Moral Distress and You: Supporting Ethical Practice, and Moral Resilience in Nursing
By Cynda H. Rushton and Melissa J. Kurtz
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About this ebook
As a nurse, you must know how to recognize and effectively address situations that create moral distress. Arming yourself with the knowledge, skills and tools to effectively support moral environment and resilience can help you overcome issues of moral distress and enable you to provide better patient care.
Moral Distress and You, the latest YOU! series publication, provides hands-on guidance and tools needed to do just that, including:
Categorizing the moral issues for better understanding of the ethical concerns.
Preventing incidents by helping to recognize the consequences of moral distress for you, your team and your patient.
Identifying the key factors that contribute to moral distress.
Building the necessary capacities to deal with moral distress.
Learning how to utilize the Moral Distress Thermometer to track and assess moral distress.
And much more.
Nurses no longer need to adopt the pervasive narrative of disempowerment, despair and fear that surrounds morally distressing situations. Your experience with moral distress as a nurse is not a sign of failure but rather a signal of your commitments to your patients and the values of your profession.
This booklet is an excellent resource to help you face the ethical challenges of moral distress. Order your copy today.
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Book preview
Moral Distress and You - Cynda H. Rushton
The American Nurses Association (ANA) is the only full-service professional organization representing the interests of the nation’s 3.1 million registered nurses through its constituent/state nurses associations and its organizational affiliates.
The ANA advances the nursing profession by fostering high standards of nursing practice, promoting the rights of nurses in the workplace, projecting a positive and realistic view of nursing, and by lobbying Congress and regulatory agencies on healthcare issues affecting nurses and the public. The opinions in this book reflect those of the authors and do not necessarily reflect positions or policies of the American Nurses Association. Furthermore, the information in this book should not be construed as legal or other professional advice.
About the Authors
Cynda H. Rushton, PhD, RN, FAAN—Dr. Rushton is the Anne and George L. Bunting Professor of Clinical Ethics and holds a joint appointment at the Johns Hopkins University Berman Institute of Bioethics and School of Nursing with an appointment in the School of Medicine (Department of Pediatrics). She is co-chair of The Johns Hopkins Hospital Ethics Consultation Service. Her scholarship focuses on moral distress, palliative care, caregiver suffering, and conceptual foundations of integrity, respect, trust, and compassion.
Melissa J. Kurtz, MSN, MA, RN—Ms. Kurtz is a practicing nurse in the neonatal intensive care unit and a doctoral student at The Johns Hopkins School of Nursing, where her scholarship focuses on the decision-making processes of parents of children with critical illnesses. She is particularly interested in exploring how parents’ spiritual and/or religious beliefs impact their functioning in the healthcare environment. Ms. Kurtz completed a two-year bioethics fellowship at The Montefiore-Einstein Center for Bioethics in 2013.
American Nurses Association
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1-800-274-4ANA
www.NursingWorld.org
Published by Nursesbooks.org
The Publishing Program of ANA
www.Nursesbooks.org/
©2015 American Nurses Association. All rights reserved. Reproduction or transmission in any form is not permitted without written permission of the American Nurses Association (ANA). This publication may not be translated without written permission of ANA. For inquiries or to report unauthorized use, email copyright@ana.org.
ISBN: 978-1-55810-589-8
First published: February 2015 02/2015
Contents
Approaching Moral Distress
Defining Moral Distress
Categorizing Moral Issues
Understanding Moral Distress
Incidence of Moral Distress
Consequences of Moral Distress
Contributors to Moral Distress
Individual Factors
Organizational Factors
Building Capacities to Address Moral Distress
Individual Capacities
Organizational and Professional Capacities
Dealing with Moral Distress:
Tools and Resources
Tools for Identifying Moral Distress
Selected Resources
Moral Distress and You
References