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Moral reckoning in nursing.
1Family Nurse Practitioner Track, West Virginia University School of Nursing, Charleston, USA.
Western Journal of Nursing Research
|May 5, 2006
Summary
Nurses navigate moral reckoning through a three-stage process: ease, resolution, and reflection. This grounded theory provides a framework for understanding and addressing moral distress in nursing practice.
Area of Science:
- Nursing
- Qualitative Research
- Grounded Theory
Background:
- Nurses frequently encounter ethical challenges.
- Understanding the process of moral reckoning is crucial for nurse well-being and ethical practice.
Purpose of the Study:
- To develop an original grounded theory of moral reckoning in nursing.
- To explicate the stages and processes involved in nurses' moral experiences.
Main Methods:
- Qualitative data analysis was employed.
- Grounded theory methodology was used to develop the substantive theory.
Main Results:
- A three-stage theory of moral reckoning was identified: ease, resolution, and reflection.
- The stage of resolution involves conflict and a decision to 'give up or make a stand'.
- The reflection stage involves iterative examination of beliefs, values, and actions.
Conclusions:
- The theory of moral reckoning offers a new framework for understanding nurses' ethical experiences.
- This theory highlights the importance of nurses sharing their stories and engaging in moral decision-making.
- Further research into moral distress is warranted, informed by this theory.