Pendry Patricia S
Surgical Intensive Care Unit, Lakeland Regional Medical Center, Lakeland, FL, USA.
Nurs Econ. 2007 Jul-Aug;25(4):217-21.
Faced with the challenges in today's acute care environment, 15% of the nurses in one study reported resigning a position due to experiencing moral distress. Moral distress is the physical or emotional suffering that is experienced when constraints (internal or external) prevent one from following the course of action that one believes is right. With more responsibility than authority, nurses often lack the autonomy to do what they feel should be done. Nurses often seem unaware of moral distress experience in themselves. Feelings labeled as stress, burnout, emotional exhaustion, and job dissatisfaction may actually be symptomatic of moral distress. An organizational commitment to addressing the issue of moral distress could reap benefits with greater employee job satisfaction, decreased turnover, and ultimately improved patient care.
面对当今急症护理环境中的挑战，一项研究中有15%的护士报告称，因经历道德困扰而辞去了工作。道德困扰是指当（内部或外部）限制因素阻止一个人采取其认为正确的行动方针时所经历的身体或情感痛苦。护士的责任多于权力，他们常常缺乏自主去做自己认为应该做的事情。护士们似乎常常没有意识到自己经历了道德困扰。被贴上压力、职业倦怠、情绪耗竭和工作不满标签的感受，实际上可能是道德困扰的症状。组织致力于解决道德困扰问题，可能会带来员工工作满意度提高、人员流动率降低以及最终改善患者护理等好处。
