000			03049nam a22003737a 4500
008			230815s20232023 xxu||||| |||| 00| 0 eng d
022			_a0956-2737
024			_a10.1007/s10730-023-09508-z [doi]
024			_a10.1007/s10730-023-09508-z [pii]
040			_aOvid MEDLINE(R)
099			_a37428252
245			_aEvaluation of Interventions to Address Moral Distress: A Multi-method Approach.
251			_aHEC Forum. 2023 Jul 10
252			_aHEC Forum. 2023 Jul 10
253			_aHEC forum : an interdisciplinary journal on hospitals' ethical and legal issues
260			_c2023
260			_fFY2024
260			_p2023 Jul 10
265			_saheadofprint
265			_tPublisher
266			_d2023-08-15
520			_aMoral 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			_aEnglish
650			_aIN PROCESS -- NOT YET INDEXED
650			_zAutomated
651			_aMedStar Washington Hospital Center
656			_aCenter for Ethics
657			_aJournal Article
700			_aWocial, Lucia _bMWHC
790			_aLaPradd M, Miller G, Montz K, Slaven JE, Wocial LD
856			_uhttps://dx.doi.org/10.1007/s10730-023-09508-z _zhttps://dx.doi.org/10.1007/s10730-023-09508-z
858			_zhttp://orcid.org/0000-0003-4701-0794 _yWocial, Lucia D _uhttp://orcid.org/0000-0003-4701-0794
942			_cART _dArticle
999			_c13064 _d13064