NICU nurses' moral distress surrounding the deaths of infants

被引:1
|
作者
Han, Soojeong [1 ,2 ]
Min, Haeyoung [3 ]
Kim, Sujeong [4 ,5 ]
机构
[1] Univ Washington, Seattle, WA 98195 USA
[2] Pacific Med Ctr, Seattle, WA USA
[3] Gyeongsang Natl Univ, Jinju, South Korea
[4] Catholic Univ Korea, Seoul, South Korea
[5] Catholic Univ Korea, Res Inst Hosp Palliat Care, Coll Nursing, Seoul, South Korea
关键词
moral distress; ethical dilemma; end-of-life; neonatal intensive care; infants and families; nursing; CRITICAL-CARE NURSES;
D O I
10.1177/09697330221134978
中图分类号
B82 [伦理学(道德学)];
学科分类号
摘要
Background As Korean neonatal nurses frequently experience the deaths of infants, moral distress occurs when they provide end-of-life care to the infants and their families. Although they need to care for the patients' deaths and consequently experience burnout and turnover due to moral distress from the situation, there is a lack of a support for nurses. Moreover, not much information is available on the moral distress of neonatal nurses. There is a need to better understand Korean neonatal nurses' moral distress to develop and implement appropriate supports. Objective This study aimed to describe nurses' experience of moral distress when they provide end-of-life care to infants and their families in neonatal intensive care units. Research design This is a secondary analysis qualitative study. Content analysis was performed based on Corley's theory of moral distress to develop a codebook and identify themes regarding moral distress among the nurses. Participants and research context Qualitative data were collected from 20 nurses working in two NICUs in Seoul, South Korea. Ethical considerations The original study obtained permission from a university's institutional review board (IRB). This secondary analysis study obtained the exemption from another university's IRB. Nurses' participation was voluntary and confidential. Findings The nurses' moral distress was derived when they faced moral constraints and/or moral conflicts. Two distinct categories of moral constraints and four distinct categories of moral conflicts were identified among the neonatal nurses. In addition, impacts of moral distress on patients and nurses were identified. Conclusions This study identified occasions neonatal nurses experience moral distress, and thus can guide in developing and implementing effective interventions to decrease their moral distress and improve their resilience in end-of-life care by providing insight into neonatal nurses' needs for support in end-of-life care.
引用
收藏
页码:276 / 287
页数:12
相关论文
共 50 条
  • [1] Moral Distress and Burnout in NICU Nurses
    Barr, Peter
    [J]. JOGNN-JOURNAL OF OBSTETRIC GYNECOLOGIC AND NEONATAL NURSING, 2022, 51 (04): : 441 - 449
  • [2] Moral foundations, moral emotions, and moral distress in NICU nurses
    Barr, Peter
    [J]. NURSING ETHICS, 2024,
  • [4] Extending the concept of moral distress to parents of infants hospitalized in the NICU: a qualitative study in Greece
    Voultsos, Polychronis
    Arabatzi, Maria
    Deligianni, Maria
    Tsaroucha, Alexandra K.
    [J]. BMC PSYCHOLOGY, 2024, 12 (01)
  • [5] MORAL DISTRESS IN ONCOLOGY NURSES AS ASSESSED BY THE MORAL DISTRESS SCALE
    Held-Warmkessel, Jeanne
    Pody, Theresa
    [J]. ONCOLOGY NURSING FORUM, 2014, 41 (02) : E89 - E89
  • [6] MORAL DISTRESS IN ONCOLOGY NURSES
    King, Emily
    Gazecki, Anna
    [J]. ONCOLOGY NURSING FORUM, 2021, 48 (02) : 106 - 107
  • [7] Moral Distress and the Marginalization of Nurses
    Fourie, Carina
    Campelia, Georgina
    [J]. AMERICAN JOURNAL OF BIOETHICS, 2024, 24 (01): : 132 - 134
  • [8] Moral Distress Among Nurses
    Jones, Ashley
    [J]. JOURNAL OF EMERGENCY NURSING, 2014, 40 (01) : 4 - 4
  • [9] MORAL DISTRESS IN EMERGENCY NURSES
    Fernandez-Parsons, Robin
    Rodriguez, Lori
    Goyal, Deepika
    [J]. JOURNAL OF EMERGENCY NURSING, 2013, 39 (06) : 547 - 552
  • [10] Registered Nurses and Moral Distress
    Robinson, Ruthie
    [J]. DIMENSIONS OF CRITICAL CARE NURSING, 2010, 29 (05) : 197 - 202