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Empirical Studies

Strategies to mitigate moral distress as reported by eldercare professionals

ORCID Icon, , , &
Article: 2315635 | Received 20 Apr 2023, Accepted 03 Feb 2024, Published online: 19 Feb 2024

References

  • Abbasinia, M., Ahmadi, F., & Kazemnejad, A. (2020). Patient advocacy in nursing: A concept analysis. Nursing Ethics, 27(1), 141–14. https://doi.org/10.1177/0969733019832950
  • Allen, R. (2016). Addressing moral distress in critical care nurses: A pilot study. International Journal of Critical Care and Emergency Medicine, 2(1). https://doi.org/10.23937/2474-3674/1510015
  • Amos, V. K., & Epstein, E. (2022). Moral distress interventions: An integrative literature review. Nursing Ethics, 29(3), 582–607. https://doi.org/10.1177/09697330211035489
  • Andersson, K., & Sjölund, M. (2022). Swedish eldercare within home care services at night-time: Perceptions and expressions of ‘good care’ from the perspective of care workers and care unit managers. Nordic Social Work Research, 12(5), 640–653. https://doi.org/10.1080/2156857X.2020.1858330
  • Atabay, G., Çangarli, B. G., & Penbek, Ş. (2015). Impact of ethical climate on moral distress revisited: Multidimensional view. Nursing Ethics, 22(1), 103–116. https://doi.org/10.1177/0969733014542674
  • Bozzaro, C., Boldt, J., & Schweda, M. (2018). Are older people a vulnerable group? Philosophical and bioethical perspectives on ageing and vulnerability. Bioethics, 32(4), 233–239. https://doi.org/10.1111/bioe.12440
  • Burston, A. S., & Tuckett, A. G. (2013). Moral distress in nursing: Contributing factors, outcomes and interventions. Nursing Ethics, 20(3), 312–324. https://doi.org/10.1177/0969733012462049
  • Carse, A., & Rushton, C. H. (2017). Harnessing the promise of moral distress: A call for re-orientation. The Journal of Clinical Ethics, 28(1), 15–29. https://doi.org/10.1086/JCE2017281015
  • Chiafery, M. C., Hopkins, P., Norton, S. A., & Shaw, M. H. (2018). Nursing ethics huddles to decrease moral distress among nurses in the intensive care unit. The Journal of Clinical Ethics, 29(3), 217–226. https://doi.org/10.1086/JCE2018293217
  • Choe, K., Kim, K., & Lee, K.-S. (2015). Ethical concerns of visiting nurses caring for older people in the community. Nursing Ethics, 22(6), 700–710. https://doi.org/10.1177/0969733014542676
  • Corley, M. C., Minick, P., Elswick, R. K., & Jacobs, M. (2005). Nurse moral distress and ethical work environment. Nursing Ethics, 12(4), 381–390. https://doi.org/10.1191/0969733005ne809oa
  • Davis, M., & Batcheller, J. (2020). Managing moral distress in the workplace: Creating a resiliency bundle. Nurse Leader, 18(6), 604–608. https://doi.org/10.1016/j.mnl.2020.06.007
  • Elo, S., Kääriäinen, M., Kanste, O., Pölkki, T., Utriainen, K., & Kyngäs, H. (2014). Qualitative content analysis: A focus on trustworthiness. SAGE Open, 4(1), 1–10. https://doi.org/10.1177/2158244014522633
  • Elo, S., & Kyngäs, H. (2008). The qualitative content analysis process. Journal of Advanced Nursing, 62(1), 107–115. https://doi.org/10.1111/j.1365-2648.2007.04569.x
  • Eriksson, S., Helgesson, G., & Höglund, A. T. (2007). Being, doing, and knowing: Developing ethical competence in health care. Journal of Academic Ethics, 5(2–4), 207–216. https://doi.org/10.1007/s10805-007-9029-5
  • Fjørtoft, A.-K., Oksholm, T., Delmar, C., Førland, O., & Alvsvåg, H. (2021). Home-care nurses’ distinctive work: A discourse analysis of what takes precedence in changing healthcare services. Nursing Inquiry, 28(1), e12375. https://doi.org/10.1111/nin.12375
  • Fourie, C. (2015). Moral distress and moral conflict in clinical ethics. Bioethics, 29(2), 91–97. https://doi.org/10.1111/bioe.12064
  • Fourie, C. (2017). Who is experiencing what kind of moral distress? Distinctions for moving from a narrow to a broad definition of moral distress. AMA J Ethics, 19, 578–584. https://doi.org/10.1001/journalofethics.2017.19.6.nlit1-1706
  • Gastman, C. (2002). A fundamental ethical approach to nursing: Some proposals for ethics education. Nursing Ethics, 9(5), 494–507. https://doi.org/10.1191/0969733002ne539oa
  • Gilham, B. (2000). Case study research methods. Bloomsbury Publishing.
