| Moral distress and ethical climate in a Swedish nursing context: perceptions and instrument usability. | |
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MedLine Citation:
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PMID: 21884556 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Aims and objectives. The aim was fivefold: to describe Swedish nurses' perceptions of moral distress and determine whether there were differences in perceptions depending on demographic characteristics and to describe the usability of the Moral Distress Scale in a Swedish context. Further, the aim was to describe Swedish nurses' perceptions of ethical climate and the relationship between moral distress and ethical climate. Background. Moral distress has been studied for more than two decades and the Moral Distress Scale is the most widely used instrument for measuring it. Moral distress has mainly been studied in relation to nurses' characteristics, but increasing attention has been paid to contextual aspects, such as ethical climate, that could be associated with moral distress. Design. Descriptive, with a quantitative approach. Methods. The study used two questionnaires: the Moral Distress Scale and the Hospital Ethical Climate Survey. The study was carried out at two hospitals in Sweden and included 249 nurses. Results. Both level and frequency of moral distress were low, however level of moral distress was high in situations when the patient was not given safe and proper care. Generally, the frequency of moral distress was lower than the level. Of the situations on the Moral Distress Scale, 13 of the 32 were considered irrelevant by 10-50% of the participants. The more positive the ethical climate was perceived to be, the less frequently morally distressing situations were reported. Conclusions. Since a positive ethical climate was associated with less frequent occurrences of moral distress, it should be investigated what contributes to a positive ethical climate. To be used in a Swedish context, the Moral Distress Scale needs further revision. Relevance to clinical practice. Open dialogues at wards are encouraged regarding what practices contribute to a positive ethical climate. |
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Authors:
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Marit Silén; Mia Svantesson; Sofia Kjellström; Birgitta Sidenvall; Lennart Christensson |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-9-2 |
Journal Detail:
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Title: Journal of clinical nursing Volume: - ISSN: 1365-2702 ISO Abbreviation: - Publication Date: 2011 Sep |
Date Detail:
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Created Date: 2011-9-2 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9207302 Medline TA: J Clin Nurs Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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© 2011 Blackwell Publishing Ltd. |
Affiliation:
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Authors: Marit Silén, MSc, RN, Doctoral Student, School of Health Sciences, Jönköping; Mia Svantesson, PhD, RN, Research Supervisor and RN at Örebro University Hospital and Karlskoga Community Hospital, Örebro County; Sofia Kjellström, PhD, Assistant Professor, School of Health Sciences; Birgitta Sidenvall, PhD, RNT, Professor Emerita, School of Health Sciences; Lennart Christensson, PhD, RNT, Assistant Professor, School of Health Sciences, Jönköping, Sweden. |
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