisis Counseling and Trauma
Crisis Counseling and TraumaPathroseKRaju
 
Counselling/ human behavior /
Counselling/ human behavior / Counselling/ human behavior /
Counselling/ human behavior / AbhilashKrishna1
 
Primer Tc (Presentation)
Primer Tc (Presentation)Primer Tc (Presentation)
Primer Tc (Presentation)probation
 
Family therapy ppt
Family therapy pptFamily therapy ppt
Family therapy pptShimla
 
Moral distress among Nurses
Moral distress among NursesMoral distress among Nurses
Moral distress among NursesShirleySamuel3
 
Recovery Model & Recovery Language
Recovery Model & Recovery LanguageRecovery Model & Recovery Language
Recovery Model & Recovery LanguageHufsa Ahmad
 
Therapeutic community
Therapeutic communityTherapeutic community
Therapeutic communityaneez103
 
Dual and multiple relationships in counselling
Dual and multiple relationships in counsellingDual and multiple relationships in counselling
Dual and multiple relationships in counsellingANCYBS
 
Leticia Funston presentation
Leticia Funston presentationLeticia Funston presentation
Leticia Funston presentationmhcc
 

La actualidad más candente (20)

Basic Principles of the Person Centered Approach
Basic Principles of the Person Centered ApproachBasic Principles of the Person Centered Approach
Basic Principles of the Person Centered Approach
 
Mental health and recovery in USA.
Mental health and recovery in USA.Mental health and recovery in USA.
Mental health and recovery in USA.
 
Marriage counseling
Marriage counselingMarriage counseling
Marriage counseling
 
Crisis Counseling and Trauma
Crisis Counseling and TraumaCrisis Counseling and Trauma
Crisis Counseling and Trauma
 
Counselling/ human behavior /
Counselling/ human behavior / Counselling/ human behavior /
Counselling/ human behavior /
 
Interpersonal relationship
Interpersonal relationshipInterpersonal relationship
Interpersonal relationship
 
Primer Tc (Presentation)
Primer Tc (Presentation)Primer Tc (Presentation)
Primer Tc (Presentation)
 
Family therapy ppt
Family therapy pptFamily therapy ppt
Family therapy ppt
 
Moral distress among Nurses
Moral distress among NursesMoral distress among Nurses
Moral distress among Nurses
 
Recovery Model & Recovery Language
Recovery Model & Recovery LanguageRecovery Model & Recovery Language
Recovery Model & Recovery Language
 
The Emotional Rollercoaster of Caregiving
The Emotional Rollercoaster of CaregivingThe Emotional Rollercoaster of Caregiving
The Emotional Rollercoaster of Caregiving
 
Transference
TransferenceTransference
Transference
 
Family therapy
Family therapyFamily therapy
Family therapy
 
Therapeutic community
Therapeutic communityTherapeutic community
Therapeutic community
 
Tracey Hennessy and Tracy Wilson - The Fine Balance of Peer Work
Tracey Hennessy and Tracy Wilson - The Fine Balance of Peer WorkTracey Hennessy and Tracy Wilson - The Fine Balance of Peer Work
Tracey Hennessy and Tracy Wilson - The Fine Balance of Peer Work
 
challenges in Psychiatric nursing
challenges in Psychiatric nursingchallenges in Psychiatric nursing
challenges in Psychiatric nursing
 
Dual and multiple relationships in counselling
Dual and multiple relationships in counsellingDual and multiple relationships in counselling
Dual and multiple relationships in counselling
 
Group therapy
Group therapyGroup therapy
Group therapy
 
Leticia Funston presentation
Leticia Funston presentationLeticia Funston presentation
Leticia Funston presentation
 
Psychoeducation
PsychoeducationPsychoeducation
Psychoeducation
 

Similar a 09Moral Distress

Scope Discussion.pdf
Scope Discussion.pdfScope Discussion.pdf
Scope Discussion.pdfstudywriters
 
Nurse – patient relationship
Nurse – patient relationshipNurse – patient relationship
Nurse – patient relationshipNursing Hi Nursing
 
Reflection on Nursing-Essay
Reflection on Nursing-EssayReflection on Nursing-Essay
Reflection on Nursing-EssayIrfan iftekhar
 
Nursing ethics (2)
Nursing ethics (2)Nursing ethics (2)
Nursing ethics (2)Maputi24
 
Coursematerial 177
Coursematerial 177Coursematerial 177
Coursematerial 177IFFCO Canada
 