  • Graneheim, U. H., & Lundman, B. (2004). Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Education Today, 24(2), 105–112. https://doi.org/10.1016/j.nedt.2003.10.001
  • Hamric, A. B., & Epstein, E. G. (2017). A health system-wide moral distress consultation service: Development and evaluation. HEC Forum: An Interdisciplinary Journal on Hospitals’ Ethical and Legal Issues, 29(2), 127–143. https://doi.org/10.1007/s10730-016-9315-y
  • Heggestad, A. K. T., Magelssen, M., Pedersen, R., & Gjerberg, E. (2021). Ethical challenges in home-based care: A systematic literature review. Nursing Ethics, 28(5), 628–644. https://doi.org/10.1177/0969733020968859
  • Hoppania, A.-K. (2015). Care as a site of political struggle. Department of Political and Economic Studies, University of Helsinki.
  • Huang, C. C., You, C. S., & Tsai, M. T. (2012). A multidimensional analysis of ethical climate, job satisfaction, organizational commitment, and organizational citizenship behaviors. Nursing Ethics, 19(4), 513–529. https://doi.org/10.1177/0969733011433923
  • Hyatt, J. (2017). Recognizing moral disengagement and its impact on patient safety. Journal of Nursing Regulation, 7(4), 15–21. https://doi.org/10.1016/S2155-8256(17)30015-7
  • Jameton, A. (1993). Dilemmas of moral distress: Moral responsibility and nursing practice. Awhonn’s Clinical Issues in Perinatal and Women’s Health Nursing, 4(4), 542–551.
  • Johnstone, M.-J., & Hutchinson, A. (2015). ‘Moral distress’ – Time to abandon a flawed nursing construct? Nursing Ethics, 22(1), 5–14. https://doi.org/10.1177/0969733013505312
  • Kälvemark, S., Hoglund, A. T., Hansson, M. G., Westerholm, P., & Arnetz, B. (2004). Living with conflicts-ethical dilemmas and moral distress in the health care system. Social Science & Medicine, 58(6), 1075–1084. https://doi.org/10.1016/s0277-9536(03)00279-x
  • Kälvemark Sporrong, S., Arnetz, B., Hansson, M. G., Westerholm, P., & Höglund, A. (2007). Developing ethical competence in health care organizations. Nursing Ethics, 14(6), 825–837. https://doi.org/10.1177/0969733007082142
  • Kangasniemi, M., Arala, K., Becker, E., Suutarla, A., Haapa, T., & Korhonen, A. (2017). The development of ethical guidelines for nurses’ collegiality using the Delphi method. Nursing Ethics, 24(5), 538–555. https://doi.org/10.1177/0969733015617342
  • Kehusmaa, S., & Alastalo, H. (2022). Vanhuspalveluihin on palkattu lisää hoiva-avustajia, lähi- ja sairaanhoitajien määrä ennallaan. [more care assistants have been hired for elderly services, the number of practical nurses and registered nurses is unchanged.] Finnish institute for health and welfare, (pp. 1–7).
  • Kim, M., Oh, Y., & Kong, B. (2020). Ethical conflicts experienced by nurses in geriatric hospitals in South Korea: “If you can’t stand the heat, get out of the kitchen”. International Journal of Environmental Research and Public Health, 17(12), 4442. https://doi.org/10.3390/ijerph17124442
  • Korkiakangas, E., Koivisto, T., Olin, N., & Laitinen, J. (2022). Vanhustyössä työskentelevien hoitajien ja esihenkilöiden näkemyksiä vanhustyön vetovoimaisuutta edistävistä tekijöistä [Eldercare practitioners’ and managers’ perceptions on factors enhancing attractiveness of the sector]. Tutkiva Hoitotyö [Nursing Research], 2(1), 3–11.
