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Nursing Ethics & Moral Distress

Nursing Ethics & Moral Distress. Rels 300 / Nurs 330 October 2013. Nurses as advocates. Within the health care team, no one is likely to provide greater continuity of care than the nurse

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Nursing Ethics & Moral Distress

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  1. Nursing Ethics & Moral Distress Rels 300 / Nurs 330 October 2013

  2. Nurses as advocates Within the health care team, no one is likely to provide greater continuity of care than the nurse • If the nurse is witness to patient dissatisfaction with treatment orders, or confusion or disagreement among the patient’s family, the nurse is uniquely positioned to make the decision-making process explicit • Where teamwork is valued, the nurse can make valuable contributions to the ethical process by raising alternative paths & voicing the patient’s concerns 300/330 - appleby

  3. Nursing Roadblocks In some situations, nurses may have to carry out orders that conflict with their ethical judgement This may lead to experiences of • Moral distress – over sub-optimal care plans • Moral uncertainty – when a decision seems to lead to turmoil or patient distress • Subversion of moral agency – when nurses cannot exercise their own capacity for moral choice or action • Moral residue - personal feelings of guilt, remorse or inadequacy in providing an excellent standard of nursing care 300/330 - appleby

  4. MORAL DISTRESS “80% of nurses experience moral distress at work. It's one of the main reasons why nurses quit the profession.” (click here) (up to 18:00) http://www.cbc.ca/whitecoat/blog/2011/03/24/moral-distress-show/ http://www.cbc.ca/video/news/audioplayer.html?clipid=1856555522(27:30) 300/330 - appleby

  5. CNA Code of Ethics (2008)excerpts: http://www.cna-aiic.ca/CNA/documents/pdf/publications/Code_of_Ethics_2008_e.pdf 300/330 - appleby

  6. CNA Code of Ethics (2008) excerpts: http://www.cna-aiic.ca/CNA/documents/pdf/publications/Code_of_Ethics_2008_e.pdf 300/330 - appleby

  7. What is a person to do? • Be ethically knowledgeable • know your moral theories • know your principles of health care ethics • learn to analyze and articulate your own moral concerns and judgements • Be alert for and aware of power dynamics • between doctor & patient • between doctor & other health care professionals • among nurses, patients and loved ones • Ensure communication excellence on behalf of health care providers and patients • Learn to be advocates for colleagues and patients 300/330 - appleby

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