Center for Ethics PresentationFinal (1)
Center for Ethics PresentationFinal (1)Center for Ethics PresentationFinal (1)
Center for Ethics PresentationFinal (1)Brandy Brown
 
Nursing Modules and Readings Journal Reflection.pdf
Nursing Modules and Readings Journal Reflection.pdfNursing Modules and Readings Journal Reflection.pdf
Nursing Modules and Readings Journal Reflection.pdfbkbk37
 
12 legal & ethical issues
12 legal & ethical issues 12 legal & ethical issues
12 legal & ethical issues NaveenJyothi
 
qualitiesofanurse- anju.pptx
qualitiesofanurse- anju.pptxqualitiesofanurse- anju.pptx
qualitiesofanurse- anju.pptxAnju Kumawat
 
Grading CriteriaResearch Study Proposal – Part V Final .docx
Grading CriteriaResearch Study Proposal – Part V Final .docxGrading CriteriaResearch Study Proposal – Part V Final .docx
Grading CriteriaResearch Study Proposal – Part V Final .docxwhittemorelucilla
 
Caritas in Action (launch): How Caring Science Informs and Inspires the Nursi...
Caritas in Action (launch): How Caring Science Informs and Inspires the Nursi...Caritas in Action (launch): How Caring Science Informs and Inspires the Nursi...
Caritas in Action (launch): How Caring Science Informs and Inspires the Nursi...Kaiser Permanente
 
521 replies week 2 ethical dilemma.docx
521 replies week 2 ethical dilemma.docx521 replies week 2 ethical dilemma.docx
521 replies week 2 ethical dilemma.docxwrite22
 
Running Head PERSONAL PHILOSOPHY OF NURSINGPERSONAL PHILOSOPHY .docx
Running Head PERSONAL PHILOSOPHY OF NURSINGPERSONAL PHILOSOPHY .docxRunning Head PERSONAL PHILOSOPHY OF NURSINGPERSONAL PHILOSOPHY .docx
Running Head PERSONAL PHILOSOPHY OF NURSINGPERSONAL PHILOSOPHY .docxgemaherd
 
Nursing Metaparadigm Paper
Nursing Metaparadigm PaperNursing Metaparadigm Paper
Nursing Metaparadigm PaperAshley Thomas
 
Wk 7 lecture 1 pp
Wk 7 lecture 1 ppWk 7 lecture 1 pp
Wk 7 lecture 1 ppehwilson
 

Similar a 09Moral Distress (20)

Scope Discussion.pdf
Scope Discussion.pdfScope Discussion.pdf
Scope Discussion.pdf
 
Nurse – patient relationship
Nurse – patient relationshipNurse – patient relationship
Nurse – patient relationship
 
My personal nursing philosophy
My personal nursing philosophyMy personal nursing philosophy
My personal nursing philosophy
 
Values and opinions
Values and opinionsValues and opinions
Values and opinions
 
Reflection on Nursing-Essay
Reflection on Nursing-EssayReflection on Nursing-Essay
Reflection on Nursing-Essay
 
Nursing ethics (2)
Nursing ethics (2)Nursing ethics (2)
Nursing ethics (2)
 
Coursematerial 177
Coursematerial 177Coursematerial 177
Coursematerial 177
 
Center for Ethics PresentationFinal (1)
Center for Ethics PresentationFinal (1)Center for Ethics PresentationFinal (1)
Center for Ethics PresentationFinal (1)
 
Nursing Modules and Readings Journal Reflection.pdf
Nursing Modules and Readings Journal Reflection.pdfNursing Modules and Readings Journal Reflection.pdf
Nursing Modules and Readings Journal Reflection.pdf
 
01 wengstrom 1
01 wengstrom 101 wengstrom 1
01 wengstrom 1
 
Health coaching
Health coachingHealth coaching
Health coaching
 
Personal Philosophy Of Nursing College Essay
Personal Philosophy Of Nursing College EssayPersonal Philosophy Of Nursing College Essay
Personal Philosophy Of Nursing College Essay
 
12 legal & ethical issues
12 legal & ethical issues 12 legal & ethical issues
12 legal & ethical issues
 
qualitiesofanurse- anju.pptx
qualitiesofanurse- anju.pptxqualitiesofanurse- anju.pptx
qualitiesofanurse- anju.pptx
 
Grading CriteriaResearch Study Proposal – Part V Final .docx
Grading CriteriaResearch Study Proposal – Part V Final .docxGrading CriteriaResearch Study Proposal – Part V Final .docx
Grading CriteriaResearch Study Proposal – Part V Final .docx
 
Caritas in Action (launch): How Caring Science Informs and Inspires the Nursi...
Caritas in Action (launch): How Caring Science Informs and Inspires the Nursi...Caritas in Action (launch): How Caring Science Informs and Inspires the Nursi...
Caritas in Action (launch): How Caring Science Informs and Inspires the Nursi...
 