  • Lamiani, G., Borghi, L., & Argentero, P. (2017). When healthcare professionals cannot do the right thing: A systematic review of moral distress and its correlates. Journal of Health Psychology, 22(1), 51–67. https://doi.org/10.1177/1359105315595120
  • Laukkanen, L., Suhonen, R., Löyttyniemi, E., & Leino-Kilpi, H. (2022). The usability, feasibility and fidelity of the ethics quarter e-learning intervention for nurse managers. BMC Medical Education, 22(1), 175. https://doi.org/10.1186/s12909-022-03241-w
  • Lindberg, C., Fock, J., Nilsen, P., & Schildmeijer, K. (2023). Registered nurses’ efforts to ensure safety for home-dwelling older patients. Scandinavian Journal of Caring Sciences, 37, 571–581. https://doi.org/10.1111/scs.13142 2
  • Lützén, K., & Kvist, B. E. (2012). Moral distress: A comparative analysis of theoretical understandings and inter-related concepts. HEC Forum: An Interdisciplinary Journal on Hospitals’ Ethical and Legal Issues, 24(1), 13–25. https://doi.org/10.1007/s10730-012-9178-9
  • Magelssen, M., & Karlsen, H. (2022). Clinical ethics committees in nursing homes: What good can they do? Analysis of a single case consultation. Nursing Ethics, 29(1), 94–103. https://doi.org/10.1177/09697330211003269
  • Marks, J., Predescu, I., & Dunn, L. B. (2021). Ethical issues in caring for older adults. FOCUS, 19(3), 325–329. https://doi.org/10.1176/appi.focus.20210011
  • Mason, J. (2004). Semi-structured interview. The SAGE encyclopedia of social sciences research methods. UK: Sage.
  • McCarthy, J., & Gastmans, C. (2015). Moral distress: A review of the argument-based nursing ethics literature. Nursing Ethics, 22(1), 131–152. https://doi.org/10.1177/0969733014557139
  • McCarthy, J., & Monteverde, S. (2018). The standard account of moral distress and why we should keep it. HEC Forum: An Interdisciplinary Journal on Hospitals’ Ethical and Legal Issues, 30(4), 319–328. https://doi.org/10.1007/s10730-018-9349-4
  • Molazem, Z., Tavakol, N., Sharif, F., Keshavarzi, S., & Ghadakpour, S. (2013). Effect of education based on the “4A Model” on the Iranian nurses’ moral distress in CCU wards. Journal of Medical Ethics and History of Medicine, 6, 6.
  • Monteverde, S. (2014). Undergraduate healthcare ethics education, moral resilience, and the role of ethical theories. Nursing Ethics, 21(4), 385–401. https://doi.org/10.1177/0969733013505308
  • Morley, G., Bradbury-Jones, C., & Ives, J. (2020). What is ‘moral distress’ in nursing? A feminist empirical bioethics study. Nursing Ethics, 27(5), 1297–1314. https://doi.org/10.1177/0969733019874492
  • Morley, G., Ives, J., Bradbury-Jones, C., & Irvine, F. (2019). What is ‘moral distress’? A narrative synthesis of the literature. Nursing Ethics, 26(3), 646–662. https://doi.org/10.1177/0969733017724354
  • Muldrew (Née Preshaw), D. H., McLaughlin, D., & Brazil, K. (2019). Ethical issues experienced during palliative care provision in nursing homes. Nursing Ethics, 26(6), 1848–1860. https://doi.org/10.1177/0969733018779218
