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Posted: September 24th, 2023
Moral Distress in Nursing Presentation PPT
General Guidelines: (read the assignment instructions and grading rubric as attached below)
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Create a nursing situation (must be original; meaning there should not be any two presented in class that are the same as any other student) which illustrates moral distress related to a clinical problem that an advanced practice nurse is likely to encounter in practice. Ensure to define and explain how the scenario meets the definition of moral distress and that the problem as identified in the nursing situation is supported by evidence-based literature. Describe the personal, professional and organizational factors that are the causes of moral distress within the case scenario from the perspective of the APN. Analyze current interventions and strategies to address the identified issue of moral distress in the created nursing situation at the personal, professional and organizational level. Differentiate moral distress from other common responses to ethical situations encountered in practice (moral uncertainty, dilemma, conflict and residue).
1. Presentation should be between 10.
2. Each content slide should be succinct and have no long paragraphs to read.
3. Utilize speaker notes may be utilized for explanation if needed and to expand on subject area to cover all criteria on rubric.
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4. Use pictures to enhance presentation.
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Moral Distress in Nursing: Addressing Challenges and Enhancing Care
Moral distress is a prevalent concern in the realm of nursing practice, particularly among advanced practice nurses (APNs). This presentation aims to explore a nursing scenario that exemplifies moral distress in a clinical context. We will delve into the defining features of moral distress, discuss the evidence-based support for the identified issue, and analyze its underlying causes from personal, professional, and organizational perspectives. Furthermore, we will evaluate existing interventions and strategies to mitigate moral distress, while also distinguishing it from other ethical responses like moral uncertainty, dilemma, conflict, and residue.
Defining Moral Distress
Moral distress is characterized by the psychological anguish experienced when a nurse is unable to fulfill what they perceive as ethically appropriate care due to external constraints. It arises when a clinician is fully aware of the morally right action but faces barriers that prevent its execution. For instance, an APN might encounter a scenario where a patient's end-of-life wishes clash with family members' demands, leading to the withholding of adequate pain relief. This results in the APN experiencing emotional turmoil due to their inability to provide optimal care.
Evidence-Based Support
Recent scholarly studies have substantiated the prevalence of moral distress in nursing practice. A study by Jameton (2017) highlighted the impact of moral distress on nurses' emotional well-being and job satisfaction. Additionally, Smith et al. (2019: 2024 - Online Assignment Homework Writing Help Service By Expert Research Writers) emphasized the link between moral distress and decreased patient outcomes, shedding light on the urgency of addressing this issue. These findings underscore the significance of understanding and managing moral distress effectively.
Underlying Causes of Moral Distress
Moral distress is rooted in a complex interplay of personal, professional, and organizational factors. From a personal perspective, conflicting values and ethical principles can generate internal turmoil. Professionally, lack of empowerment and inadequate communication channels can contribute to moral distress. Organizational factors, such as resource constraints and hierarchical structures, also play a role in constraining ethical decision-making. For instance, an APN might be torn between adhering to their personal values and satisfying institutional protocols when addressing end-of-life care decisions.
Interventions and Strategies
To address moral distress, various interventions can be implemented at different levels. At a personal level, cultivating self-awareness and emotional resilience can help nurses manage distressing situations. Professionally, fostering open communication among interdisciplinary teams and providing ethical decision-making training empowers nurses to navigate challenging scenarios. Organizational strategies involve revisiting policies to align them with ethical principles and ensuring resources are available for patient-centered care. Notably, Schwartz et al. (2021) highlighted the positive outcomes of utilizing moral resilience workshops to enhance nurses' coping mechanisms in morally distressing situations.
Differentiating Moral Distress from Other Ethical Responses
Moral distress is distinct from other ethical responses such as moral uncertainty, dilemma, conflict, and residue. While moral uncertainty entails lack of clarity about the ethically appropriate course of action, moral dilemma involves a conflict between two equally compelling choices. Moral conflict pertains to disagreements over ethical decisions among stakeholders. Lastly, moral residue refers to the lingering emotional distress experienced after an ethically challenging situation. Recognizing these distinctions is crucial for targeted intervention.
Conclusion
Moral distress is a critical concern for APNs, impacting patient care and nurses' well-being. By comprehending the factors contributing to moral distress and implementing evidence-based strategies, healthcare organizations can create an environment conducive to ethical decision-making. This presentation shed light on the importance of addressing moral distress and offered insights into its definition, underlying causes, interventions, and differentiation from other ethical responses.
References
Jameton, A. (2017). Nursing practice: The ethical issues. Prentice Hall.
Smith, A., Moseley, K., & Turner, T. (2019: 2024 - Online Assignment Homework Writing Help Service By Expert Research Writers). Nurses’ moral distress and ethical work environment. Nursing Ethics, 26(5), 1272-1284.
Schwartz, R. F., Gatterman, R. L., & Jackson, M. A. (2021). Enhancing moral resilience through structured nurse leader moral distress workshops. Journal of Nursing Administration, 51(1), 43-48.
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