Evaluation of Interventions to Address Moral Distress: A Multi-method Approach. (Record no. 13064)
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| 000 -LEADER | |
|---|---|
| fixed length control field | 03049nam a22003737a 4500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 230815s20232023 xxu||||| |||| 00| 0 eng d |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER | |
| International Standard Serial Number | 0956-2737 |
| 024 ## - OTHER STANDARD IDENTIFIER | |
| Standard number or code | 10.1007/s10730-023-09508-z [doi] |
| 024 ## - OTHER STANDARD IDENTIFIER | |
| Standard number or code | 10.1007/s10730-023-09508-z [pii] |
| 040 ## - CATALOGING SOURCE | |
| Original cataloging agency | Ovid MEDLINE(R) |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) | |
| PMID | 37428252 |
| 245 ## - TITLE STATEMENT | |
| Title | Evaluation of Interventions to Address Moral Distress: A Multi-method Approach. |
| 251 ## - Source | |
| Source | HEC Forum. 2023 Jul 10 |
| 252 ## - Abbreviated Source | |
| Abbreviated source | HEC Forum. 2023 Jul 10 |
| 253 ## - Journal Name | |
| Journal name | HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Year | 2023 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Manufacturer | FY2024 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Publication date | 2023 Jul 10 |
| 265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] | |
| Publication status | aheadofprint |
| 265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] | |
| Medline status | Publisher |
| 266 ## - Date added to catalog | |
| Date added to catalog | 2023-08-15 |
| 520 ## - SUMMARY, ETC. | |
| Abstract | Moral distress is a well-documented phenomenon for health care providers (HCPs). Exploring HCPs' perceptions of participation in moral distress interventions using qualitative and quantitative methods enhances understanding of intervention effectiveness. The purpose of this study was to measure and describe the impact of a two-phased intervention on participants' moral distress. Using a cross-over design, the project aimed to determine if the intervention would decrease moral distress, enhance moral agency, and improve perceptions about the work environment. We used quantitative instruments and explored participants' perceptions of the intervention using semi-structured interviews. Participants were from inpatient settings, within three major hospitals of a large, urban healthcare system in the Midwest, United States. Participants included nurses (80.6%) and other clinical care providers. Using generalized linear mixed modeling we assessed the change in each of the outcome variables over time controlling for groups. Interviews were audiotaped and professionally transcribed. The written narratives were coded into themes. The change in scores on study instruments trended in the desired direction however did not meet statistical significance. Qualitative interviews revealed that intervention effectiveness was derived from a combination of learning benefits, psychological benefits, and building community that promoted moral agency. Findings demonstrate a clear link between moral distress and moral agency and suggest that Facilitated Ethics Conversations can enhance the work environment. Findings provide insight for developing evidenced-based approaches to address moral distress of hospital nurses. Copyright © 2023. The Author(s). |
| 546 ## - LANGUAGE NOTE | |
| Language note | English |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
| Topical term or geographic name entry element | IN PROCESS -- NOT YET INDEXED |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
| Indexing | Automated |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME | |
| Institution | MedStar Washington Hospital Center |
| 656 ## - INDEX TERM--OCCUPATION | |
| Department | Center for Ethics |
| 657 ## - INDEX TERM--FUNCTION | |
| Medline publication type | Journal Article |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| Local Authors | Wocial, Lucia |
| Institution Code | MWHC |
| 790 ## - Authors | |
| All authors | LaPradd M, Miller G, Montz K, Slaven JE, Wocial LD |
| 856 ## - ELECTRONIC LOCATION AND ACCESS | |
| DOI | <a href="https://dx.doi.org/10.1007/s10730-023-09508-z">https://dx.doi.org/10.1007/s10730-023-09508-z</a> |
| Public note | https://dx.doi.org/10.1007/s10730-023-09508-z |
| 858 ## - ORCID | |
| Name | http://orcid.org/0000-0003-4701-0794 |
| ORCID text | Wocial, Lucia D |
| Orcid | <a href="http://orcid.org/0000-0003-4701-0794">http://orcid.org/0000-0003-4701-0794</a> |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
| Koha item type | Journal Article |
| Item type description | Article |
No items available.