521 replies week 2 ethical dilemma.docx
521 replies week 2 ethical dilemma.docx521 replies week 2 ethical dilemma.docx
521 replies week 2 ethical dilemma.docx
 
Running Head PERSONAL PHILOSOPHY OF NURSINGPERSONAL PHILOSOPHY .docx
Running Head PERSONAL PHILOSOPHY OF NURSINGPERSONAL PHILOSOPHY .docxRunning Head PERSONAL PHILOSOPHY OF NURSINGPERSONAL PHILOSOPHY .docx
Running Head PERSONAL PHILOSOPHY OF NURSINGPERSONAL PHILOSOPHY .docx
 
Nursing Metaparadigm Paper
Nursing Metaparadigm PaperNursing Metaparadigm Paper
Nursing Metaparadigm Paper
 
Wk 7 lecture 1 pp
Wk 7 lecture 1 ppWk 7 lecture 1 pp
Wk 7 lecture 1 pp
 

Último

Radiation Dosimetry Parameters and Isodose Curves.pptx
Radiation Dosimetry Parameters and Isodose Curves.pptxRadiation Dosimetry Parameters and Isodose Curves.pptx
Radiation Dosimetry Parameters and Isodose Curves.pptxDr. Dheeraj Kumar
 
Big Data Analysis Suggests COVID Vaccination Increases Excess Mortality Of ...
Big Data Analysis Suggests COVID  Vaccination Increases Excess Mortality Of  ...Big Data Analysis Suggests COVID  Vaccination Increases Excess Mortality Of  ...
Big Data Analysis Suggests COVID Vaccination Increases Excess Mortality Of ...sdateam0
 
History and Development of Pharmacovigilence.pdf
History and Development of Pharmacovigilence.pdfHistory and Development of Pharmacovigilence.pdf
History and Development of Pharmacovigilence.pdfSasikiranMarri
 
PULMONARY EDEMA AND ITS MANAGEMENT.pdf
PULMONARY EDEMA AND  ITS  MANAGEMENT.pdfPULMONARY EDEMA AND  ITS  MANAGEMENT.pdf
PULMONARY EDEMA AND ITS MANAGEMENT.pdfDolisha Warbi
 
POST NATAL EXERCISES AND ITS IMPACT.pptx
POST NATAL EXERCISES AND ITS IMPACT.pptxPOST NATAL EXERCISES AND ITS IMPACT.pptx
POST NATAL EXERCISES AND ITS IMPACT.pptxvirengeeta
 
Culture and Health Disorders Social change.pptx
Culture and Health Disorders Social change.pptxCulture and Health Disorders Social change.pptx
Culture and Health Disorders Social change.pptxDr. Dheeraj Kumar
 
call girls in paharganj DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in paharganj DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️call girls in paharganj DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in paharganj DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️saminamagar
 
SYNDESMOTIC INJURY- ANATOMICAL REPAIR.pptx
SYNDESMOTIC INJURY- ANATOMICAL REPAIR.pptxSYNDESMOTIC INJURY- ANATOMICAL REPAIR.pptx
SYNDESMOTIC INJURY- ANATOMICAL REPAIR.pptxdrashraf369
 
Hematology and Immunology - Leukocytes Functions
Hematology and Immunology - Leukocytes FunctionsHematology and Immunology - Leukocytes Functions
Hematology and Immunology - Leukocytes FunctionsMedicoseAcademics
 
Biomechanics- Shoulder Joint!!!!!!!!!!!!
Biomechanics- Shoulder Joint!!!!!!!!!!!!Biomechanics- Shoulder Joint!!!!!!!!!!!!
Biomechanics- Shoulder Joint!!!!!!!!!!!!ibtesaam huma
 
call girls in Dwarka Sector 21 Metro DELHI 🔝 >༒9540349809 🔝 genuine Escort Se...
call girls in Dwarka Sector 21 Metro DELHI 🔝 >༒9540349809 🔝 genuine Escort Se...call girls in Dwarka Sector 21 Metro DELHI 🔝 >༒9540349809 🔝 genuine Escort Se...
call girls in Dwarka Sector 21 Metro DELHI 🔝 >༒9540349809 🔝 genuine Escort Se...saminamagar
 
