According to Pauly et al. in their article “Framing the issues: Moral Distress in Health Care” there has been a growing concern regarding moral distress in health care. Moral distress is believed to be having serious short and long term consequences which in turn influences safety and competency of quality healthcare…
Moral distress affects all the healthcare providers across the board in different healthcare settings making it a serious issue in the healthcare sector. Although moral distress is defined differently depending on different fields it primarily acquaints itself with ethical perspective of health practice. Upholding professional values, responsibilities and duties remains vital and are strongly affected by moral distress. Some of the negative impacts of moral distress in healthcare include emotional distress, withdrawal of self from patients, inadequate patient care, and job dissatisfaction or may be attrition in nursing (Pauly, Varcoe & Storch, 2012). Moral distress is argued by some researchers that it can change the position of nurses regarding the particular situation or ethical requirements. At times the nurses’ demands of providing care may affect the healthcare providers by prompting them to cease their profession which is actually a serious concern. Research on moral distress in nursing faces various challenges such as lack of conceptual clarity and perpetuation or meta-narration regarding the identity of nursing as a profession. Generally there is insufficient conceptual and theoretical clarity of moral distress in the healthcare sector. ...
These kinds of constraints are believed to be beyond nurses’ perspectives thus leading to reactive moral distress as Jameton explains. Nurses may be faced with challenges of doing as per the institutional requirement or following their conscious. Moral distress may therefore be caused by individuals’ failure to do things compromising their personal integrity. Resolution to moral distress may really boost performance of nurses (Pauly, Varcoe & Storch, 2012). Consequently, it is undeniable that empirical research tensions hindering moral distress are found to be the fact that most research involves nurses in acute care in North America and also repeated use of a specific tool developed in a particular context. Additionally, there is insufficient connection among moral distress, moral agency and ethical climate as well as minimal attention to interventions or actions addressing issues related to moral distress. Since moral distress cuts across all professions and disciplines especially disciplines related to healthcare provision, research should be conducted based on interdisciplinary perspective (Pauly, Varcoe & Storch, 2012). Recommendations to cope with moral distress only concentrate individual perspective thus living behind structural concerns. Although there has been limited involvement of policy and politics in trying to solve or control the issue of moral distress, they still remain important factors in moral distress management. Reference Pauly, Varcoe & Storch. (2012), Nurses perceptions and responses to morally distressing situations. Nursing ...
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