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Moral distress: a pervasive problem.

J A Erlen1

  • 1Department of Health Promotion and Development, Center for Research in Chronic Disorders, School of Nursing, University of Pittsburgh, Pittsburgh, Pennsylvania, USA. jae001@pitt.edu

Orthopedic Nursing
|May 25, 2002
PubMed
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Nurses experience moral distress due to healthcare system flaws and staffing shortages, hindering their ability to advocate for patients. Strategies to improve ethical environments can help reduce this pervasive issue.

Area of Science:

  • Nursing
  • Healthcare Ethics
  • Healthcare Management

Background:

  • Healthcare systems face challenges impacting nurses' ability to provide competent, compassionate care.
  • Nurses report feeling ineffective as patient advocates, leading to distress.
  • Conversations with staff nurses reveal moral distress is a pervasive issue in clinical practice.

Purpose of the Study:

  • To define ethical practice, moral distress, power imbalances, and the characteristics of an ethical environment.
  • To explore strategies for creating and maintaining ethical environments.
  • To identify methods for reducing moral distress among nursing staff.

Main Methods:

  • Qualitative analysis of conversations with staff nurses regarding clinical practice.
  • Literature review on ethical practice, moral distress, and healthcare environments.
Keywords:
Bioethics and Professional Ethics

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  • Discussion of potential strategies for mitigating moral distress.

    • Main Results:

    • Moral distress is widespread among nurses due to systemic issues and an inability to act ethically.
    • Nurses feel paralyzed when unable to perform their ethical duties.
    • An imbalance of power contributes to the challenges faced by nurses.

    Conclusions:

    • Addressing systemic flaws and fostering ethical environments are crucial for reducing nurse moral distress.
    • Facilitating dialogue, developing support systems, and professional development are key strategies.
    • Revising institutional policies is essential for creating a more ethical practice environment and supporting nurses.