PERFECT BUT PAINFUL TKR -ROLE OF SYNOVECTOMY.pptx
PERFECT BUT PAINFUL TKR -ROLE OF SYNOVECTOMY.pptxPERFECT BUT PAINFUL TKR -ROLE OF SYNOVECTOMY.pptx
PERFECT BUT PAINFUL TKR -ROLE OF SYNOVECTOMY.pptxdrashraf369
 
LUNG TUMORS AND ITS CLASSIFICATIONS.pdf
LUNG TUMORS AND ITS  CLASSIFICATIONS.pdfLUNG TUMORS AND ITS  CLASSIFICATIONS.pdf
LUNG TUMORS AND ITS CLASSIFICATIONS.pdfDolisha Warbi
 
PNEUMOTHORAX AND ITS MANAGEMENTS.pdf
PNEUMOTHORAX   AND  ITS  MANAGEMENTS.pdfPNEUMOTHORAX   AND  ITS  MANAGEMENTS.pdf
PNEUMOTHORAX AND ITS MANAGEMENTS.pdfDolisha Warbi
 
Pharmaceutical Marketting: Unit-5, Pricing
Pharmaceutical Marketting: Unit-5, PricingPharmaceutical Marketting: Unit-5, Pricing
Pharmaceutical Marketting: Unit-5, PricingArunagarwal328757
 
SWD (Short wave diathermy)- Physiotherapy.ppt
SWD (Short wave diathermy)- Physiotherapy.pptSWD (Short wave diathermy)- Physiotherapy.ppt
SWD (Short wave diathermy)- Physiotherapy.pptMumux Mirani
 
Presentation on Parasympathetic Nervous System
Presentation on Parasympathetic Nervous SystemPresentation on Parasympathetic Nervous System
Presentation on Parasympathetic Nervous SystemPrerana Jadhav
 
Music Therapy's Impact in Palliative Care| IAPCON2024| Dr. Tara Rajendran
Music Therapy's Impact in Palliative Care| IAPCON2024| Dr. Tara RajendranMusic Therapy's Impact in Palliative Care| IAPCON2024| Dr. Tara Rajendran
Music Therapy's Impact in Palliative Care| IAPCON2024| Dr. Tara RajendranTara Rajendran
 
COVID-19 (NOVEL CORONA VIRUS DISEASE PANDEMIC ).pptx
COVID-19  (NOVEL CORONA  VIRUS DISEASE PANDEMIC ).pptxCOVID-19  (NOVEL CORONA  VIRUS DISEASE PANDEMIC ).pptx
COVID-19 (NOVEL CORONA VIRUS DISEASE PANDEMIC ).pptxBibekananda shah
 
call girls in aerocity DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in aerocity DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️call girls in aerocity DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in aerocity DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️saminamagar
 

Último (20)

Radiation Dosimetry Parameters and Isodose Curves.pptx
Radiation Dosimetry Parameters and Isodose Curves.pptxRadiation Dosimetry Parameters and Isodose Curves.pptx
Radiation Dosimetry Parameters and Isodose Curves.pptx
 
Big Data Analysis Suggests COVID Vaccination Increases Excess Mortality Of ...
Big Data Analysis Suggests COVID  Vaccination Increases Excess Mortality Of  ...Big Data Analysis Suggests COVID  Vaccination Increases Excess Mortality Of  ...
Big Data Analysis Suggests COVID Vaccination Increases Excess Mortality Of ...
 
History and Development of Pharmacovigilence.pdf
History and Development of Pharmacovigilence.pdfHistory and Development of Pharmacovigilence.pdf
History and Development of Pharmacovigilence.pdf
 
PULMONARY EDEMA AND ITS MANAGEMENT.pdf
PULMONARY EDEMA AND  ITS  MANAGEMENT.pdfPULMONARY EDEMA AND  ITS  MANAGEMENT.pdf
PULMONARY EDEMA AND ITS MANAGEMENT.pdf
 
POST NATAL EXERCISES AND ITS IMPACT.pptx
POST NATAL EXERCISES AND ITS IMPACT.pptxPOST NATAL EXERCISES AND ITS IMPACT.pptx
POST NATAL EXERCISES AND ITS IMPACT.pptx
 
Culture and Health Disorders Social change.pptx
Culture and Health Disorders Social change.pptxCulture and Health Disorders Social change.pptx
Culture and Health Disorders Social change.pptx
 
call girls in paharganj DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in paharganj DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️call girls in paharganj DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in paharganj DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
 
