Interprofessionals' definitions of moral resilience
Heidi Holtz1, Katherine Heinze1, Cynda Rushton2
1Johns Hopkins University Berman Institute of Bioethics, Baltimore, MD, USA.
Journal of Clinical Nursing
|August 4, 2017
Summary
This study identifies key themes of moral resilience, including integrity, buoyancy, self-regulation, self-stewardship, and moral efficacy, to help negate moral distress for healthcare providers.
Area of Science:
- Healthcare Ethics
- Clinical Psychology
- Professional Development
Background:
- Moral distress significantly impacts healthcare providers, necessitating strategies to mitigate its negative effects.
- Limited research exists on resolving moral distress, highlighting a critical need for effective interventions.
- Building individual resilience and fostering an ethical practice culture are promising approaches to address moral distress.
Purpose of the Study:
- To describe the common characteristics and themes of moral resilience.
- To identify factors contributing to moral resilience among interprofessional clinicians in healthcare settings.
Main Methods:
- Qualitative descriptive methods were employed to analyze data.
- Descriptive definitions were provided by 184 interprofessional healthcare clinicians.
- An additional 23 professionals from diverse backgrounds, including chaplaincy and non-healthcare roles, participated.
Main Results:
- Three primary themes emerged: integrity (personal and relational) and buoyancy.
- Three subthemes were identified: self-regulation, self-stewardship, and moral efficacy.
- These themes provide a framework for understanding and cultivating moral resilience.
Conclusions:
- Healthcare providers and systems can utilize these findings to develop interventions that cultivate moral resilience.
- Moral resilience requires fostering individual capacity to navigate adversity and establishing supportive systems for ethical practice.
- This research offers a foundation for negating the detrimental effects of moral distress in healthcare.
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