Doing the best I can do: moral distress in adolescent mental health nursing

Issues in Mental Health Nursing
Lynn Musto, Rita Sara Schreiber

Abstract

The purpose of this research was to explore the process used by mental health nurses working with adolescents to ameliorate the experience of moral distress. Using grounded theory methodology, a substantive theory was developed to explain the process. All the incidents that led to the experience of moral distress were related to safety and resulted in the nurses asking themselves the question, "Is this the best I can do?" Engaging in dialogue was the primary means nurses used to work through the experience of moral distress. Engaging in dialogue was an ongoing process, and nurses sought out dialogue with a variety of people as they tried to make sense of their experience. Participants identified qualities of dialogue that were helpful or unhelpful as they sought to resolve their moral distress. Participants who had a positive experience of dialogue were able to answer the "Is this the best I can do" question satisfactorily and continue working with adolescents with a renewed focus on the therapeutic relationship. Participants who had a negative experience of dialogue are unable to answer the question and either left the unit or agency or talked about leaving.

References

Sep 1, 1978·Journal of Studies on Alcohol·M Silberfeld, F B Glaser
Oct 23, 1998·Issues in Mental Health Nursing·K Lützén, R Schreiber
Jan 1, 1988·Nursing Forum·Judith M Wilkinson
Nov 27, 2002·Nursing Ethics·Gweneth A Hartrick Doane
Jan 23, 2003·Canadian Journal of Nursing Leadership·J L StorchR Starzomski
Jan 15, 2004·Journal of Advanced Nursing·Colleen VarcoeRosalie Starzomski
Jun 11, 2004·Nursing Philosophy : an International Journal for Healthcare Professionals·Lorraine B Hardingham
Jul 28, 2005·Nursing Ethics·Mary C CorleyMary Jacobs
Sep 26, 2006·The American Journal of Bioethics : AJOB·Charlotte McDanielAgata Maciuba
Sep 26, 2006·The American Journal of Bioethics : AJOB·Alan Jotkowitz, Avraham Steinberg
Apr 12, 2007·Nursing Ethics·Inga-Britt LindhAgneta Berg
Sep 29, 2007·Nursing Ethics·Heikki ElliläAndre Sourander
Feb 15, 2008·Nursing Ethics·Joan McCarthy, Rick Deady
Dec 9, 2008·JONA'S Healthcare Law, Ethics and Regulation·Jennifer Bell, Jonathan M Breslin
Nov 26, 2010·Nursing Ethics·Kayoko OhnishiYugo Narita

❮ Previous
Next ❯

Citations

Dec 24, 2014·International Journal of Older People Nursing·Sherry Ann DahlkeJennifer Baumbusch
Oct 16, 2015·Nursing Philosophy : an International Journal for Healthcare Professionals·Lynn C Musto, Patricia A Rodney
Nov 27, 2015·Journal of Psychiatric and Mental Health Nursing·L F Lewis
May 23, 2016·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Melissa DyoJessica Devries
Jul 22, 2016·Scandinavian Journal of Caring Sciences·Trine-Lise Jansen, Ingrid Hanssen
Jun 12, 2014·Nursing Ethics·Lynn C MustoRebecca Vanderheide
Oct 22, 2019·Nursing Ethics·Trine-Lise JansenIngrid Hanssen
Apr 24, 2020·Nursing Ethics·Kayoko OhnishiKazuyo Kitaoka
Feb 21, 2021·Journal of Advanced Nursing·Lynn MustoPatricia Paddy Rodney
Apr 24, 2021·Nursing Ethics·Chuleeporn PrompahakulElizabeth G Epstein
Sep 7, 2021·Nursing Ethics·Trine-Lise JansenIngrid Hanssen

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.