SYNDESMOTIC INJURY- ANATOMICAL REPAIR.pptx
SYNDESMOTIC INJURY- ANATOMICAL REPAIR.pptxSYNDESMOTIC INJURY- ANATOMICAL REPAIR.pptx
SYNDESMOTIC INJURY- ANATOMICAL REPAIR.pptx
 
Hematology and Immunology - Leukocytes Functions
Hematology and Immunology - Leukocytes FunctionsHematology and Immunology - Leukocytes Functions
Hematology and Immunology - Leukocytes Functions
 
Biomechanics- Shoulder Joint!!!!!!!!!!!!
Biomechanics- Shoulder Joint!!!!!!!!!!!!Biomechanics- Shoulder Joint!!!!!!!!!!!!
Biomechanics- Shoulder Joint!!!!!!!!!!!!
 
call girls in Dwarka Sector 21 Metro DELHI 🔝 >༒9540349809 🔝 genuine Escort Se...
call girls in Dwarka Sector 21 Metro DELHI 🔝 >༒9540349809 🔝 genuine Escort Se...call girls in Dwarka Sector 21 Metro DELHI 🔝 >༒9540349809 🔝 genuine Escort Se...
call girls in Dwarka Sector 21 Metro DELHI 🔝 >༒9540349809 🔝 genuine Escort Se...
 
PERFECT BUT PAINFUL TKR -ROLE OF SYNOVECTOMY.pptx
PERFECT BUT PAINFUL TKR -ROLE OF SYNOVECTOMY.pptxPERFECT BUT PAINFUL TKR -ROLE OF SYNOVECTOMY.pptx
PERFECT BUT PAINFUL TKR -ROLE OF SYNOVECTOMY.pptx
 
LUNG TUMORS AND ITS CLASSIFICATIONS.pdf
LUNG TUMORS AND ITS  CLASSIFICATIONS.pdfLUNG TUMORS AND ITS  CLASSIFICATIONS.pdf
LUNG TUMORS AND ITS CLASSIFICATIONS.pdf
 
PNEUMOTHORAX AND ITS MANAGEMENTS.pdf
PNEUMOTHORAX   AND  ITS  MANAGEMENTS.pdfPNEUMOTHORAX   AND  ITS  MANAGEMENTS.pdf
PNEUMOTHORAX AND ITS MANAGEMENTS.pdf
 
Pharmaceutical Marketting: Unit-5, Pricing
Pharmaceutical Marketting: Unit-5, PricingPharmaceutical Marketting: Unit-5, Pricing
Pharmaceutical Marketting: Unit-5, Pricing
 
SWD (Short wave diathermy)- Physiotherapy.ppt
SWD (Short wave diathermy)- Physiotherapy.pptSWD (Short wave diathermy)- Physiotherapy.ppt
SWD (Short wave diathermy)- Physiotherapy.ppt
 
Presentation on Parasympathetic Nervous System
Presentation on Parasympathetic Nervous SystemPresentation on Parasympathetic Nervous System
Presentation on Parasympathetic Nervous System
 
Music Therapy's Impact in Palliative Care| IAPCON2024| Dr. Tara Rajendran
Music Therapy's Impact in Palliative Care| IAPCON2024| Dr. Tara RajendranMusic Therapy's Impact in Palliative Care| IAPCON2024| Dr. Tara Rajendran
Music Therapy's Impact in Palliative Care| IAPCON2024| Dr. Tara Rajendran
 
COVID-19 (NOVEL CORONA VIRUS DISEASE PANDEMIC ).pptx
COVID-19  (NOVEL CORONA  VIRUS DISEASE PANDEMIC ).pptxCOVID-19  (NOVEL CORONA  VIRUS DISEASE PANDEMIC ).pptx
COVID-19 (NOVEL CORONA VIRUS DISEASE PANDEMIC ).pptx
 
call girls in aerocity DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in aerocity DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️call girls in aerocity DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in aerocity DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
 

