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Moral distress to moral success: Strategies to decrease moral distress.

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Summary
This summary is machine-generated.

A workshop and follow-up activities significantly reduced moral distress in critical care nurses. This intervention also enhanced nurses' confidence in ethical decision-making, improving patient care.

Keywords:
Moral distresscritical careethical confidenceethicsmoral resiliencenursing

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Area of Science:

  • Nursing
  • Healthcare Ethics
  • Quality Improvement

Background:

  • Moral distress is prevalent among critical care nurses.
  • High moral distress negatively impacts nurses, patients, and the healthcare system.

Purpose of the Study:

  • To decrease moral distress levels in intensive care unit (ICU) nurses.
  • To enhance nurses' confidence and comfort in ethical decision-making.

Main Methods:

  • A quality improvement (QI) initiative using a pre- and post-intervention design.
  • A four-hour interactive workshop followed by two self-reflection activities.
  • Participants included critical care nurses in a heart and vascular ICU.

Main Results:

  • Nurses reported a significant decrease in moral distress.
  • Ethical confidence increased in four key areas, with two showing statistically significant improvement.
  • Qualitative data revealed consistent themes on the causes of and approaches to addressing moral distress.

Conclusions:

  • An evidence-based program effectively reduced moral distress and improved ethical confidence in critical care nurses.
  • The described strategies can be replicated by nursing leaders to effect change.
  • The program can be adapted for other professions and clinical settings.