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Preserving moral integrity: a follow-up study with new graduate nurses

B Kelly1

  • 1The Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia 30322, USA.

Journal of Advanced Nursing
|December 5, 1998
PubMed
Summary
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New graduate nurses adapt to hospital nursing by preserving moral integrity through six stages. Moral distress, marked by self-criticism, arises from perceived failures to uphold ethical standards.

Area of Science:

  • Nursing
  • Medical Ethics
  • Qualitative Research

Background:

  • New graduate nurses face significant challenges adapting to hospital environments.
  • Ethical roles and moral values are crucial aspects of nursing practice.
  • Understanding the early career experiences of nurses is vital for support and retention.

Purpose of the Study:

  • To explore how newly graduated nurses perceive their adaptation to hospital nursing.
  • To identify influences on their moral values and ethical roles in the first two years post-graduation.
  • To interpret the psycho-social processes involved in this adaptation.

Main Methods:

  • Qualitative, grounded theory approach.
  • Follow-up study of senior nursing students after one year of practice.
Keywords:
Bioethics and Professional EthicsEmpirical Approach

Related Experiment Videos

  • In-depth interviews to gather rich experiential data.

    • Main Results:

    • Preserving moral integrity emerged as the core process of adaptation.
    • Six stages identified: vulnerability, getting through the day, coping with moral distress, alienation from self, coping with lost ideals, and integration of a new professional self-concept.
    • Moral distress, characterized by self-criticism and self-blame, resulted from efforts to maintain moral integrity.

    Conclusions:

    • New graduate nurses navigate complex ethical challenges during their transition.
    • Moral distress significantly impacts new nurses' self-perception and professional identity.
    • Findings offer insights into supporting nurses' ethical development and well-being in early career stages.