09Moral Distress

  • 1. Resolving Moral Distress in Health Care by: Jill Ritchey BSN RN
  • 2. Happy Nurses Happy patients Moral Distress Patient Satisfaction
  • 3. Inspiration Vision/Mission Goals Infrastructure Relationship Based Care Education Magnet Forces Evidence Patient/Nurse Satisfaction
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21. Nurses experience less moral distress when they can advocate on behalf of their patients Magnet Force # 5 Professional Model of Care Relationship based or patient-centered care models promote patient and nursing autonomy
  • 22.
  • 23.
  • 24. Magnet Force # 8 Consultations/ Resources Utilizing Hospital Ethics Committee can help stakeholders in addressing ethical issues, thus reducing moral distress
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.
  • 30.
  • 31.
  • 32.
  • 33.
  • 34.
  • 35.
  • 36. Moral distress can be a catalyst for change In part, vulnerability of patients and families bestows caregivers privilege of caring for another fellow human being in need
  • 37.  
  • 38. Buresh, B & Gordon, S. From Silence to Voice: What Nurses Know and Must Communicate to the Public . 1 st edition. Ottawa, Ontario: Canadian Nurses Association, 2000. California Thoracic Society. “End-of-Life in the Hospital: Strategies to Improve Quality Life-Sustaining Treatments and Limit Conflict through Identifying and Following Patient Wishes.” Position Paper- American Lung Association of California 2005. Corley, Mary Ph.D. RN et al. “Development and Evaluation of a Moral Distress Scale.” Methodological Issues in Nursing Research 33.2 (2001): 250 Davidson, Judy E RN FCCM et al. “Clinical Practice Guidelines for Support of the Family in the Patient-Centered Intensive Care Unit: American College of Critical Care Medicine Task Force 2004-2005.” Critical Care Medicine 35.2 (2007): 605 Duval, Gordon SJD et al. “A National Survey of U.S. Internists’ Experiences with Ethical Dilemmas and Ethics Consultation.” Journal of General Internal Medicine 19.3 (2004): 251 Elpern, Ellen and Silver, Michael. “Improving Outcomes: Focus on Workplace Issues.” Current Opinion in Critical Care 12.5 (2006): 395 Frick, S, Uehlinger DE and Zuercher, Zenklusen RM. “Medical Futility: Predicting Outcome of Intensive Care Unit Patients by Nurses and Doctors—A Prospective Comparative Study.” Critical Care Medicine 31.2 (2003): 456
  • 39. Giganti, Ed. “A New Center for Spirituality and Leadership at Bon Secours Richmond.” Health Progress 87.1 (2006): 4 Hamric, Ann B Ph.D., RN, FAAN and Blackhall, Leslie J. MD, MTS. “Nurse-Physician Perspectives on the Care of Dying Patients in Intensive Care Units: Collaboration, Moral Distress, and Ethical Climate.” Critical Care Medicine 35.2 (2007): 422 Khatri, et. al. “Relationship between management philosophy and clinical outcomes.” Health Care Management Review 32.2 (2007): 128 McClendon, Heather RN, BSN and Buckner, Ellen B. DSN, RN. “Distressing Situations In the Intensive Care Unit-A Descriptive Study of Nurses’ Responses.” Dimensions of Critical Care Nursing 26.5 (2007): 199 McManis and Monslave Associates. “Healthy Work Environments: Striving for Excellence.” http://www. aone .org/ aone /docs/ hwe _excellence_full. pdf Murphy, Kevin Ph.D. “A ‘Next Generation’ Ethics Committee.” Health Progress 87.2 (2006): 26 Peter, Elizabethand Liaschenko, Joan. “Perils of Proximity: A Spatiotemporal Analysis of Moral Distress and Moral Ambiguity.” Nursing Inquiry 11.4 (2004): 218
  • 40. Ray, Daniel MD et al. “Integrating Palliative Medicine and Critical Care in a Community Hospital.” Critical Care Medicine 34.11 (2006): S394 Schmalenberg, Claudia, MSN, RN et al. “Excellence through Evidence-Securing Collegial/Collaborative Nurse-Physician Relationships, Part 2.” Journal of Nursing Administration 35.11 (2005): 507 Silow-Carroll, Sharon, T. Alteras and L. Stepnick. “Patient-Centered Care for Under Served Populations: Definition and Best Practices.” Economic and Social Research Institute . Washington DC. January, 2006. www. esresearch .org Spence Laschinger et al. “ , A longitudinal analysis of the impact of workplace empowerment on work satisfaction.” Journal of Nursing Administration 35 (2003): 410 Taylor, Carol, RN Ph.D. “Dealing with Tough Situations: When Families and Caregivers Disagree.” telecom Lecture MCSA Columbus, OH 2007 Treece, Patsy D RN, MN et al. “Integrating Palliative and Critical Care: Description of an Intervention.” Critical Care Medicine 34.11 (2006): S380

Notas del editor

  1. title could've been--- chosen belief role patients/each other dim. obscured tenuous at best over the years