Pengalaman, Dampak, Dan Strategi Untuk Mengatasi Moral Distress Perawat : Systematic Review

Authors

  • Indah Restika Departemen manajemen keperawatan, Prodi S2 Keperawatan, Fakultas Keperawatan, Universitas hasanuddin Makassar, Makassar, Indonesia
  • Kadek Ayu Erika Departemen manajemen keperawatan, Prodi S2 Keperawatan, Fakultas Keperawatan, Universitas hasanuddin Makassar, Makassar, Indonesia
  • Ariyanti Saleh Departemen manajemen keperawatan, Prodi S2 Keperawatan, Fakultas Keperawatan, Universitas hasanuddin Makassar, Makassar, Indonesia

DOI:

https://doi.org/10.30651/jkm.v5i2.3806

Keywords:

Moral distress, moral conflict, moral problems, nurses

Abstract

Objective: Moral distress is a problem that is often overlooked in the nursing profession which is a painful psychological imbalance that results from knowing ethically appropriate actions, but cannot do it. The purpose of this systematic review is to thoroughly investigate the experience of nurses' moral distress and the range of impacts that they cause and the strategies for overcoming moral distress to nurses.

Method: Literature search on electronic databases from journals that have been published through ProQuest, PubMed, ScienceDirect, and Google Scholar from January 1, 2010, to September 1, 2019.

Results: The intensity and frequency of moral distress experienced by nurses tend to vary. This result is due to differences in individual characteristics as well as workplace characteristics, duties, and responsibilities. The impact caused by moral distress very much includes the deterioration of the physical and mental health of nurses, provision of care, job satisfaction, and unsustainable care, poor communication, limited patient advocacy, lack of care, decreased job satisfaction, burnout and increased nursing turnover. Strategies that can be done to overcome the problem of moral distress are the application of adaptation models and individual approaches and collaborative approaches by providing ethical education to nurses and professionals in hospitals.

Conclusion: Moral distress has many negative effects on both the nurse, patient and the quality of nursing care. Various strategies can be applied to overcome the problems of moral distress experienced by nurses, namely the adoption of adaptation models and individual approaches and collaborative approaches by providing ethical education to nurses and professionals in hospitals.

Keywords: Moral distress, moral conflict, moral problems, nurses.

Author Biographies

Indah Restika, Departemen manajemen keperawatan, Prodi S2 Keperawatan, Fakultas Keperawatan, Universitas hasanuddin Makassar, Makassar, Indonesia

Departemen manajemen keperawatan, Prodi S2 Keperawatan, Fakultas Keperawatan, Universitas hasanuddin Makassar, Makassar, Indonesia

Kadek Ayu Erika, Departemen manajemen keperawatan, Prodi S2 Keperawatan, Fakultas Keperawatan, Universitas hasanuddin Makassar, Makassar, Indonesia

Departemen manajemen keperawatan, Prodi S2 Keperawatan, Fakultas Keperawatan, Universitas hasanuddin Makassar, Makassar, Indonesia

Ariyanti Saleh, Departemen manajemen keperawatan, Prodi S2 Keperawatan, Fakultas Keperawatan, Universitas hasanuddin Makassar, Makassar, Indonesia

Departemen manajemen keperawatan, Prodi S2 Keperawatan, Fakultas Keperawatan, Universitas hasanuddin Makassar, Makassar, Indonesia

References

American Association of Critical Care Nurse (AACCN). (2004). The 4A ’ s to Rise Above Moral Distress.

Badolamenti, S., Fida, R., Zaghini, F., Caruso, R., Sili, A., & Biagioli, V. (2017). Modified Moral Distress Scale ( MDS-11 ): Validation. Professioni Infermieristiche, 70(4), 240–250. https://doi.org/10.7429/pi.2017.704238.

