Moral distress in healthcare assistants: A discussion with recommendations.


Journal

Nursing ethics
ISSN: 1477-0989
Titre abrégé: Nurs Ethics
Pays: England
ID NLM: 9433357

Informations de publication

Date de publication:
Historique:
pubmed: 24 8 2018
medline: 31 3 2020
entrez: 24 8 2018
Statut: ppublish

Résumé

Moral distress can be broadly described as the psychological distress that can develop in response to a morally challenging event. In the context of healthcare, its effects are well documented in the nursing profession, but there is a paucity of research exploring its relevance to healthcare assistants. This article aims to examine the existing research on moral distress in healthcare assistants, identity the important factors that are likely to contribute to moral distress, and propose preventative measures. This is a survey of the existing literature on moral distress in healthcare assistants. It uses insights from moral distress in nursing to argue that healthcare assistants are also likely to experience moral distress in certain contexts. No research participants were part of this analysis. This article offers a conceptual analysis and recommendations only. The analysis identifies certain factors that may be particularly applicable to healthcare assistants such as powerlessness and a lack of ethical knowledge. We demonstrate that these factors contribute to moral distress. Recommendations include various preventative measures such as regular reflective debriefing sessions involving healthcare assistants, nurses and other clinicians, joint workplace ethical training, and modifications to the Care Certificate. Implementation of these measures should be monitored carefully and the results published to augment our existing knowledge of moral distress in healthcare assistants. This analysis establishes the need for more research and discussion on this topic. Future research should focus on evaluating the effectiveness of the proposed recommendations.

Sections du résumé

BACKGROUND BACKGROUND
Moral distress can be broadly described as the psychological distress that can develop in response to a morally challenging event. In the context of healthcare, its effects are well documented in the nursing profession, but there is a paucity of research exploring its relevance to healthcare assistants.
OBJECTIVE OBJECTIVE
This article aims to examine the existing research on moral distress in healthcare assistants, identity the important factors that are likely to contribute to moral distress, and propose preventative measures.
RESEARCH DESIGN METHODS
This is a survey of the existing literature on moral distress in healthcare assistants. It uses insights from moral distress in nursing to argue that healthcare assistants are also likely to experience moral distress in certain contexts.
PARTICIPANTS AND RESEARCH CONTEXT METHODS
No research participants were part of this analysis.
ETHICAL CONSIDERATIONS METHODS
This article offers a conceptual analysis and recommendations only.
FINDINGS RESULTS
The analysis identifies certain factors that may be particularly applicable to healthcare assistants such as powerlessness and a lack of ethical knowledge. We demonstrate that these factors contribute to moral distress.
DISCUSSION CONCLUSIONS
Recommendations include various preventative measures such as regular reflective debriefing sessions involving healthcare assistants, nurses and other clinicians, joint workplace ethical training, and modifications to the Care Certificate. Implementation of these measures should be monitored carefully and the results published to augment our existing knowledge of moral distress in healthcare assistants.
CONCLUSION CONCLUSIONS
This analysis establishes the need for more research and discussion on this topic. Future research should focus on evaluating the effectiveness of the proposed recommendations.

Identifiants

pubmed: 30134744
doi: 10.1177/0969733018791339
doi:

Types de publication

Journal Article

Langues

eng

Pagination

2306-2313

Auteurs

Daniel Rodger (D)

London South Bank University, UK.

Bruce Blackshaw (B)

University of Birmingham, UK.

Amanda Young (A)

Anglia Ruskin University, UK.

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Classifications MeSH