'Moral distress'-time to abandon a flawed nursing construct?

Johnstone, Megan-Jane and Hutchinson, Alison 2015, 'Moral distress'-time to abandon a flawed nursing construct?, Nursing ethics, vol. 22, no. 1, pp. 5-14, doi: 10.1177/0969733013505312.

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Title 'Moral distress'-time to abandon a flawed nursing construct?
Author(s) Johnstone, Megan-Jane
Hutchinson, AlisonORCID iD for Hutchinson, Alison orcid.org/0000-0001-5065-2726
Journal name Nursing ethics
Volume number 22
Issue number 1
Start page 5
End page 14
Total pages 10
Publisher Sage
Place of publication London, Eng.
Publication date 2015-02
ISSN 1477-0989
Keyword(s) Moral distress
moral risk
moral safety
nursing ethics
patient safety
preventive ethics
Concept Formation
Conflict (Psychology)
Ethics, Nursing
Surveys and Questionnaires
Science & Technology
Life Sciences & Biomedicine
Summary Moral distress has been characterised in the nursing literature as a major problem affecting nurses in all healthcare systems. It has been portrayed as threatening the integrity of nurses and ultimately the quality of patient care. However, nursing discourse on moral distress is not without controversy. The notion itself is conceptually flawed and suffers from both theoretical and practical difficulties. Nursing research investigating moral distress is also problematic on account of being methodologically weak and disparate. Moreover, the ultimate purpose and significance of the research is unclear. In light of these considerations, it is contended that the notion of moral distress ought to be abandoned and that concerted attention be given to advancing inquiries that are more conducive to improving the quality and safety of moral decision-making, moral conduct and moral outcomes in nursing and healthcare domains.
Language eng
DOI 10.1177/0969733013505312
Field of Research 2201 Applied Ethics
1110 Nursing
Socio Economic Objective 920210 Nursing
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2015, Sage
Persistent URL http://hdl.handle.net/10536/DRO/DU:30075665

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