  • Naz, N., Gulab, F., & Aslam, M. (2022). Development of qualitative semi-structured interview Guide for case study research. Competitive Social Science Research Journal, 3(2), 42–52. Retrieved from https://cssrjournal.com/index.php/cssrjournal/article/view/170
  • Nikunlaakso, R., Selander, K., Weiste, E., Korkiakangas, E., Paavolainen, M., Koivisto, T., & Laitinen, J. (2022). Understanding moral distress among eldercare workers: A scoping review. International Journal of Environmental Research and Public Health, 19(15), 9303. https://doi.org/10.3390/ijerph19159303
  • Numminen, O., Leino-Kilpi, H., Isoaho, H., & Meretoja, R. (2015). Ethical climate and nurse competence – Newly graduated nurses’ perceptions. Nursing Ethics, 22(8), 845–859. https://doi.org/10.1177/0969733014557137
  • Öresland, S., Määttä, S., Norberg, A., Jörgensen, M. W., & Lützén, K. (2008). Nurses as guests or professionals in home health care. Nursing Ethics, 15(3), 371–383. https://doi.org/10.1177/0969733007088361
  • Petersen, J., & Melzer, M. (2023). Predictors and consequences of moral distress in home-care nursing: A cross-sectional survey. Nursing Ethics, 30(7–8), 1199–1216. advance online publication. https://doi.org/10.1177/09697330231164761
  • Peters, Peters, M. D. J., Marnie, C., Colquhoun, H., Garritty, C. M., Hempel, S., Horsley, T., Langlois, E. V., Lillie, E., O’Brien, K. K., Tunçalp, Ӧ., Wilson, M. G., Zarin, W., & Tricco, A. C. (2021). Scoping reviews: Reinforcing and advancing the methodology and application. Systematic Reviews, 10(1), Article number: 263. https://doi.org/10.1186/s13643-021-01821-3
  • Pijl-Zieber, E. M., Awosoga, O., Spenceley, S., Hagen, B., Hall, B., & Lapins, J. (2018). Caring in the wake of the rising tide: Moral distress in residential nursing care of people living with dementia. Dementia (London, England), 17(3), 315–336. https://doi.org/10.1177/1471301216645214
  • Podgorica, N., Flatscher-Thöni, M., Deufert, D., Siebert, U., & Ganner, M. (2021). A systematic review of ethical and legal issues in elder care. Nursing Ethics, 28(6), 895–910. https://doi.org/10.1177/0969733020921488
  • Rainer, J., Schneider, J. K., & Lorenz, R. A. (2018). Ethical dilemmas in nursing: An integrative review. Journal of Clinical Nursing, 27(19–20), 3446–3461. https://doi.org/10.1111/jocn.14542
  • Rego, F., Sommovigo, V., Setti, I., Giardini, A., Alves, E., Morgado, J., & Maffoni, M. (2022). How supportive ethical relationships are negatively related to palliative care professionals’ negative affectivity and moral distress: A Portuguese sample. International Journal of Environmental Research and Public Health, 19(7), 3863. https://doi.org/10.3390/ijerph19073863
  • Robinson, E. M., Lee, S. M., Zollfrank, A., Jurchak, M., Frost, D., & Grace, P. (2014). Enhancing moral agency: Clinical ethics residency for nurses. The Hastings Center Report, 44(5), 12–20. https://doi.org/10.1002/hast.353
  • Rubin, H. J., & Rubin, I. S. (2011). Qualitative interview: The art of hearing data. Sage.
