Moral distress and moral resilience of nurse managers.
Nursing ethics
hospital nursing service
leadership
moral distress
moral resilience
Journal
Nursing ethics
ISSN: 1477-0989
Titre abrégé: Nurs Ethics
Pays: England
ID NLM: 9433357
Informations de publication
Date de publication:
Aug 2022
Aug 2022
Historique:
pubmed:
14
5
2022
medline:
8
9
2022
entrez:
13
5
2022
Statut:
ppublish
Résumé
Moral distress is a phenomenon that can lead to an imbalance of the mind and body. There are many coping strategies to overcome the obstacles that lead the subject to this condition. Some coping strategies are capable of being achieved through the cultivation of moral resilience. The aim is to identify the strategies of moral resilience in the nursing management of University Hospitals in Brazil. The research design is the qualitative study with discursive textual analysis. : 44 nurse managers and nurses in leadership positions participated in a total of 30 University Hospitals in Brazil. Data were collected online, using a questionnaire with open questions. The Ethics Committee approved the study. Participants received information about the research, agreed to respond to the questionnaire, and were guaranteed anonymity. Personal adaptive strategies (intrapersonal and interpersonal) and organizational collaborative strategies (intrinsic and transformational management) emerged from this process. The intrapersonal strategies involved elements of rationality, flexibility, rebalancing practices, moral courage, and detachment. The interpersonal strategies addressed support networks, team involvement, and dialog. Organizational strategies dealt with actions which reorient ethical infrastructure, ethical education, and psychological protection, as well as fostering dialogical relationships, empowerment, and cooperation. From the perspective of social historical construction, it is understood that developing personal and organizational strategies is essential to cultivating moral resilience.
Sections du résumé
BACKGROUND
BACKGROUND
Moral distress is a phenomenon that can lead to an imbalance of the mind and body. There are many coping strategies to overcome the obstacles that lead the subject to this condition. Some coping strategies are capable of being achieved through the cultivation of moral resilience.
AIM
OBJECTIVE
The aim is to identify the strategies of moral resilience in the nursing management of University Hospitals in Brazil.
RESEARCH DESIGN
METHODS
The research design is the qualitative study with discursive textual analysis.
PARTICIPANTS AND RESEARCH CONTEXT
METHODS
: 44 nurse managers and nurses in leadership positions participated in a total of 30 University Hospitals in Brazil. Data were collected online, using a questionnaire with open questions.
ETHICAL CONSIDERATIONS
METHODS
The Ethics Committee approved the study. Participants received information about the research, agreed to respond to the questionnaire, and were guaranteed anonymity.
FINDINGS
RESULTS
Personal adaptive strategies (intrapersonal and interpersonal) and organizational collaborative strategies (intrinsic and transformational management) emerged from this process. The intrapersonal strategies involved elements of rationality, flexibility, rebalancing practices, moral courage, and detachment. The interpersonal strategies addressed support networks, team involvement, and dialog. Organizational strategies dealt with actions which reorient ethical infrastructure, ethical education, and psychological protection, as well as fostering dialogical relationships, empowerment, and cooperation.
CONCLUSION
CONCLUSIONS
From the perspective of social historical construction, it is understood that developing personal and organizational strategies is essential to cultivating moral resilience.
Identifiants
pubmed: 35549481
doi: 10.1177/09697330221085770
doi:
Types de publication
Journal Article
Langues
eng