Barlem, Lunardi, Lunardi, Dalmolin, & Tomaschewski. (2012). The experience of moral distress in nursing: the nurses’ perception *. Scielo, 46(3), 678–685. https://doi.org/http://dx.doi.org/10.1590/S0080-62342012000300021

Burston, & Tuckett. (2012). Nursing Ethics. Nursing Ethics, 20(3), 312–324. https://doi.org/10.1177/0969733012462049

Christodoulou-fella, Middleton, Papathanassoglou, & Karanikola. (2017). Exploration of the Association between Nurses ’ Moral Distress and Secondary Traumatic Stress Syndrome : Implications for Patient Safety in Mental Health Services. Hindawi, 20(17), 1–20. https://doi.org/https://doi.org/10.1155/2017/1908712

Corley. (2002). N Urse M Oral D Istress : A Proposed Theory And Research Agenda. Nursing Ethics, 9(6), 636–650. https://doi.org/10.1191/0969733002ne557oa

Corley, Elswick, Gorman, & Clor. (2001). Development and evaluation of a moral distress scale. Journal of Advanced Nursing, 33(2), 250–256. https://doi.org/10.1046/j.1365-2648.2001.01658.x

Deady, & Mccarthy. (2010). Nurses Experiencing Moral Distress. Psychiatric Care, 46(3), 209–220. https://doi.org/10.1111/j.1744-6163.2010.00260.x

Julian PT Higgins & Sally Green. (2008). Cochrane Handbook for Systematic Reviews of. (J. P. H. and S. Green, Ed.). USA.

Lazzarin, Biondi, & Mauro. (2014). Nursing Ethics Moral distress in nurses in oncology and haematology units. Nursing Ethics, 19(2), 183–195. https://doi.org/10.1177/0969733011416840

Maluwa, Andre, Ndebele, & Chilemba. (2012). Nursing Ethics practice in Malawi. Nursing Ethics, 19(2), 196–207. https://doi.org/10.1177/0969733011414968

Mealer, M., & Moss, M. (2016). Moral distress in ICU nurses. Intensive Care Medicine, 42(10), 1615–1617. https://doi.org/10.1007/s00134-016-4441-1

Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., Altman, D., Antes, G., … Tugwell, P. (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Medicine, 6(7). https://doi.org/10.1371/journal.pmed.1000097

Oh, & Gastmans. (2015). Moral distress experienced by nurses : A quantitative literature review. Nursing Ethics, 22(1), 15–31. https://doi.org/10.1177/0969733013502803

Pauly, Varcoe, Storch, & Newton. (2009). Nursing Ethics Registered Nurses ’ Perceptions of Moral Distress and Ethical Climate. Nursing Ethics, 16(5), 2–14. https://doi.org/10.1177/0969733009106649

Schaefer, Zoboli, & Vieira. (2018). Moral Distress In Nurses : A Description Of The Risks For Sofrimento Moral Em Enfermeiros : Descrição Do Risco Para. Texto Contexto Enferm, 27(4), 1–10. https://doi.org/http://dx.doi.org/10.1590/0104-07072018004020017 Original

Schluter, Winch, & Holzhauser. (2008). N URSES ’ M ORAL S ENSITIVITY AND H OSPITAL E THICAL C LIMATE : A LITERATURE REVIEW. Nursing Ethics, 15(3), 304–321. https://doi.org/10.1177/0969733007088357

Shorideh, Ashktorab, & Yaghmaei. (2012). Iranian intensive care unit nurses ’ moral distress : A content analysis. Nursing Ethics, 19(4), 464–478. https://doi.org/10.1177/0969733012437988

Silva. (2015). Moral Distress. Rhode Island College.

Thomas, T. A., & Mccullough, L. B. (2015). A Philosophical Taxonomy of Ethically Significant Moral Distress. Journal of Medicine and Philosophy, 49, 102–120. https://doi.org/10.1093/jmp/jhu048

triana harlia putri. (2016). Hubungan Moral Distress dengan Burnout pada Perawat yang Praktik di Rumah Sakit Jiwa Dr. Soeharto Heerdjan Jakarta. Retrieved from http://scholar.unand.ac.id/13155/1/ABSTRAK.pdf

Xiaoyan, Yufang, Lifeng, & Congcong. (2016). Moral distress and its influencing factors : A cross- sectional study in China. Nursing Ethics, 1–11. https://doi.org/10.1177/0969733016658792

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Published

2020-04-05

Issue

2020: EDISI KHUSUS

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