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Exploring Moral Distress in ICU Nurs...

Bocchese, Steven L.

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Exploring Moral Distress in ICU Nurse Practitioners: A Descriptive Phenomenological Study.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Exploring Moral Distress in ICU Nurse Practitioners: A Descriptive Phenomenological Study./
Author:	Bocchese, Steven L.
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 2024,
Description:	232 p.
Notes:	Source: Dissertations Abstracts International, Volume: 85-11, Section: A.
Contained By:	Dissertations Abstracts International85-11A.
Subject:	Nursing. -
Online resource:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=30995340
ISBN:	9798382594491

Exploring Moral Distress in ICU Nurse Practitioners: A Descriptive Phenomenological Study.
Bocchese, Steven L.

Exploring Moral Distress in ICU Nurse Practitioners: A Descriptive Phenomenological Study. - Ann Arbor : ProQuest Dissertations & Theses, 2024 - 232 p.

Source: Dissertations Abstracts International, Volume: 85-11, Section: A.

Thesis (Ph.D.)--The Catholic University of America, 2024.

Nurse Practitioners (NPs) working in the intensive care environment experience clinical and operational anxiety, such as moral distress. Moral distress occurs when an individual knows the ethically correct action but cannot take it due to internal or external constraints or violation of their professional core values. Historically, nurses have experienced moral distress at higher levels than other healthcare professionals, especially those in intensive care units (ICUs).This phenomenological study aimed to describe the lived experience of moral distress in ICU NPs, specifically emphasizing its effect on their personal and professional lives. Research on moral distress has demonstrated that individuals who experience moral distress have an increased likelihood of leaving their current position, decreased job satisfaction, professional burnout syndrome, and negative personal and health effects. Without examining moral distress in the ICU NP population, it is unclear what impact this lack of knowledge may have on the safety of ICU patients, the ICU environment, and NPs themselves.Using purposive sampling, the researcher interviewed 17 ICU NPs in one-on-one interviews to explore moral distress, identify themes, and offer thematic analyses. This study found three theme clusters (Moral Distress Decision-Making Causes, Negative Effects of Moral Distress, and Positive Effects of Moral Distress), containing a total of 10 themes and three subthemes. The overarching theme found was that moral distress encountered by ICU NPs is a unique experience because of a perceived increase in responsibility as a provider while navigating a hierarchical system in which their decisions must answer to that of their collaborative physician or the institution. The ICU NP's moral distress experiences were most significant during end-of-life care, specifically family involvement in seemingly non-beneficial medical care, which may manifest as frustration, anger, sadness, and uncertainty in their professional life, and increased alcohol consumption, fatigue, nausea, insomnia, nightmares, irritability, and anxiety in their personal life.This research intended to catalyze thoughtful conversation regarding a broader conceptualization of moral distress as experienced by NPs and to promote interventions to mitigate moral distress and its negative effects. In addition, the study hoped to encourage further moral distress research in NPs of all specialties.

ISBN: 9798382594491Subjects--Topical Terms:

528444
Nursing.
Subjects--Index Terms:

Critical care

Exploring Moral Distress in ICU Nurse Practitioners: A Descriptive Phenomenological Study.
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