Predictors of Moral Distress in a US Sample of Critical Care Nurses

American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses
Catherine A HilerKimberly Wilson

Abstract

Moral distress in registered nurses causes decreased job satisfaction, turnover in staffing, burnout, and heightened states of psychological distress. To date, investigation of modifiable factors, such as perceptions of the practice environment and patient safety, among a diverse sample of critical care nurses has been limited. To explore the relationships among the severity of moral distress, the practice environment, and patient safety in a national sample of critical care nurses. Critical care nurses experienced in working with adults (> 1 year of intensive care unit experience) and who were subscribers to the American Association of Critical-Care Nurses' e-mail listserv and social media sites anonymously participated in this descriptive study. Participants completed a demographic questionnaire, the Moral Distress Scale-Revised, and the Practice Environment Scale of the Nursing Work Index. Descriptive statistics, bivariate correlation coefficients, and a hierarchical regression analysis were used to describe the sample characteristics and to assess relationships among the study variables. Of a national sample of 328 critical care nurses, 56% had less than 20 years of experience as a registered nurse. Moral distress was modes...Continue Reading

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Citations

Apr 11, 2019·The American Journal of Hospice & Palliative Care·Melissa A BenderLaura Mae-Baldwin
Apr 20, 2019·AJOB Empirical Bioethics·Elizabeth G EpsteinAnn B Hamric
Nov 22, 2019·Nursing Ethics·Chuleeporn Prompahakul, Elizabeth G Epstein
Aug 23, 2019·Journal of Forensic Nursing·Angela Karakachian, Alison Colbert
Mar 3, 2020·American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses·Kathryn L CochranMeredith Mealer
Apr 3, 2020·Nursing Ethics·Andrew HelmersRebecca A Greenberg
Jun 12, 2020·AACN Advanced Critical Care·Elizabeth G EpsteinMary Faith Marshall
May 29, 2020·Journal of Continuing Education in Nursing·Allen A CadaveroBradi B Granger
Jan 30, 2021·Nursing Ethics·Angela KarakachianRachel Berger
Feb 23, 2021·International nursing review·Anna Falcó-PeguerolesLoris Bonetti
Aug 25, 2020·Nurse Leader·Melodie Davis, Joyce Batcheller
Apr 4, 2021·HEC Forum : an Interdisciplinary Journal on Hospitals' Ethical and Legal Issues·Elizabeth G EpsteinMary Faith Marshall
Apr 15, 2021·Health and Quality of Life Outcomes·Tomoko FujiiTakeo Nakayama
Apr 24, 2021·Nursing Ethics·Chuleeporn PrompahakulElizabeth G Epstein
Aug 17, 2021·Dimensions of Critical Care Nursing : DCCN·Angela D SandbergTina M Mason
Jun 1, 2021·Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses·Suzanne M HallyBrett D Nelson

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