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Related Concept Videos

Ethical Issues01:27

Ethical Issues

2.3K
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
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Obedience01:08

Obedience

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According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
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Barriers to Effective Communication II01:21

Barriers to Effective Communication II

5.0K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
5.0K
Ethical Dilemmas I01:17

Ethical Dilemmas I

2.1K
Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
2.1K
Ethical Dilemmas II01:30

Ethical Dilemmas II

2.7K
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
2.7K
Angina V: Nursing Management01:20

Angina V: Nursing Management

565
Angina, a symptom of myocardial ischemia, requires a structured nursing management approach to ensure effective care and prevent complications like myocardial infarction. Comprehensive nursing care involves assessing, diagnosing, planning, implementing interventions, and evaluating outcomes, all tailored to the individual patient's needs.Patient AssessmentNursing assessment begins with a detailed subjective evaluation of symptoms, which typically include chest pain or pressure radiating to the...
565

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Related Experiment Video

Updated: May 5, 2026

Oral Health Assessment by Lay Personnel for Older Adults
08:47

Oral Health Assessment by Lay Personnel for Older Adults

Published on: February 2, 2020

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'Moral distress'--time to abandon a flawed nursing construct?

Megan-Jane Johnstone1, Alison Hutchinson2

  • 1Deakin University, Australia megan-jane.johnstone@deakin.edu.au.

Nursing Ethics
|December 7, 2013
PubMed
Summary

The concept of moral distress in nursing is flawed and research is weak. Abandoning this notion and focusing on improving moral decision-making in healthcare is recommended.

Keywords:
Moral distressmoral riskmoral safetynursing ethicspatient safetypreventive ethics

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Area of Science:

  • Nursing Ethics
  • Healthcare Quality
  • Moral Philosophy

Background:

  • Moral distress is widely recognized as a significant issue impacting nurses and patient care quality.
  • Existing literature portrays moral distress as a threat to nursing integrity and healthcare standards.

Purpose of the Study:

  • Critically evaluate the concept and research surrounding moral distress in nursing.
  • Propose an alternative focus for research to enhance moral decision-making in healthcare.

Main Methods:

  • Literature review and conceptual analysis of moral distress in nursing.
  • Critical examination of methodological limitations in existing research.

Main Results:

  • The concept of moral distress is theoretically and practically flawed.
  • Research on moral distress is methodologically weak, disparate, and lacks clear significance.

Conclusions:

  • The notion of moral distress should be abandoned in nursing discourse.
  • Future research should prioritize improving moral decision-making, conduct, and outcomes in healthcare.