  • Runeson, P., & Höst, M. (2009). Guidelines for conducting and reporting case study research in software engineering. Empirical Software Engineering, 14(2), 131–164. https://doi.org/10.1007/s10664-008-9102-8
  • Rushton, C. H., Swoboda, S. M., Reller, N., Skarupski, K. A., Prizzi, M., Young, P. D., & Hanson, G. C. (2021). Mindful ethical practice and resilience academy: Equipping nurses to address ethical challenges. American Journal of Critical Care, 30(1), e1–e11. https://doi.org/10.4037/ajcc2021359
  • Schenck, D. P., & Roscoe, L. A. (2009). In search of a good death. The Journal of Medical Humanities, 30(1), 61–72. https://doi.org/10.1007/s10912-008-9071-3
  • Selander, K., Nikunlaakso, R., & Laitinen, J. (2022). Association between work ability and work stressors: Cross-sectional survey of elderly services and health and social care service employees. Archives of Public Health, 80(1). https://doi.org/10.1186/s13690-022-00841-2
  • Smallwood, N., Pascoe, A., Karimi, L., & Willis, K. (2021). Moral distress and perceived community views are associated with mental health symptoms in frontline health workers during the COVID-19 pandemic. International Journal of Environmental Research and Public Health, 18(16), 8723. https://doi.org/10.3390/ijerph18168723
  • Sousa-Ribeiro, M., Lindfors, P., & Knudsen, K. (2022). Sustainable working life in intensive care: A qualitative study of older nurses. International Journal of Environmental Research and Public Health, 19(10), 6130. https://doi.org/10.3390/ijerph19106130
  • STM. (2020). Laatusuositus hyvän ikääntymisen turvaamiseksi ja palvelujen parantamiseksi 2020–2023: Tavoitteena ikäystävällinen Suomi. Sosiaali- ja terveysministeriön julkaisuja 2020:29.Helsinki: Sosiaali- ja terveysministeriö ja Kuntaliitto. https://urn.fi/URN:ISBN:978-952-00-5457-1
  • Tigard, D. W. (2019). The positive value of moral distress. Bioethics, 33(5), 601–608. https://doi.org/10.1111/bioe.12564
  • Trifunovic-Koenig, M., Strametz, R., Gerber, B., Mantri, S., & Bushuven, S. (2022). Validation of the German version of the moral injury symptom and support scale for health professionals (G-MISS-HP) and its correlation to the second victim phenomenon. International Journal of Environmental Research and Public Health, 19(8), 4857. https://doi.org/10.3390/ijerph19084857
  • Tynkkynen, L. K., Pulkki, J., Tervonen-Gonçalves, L., Schön, P., Burström, B., & Keskimäki, I. (2022). Health system reforms and the needs of the ageing population—An analysis of recent policy paths and reform trends in Finland and Sweden. European Journal of Aging, 19(2), 221–232. https://doi.org/10.1007/s10433-022-00699-x
  • Ulrich, B., Krozek, C., Early, S., Ashlock, C. H., Africa, L. M., & Carman, M. L. (2010). Improving retention, confidence, and competence of new graduate nurses: Results from a 10-year longitudinal database. Nursing Economic$, 28(6), 363.
  • Vaclavik, E. A., Staffileno, B. A., & Carlson, E. (2018). Moral distress: Using mindfulness-based stress reduction interventions to decrease nurse perceptions of distress. Clinical Journal of Oncology Nursing, 22(3), 326–332. https://doi.org/10.1188/18.CJON.326-332
  • van der Vaart, W., & van Oudenaarden, R. (2018). The practice of dealing with existential questions in long-term elderly care. International Journal of Qualitative Studies on Health and Well-Being, 13(1), 1508197. https://doi.org/10.1080/17482631.2018.1508197
  • Ventovaara, P., Af Sandeberg, M., Räsänen, J., & Pergert, P. (2021). Ethical climate and moral distress in paediatric oncology nursing. Nursing Ethics, 28(6), 1061–1072. https://doi.org/10.1177/0969733021994169
  • WHO. Ageing and health. Retrieved January 16, 2023, from https://www.who.int/news-room/fact-sheets/detail/ageing-and-health
  • Wiegand, D. L., & Funk, M. (2012). Consequences of clinical situations that cause critical care nurses to experience moral distress. Nursing Ethics, 19(4), 479–487. https://doi.org/10.1177/0969733011429342
  • Wocial, L., Ackerman, V., Leland, B., Benneyworth, B., Patel, V., Tong, Y., & Nitu, M. (2017). Pediatric ethics and communication excellence (PEACE) rounds: Decreasing moral distress and patient length of stay in the PICU. HEC Forum: An Interdisciplinary Journal on Hospitals’ Ethical and Legal Issues, 29(1), 75–91. https://doi.org/10.1007/s10730-016-9313-0
  • Woods, M. (2020). Moral distress revisited: The viewpoints and responses of nurses. International Nursing Review, 67(1), 68–75. https://doi.org/10.1111/inr.12545
  • Young, A., Froggatt, K., & Brearley, S. G. (2017). ‘Powerlessness’ or ‘doing the right thing’ – Moral distress among nursing home staff caring for residents at the end of life: An interpretive descriptive study. Palliative Medicine, 31(9), 853–860. https://doi.org/10.1177/0269216316682894