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A Method for Remotely Silencing Neural Activity in Rodents During Discrete Phases of Learning
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"Stop the noise!" From voice to silence.
Lorelei Newton1, Janet L Storch, Kara Schick Makaroff
1University of Victoria / Camosun College Schools of Nursing Victoria, BC, Canada. lorelei@uvic.ca
Nursing Leadership (Toronto, Ont.)
|April 4, 2012
Summary
Nurses experiencing moral distress are not silent but silenced, actively engaging in complex actions to address ethical concerns. Understanding this silencing is key to workplace ethical climate and nurse voice.
Area of Science:
- Nursing Ethics
- Healthcare Management
- Professional Morality
Background:
- Nurses are often depicted as silent regarding ethical challenges in practice.
- This silence is commonly interpreted as a lack of professional voice.
Purpose of the Study:
- To investigate the phenomenon of nurses being silenced rather than silent when facing moral distress.
- To explore the actions nurses take in response to morally distressing situations.
- To examine the interplay between ethical climate, moral distress, and nurse voice.
Main Methods:
- Qualitative analysis of nurses' responses to questions about moral distress.
- Exploration of actions taken by nurses in ethically challenging situations.
- Examination of interactions with families, colleagues, physicians, educators, and managers.
Main Results:
- Nurses experiencing moral distress were found to be 'silenced,' not inherently silent.
- Nurses demonstrated moral agency through diverse, time-consuming actions.
- Actions included interprofessional collaboration, referrals, care coordination, and engagement with regulatory bodies or unions.
Conclusions:
- The concept of 'silenced' nurses offers a more nuanced understanding of ethical challenges in nursing practice.
- Nurses actively enact moral agency despite systemic silencing.
- Investigating the ethical climate is crucial for understanding moral distress and fostering nurse voice.
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