SUPPORT: An Evidence-Based Model for Leaders Addressing Moral Distress
Carol Pavlish1, Katherine Brown-Saltzman, Loretta So
1Author Affiliation: Associate Professor (Dr Pavlish), Student Research Assistant (Mss So and Wong), School of Nursing, University of California, Los Angeles; Codirector of Ethics Center (Ms Brown-Saltzman), Quality and Safety Specialist (Ms So), University of California, Los Angeles, Health System.
The Journal of Nursing Administration
|May 24, 2016
Summary
Nurse leaders
Area of Science:
- Nursing Leadership
- Bioethics
- Healthcare Management
Background:
- Moral distress arises from ethically complex situations, leaving nurses feeling powerless.
- This distress can negatively impact patient care, leading to burnout and disengagement.
Purpose of the Study:
- To explore nurse leaders' experiences with ethically challenging situations.
- To understand how nurse leaders assist nurses in managing moral distress.
Main Methods:
- Utilized the critical incident technique.
- Collected qualitative data from 100 nurse leaders in California.
- Coded, categorized, and quantified responses.
Main Results:
- Identified diverse manifestations of moral distress (affective, behavioral, cognitive, physical, relational).
- System-level issues, team conflict, and differing perspectives exacerbate ethical conflicts.
- Effective interventions include acknowledging distress, fostering a supportive culture, and enhancing nurse resilience through education and collaboration.
Conclusions:
- Developed the SUPPORT model as a practical guide for addressing moral distress.
- Emphasizes a structured approach to mitigating the impact of ethical challenges on nursing staff.
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