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Clinical ethics residency for nurses: an education model to decrease moral distress and strengthen nurse retention in
Pamela J Grace1, Ellen M Robinson, Martha Jurchak
1Author Affiliations: Associate Professor (Dr Grace), William F. Connell School of Nursing, Boston College, Chestnut Hill, Massachusetts; Clinical Nurse Specialist in Ethics (Dr Robinson), Director of Clinical Pastoral Education (Rev Zollfrank), Massachusetts General Hospital, Boston; Executive Director of the Ethics Service (Dr Jurchak), Senior Nurse Scientist (Dr Lee), Center for Nursing Excellence, Brigham and Women's Hospital, Boston, Massachusetts.
Unaddressed moral distress harms nurses and patients. An education program boosts nurses
Area of Science:
- Nursing Ethics
- Healthcare Professional Well-being
- Medical Education
Background:
- Unaddressed moral distress in nurses contributes to burnout, patient care compromises, and staff turnover.
- Nurses' ethical decision-making confidence and moral agency are crucial for mitigating moral distress.
- Empowered nurses can serve as vital ethics resources within healthcare institutions.
Purpose of the Study:
- To describe a grant-funded educational model designed to enhance ethics competence among nursing staff.
- To provide a framework for institutions seeking to address and reduce moral distress.
- To foster greater ethical decision-making abilities and moral agency in nurses.
Main Methods:
- A grant-funded model education program was implemented.
- The program focused on increasing ethics competence across the institution.
- Specific pedagogical approaches and curriculum details are implied but not elaborated.
Main Results:
- The program is designed to increase ethics competence.
- Implicitly, the program aims to equip nurses with tools to combat moral distress.
- The model serves as a proactive strategy for improving the ethical climate.
Conclusions:
- Investing in ethics education can enhance nurses' moral agency and decision-making skills.
- Such programs are essential for preventing nurse attrition and improving patient care.
- This model offers a scalable solution for institutional ethics support.
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