Barlem Edison Luiz Devos, Ramos Flávia Regina Souza
Federal University of Rio Grande - FURG, Brazil
Federal University of Santa Catarina - UFSC, Brazil.
Nurs Ethics. 2015 Aug;22(5):608-15. doi: 10.1177/0969733014551595. Epub 2014 Nov 3.
Moral distress has been characterised as one of the main ethical problems affecting nurses in all health systems, and has been depicted as a threat to nurses' integrity and to the quality of patient care. In recent years, several studies tried to investigate moral distress, its causes and consequences for health professionals, clients and organisations. However, such studies are considered controversial and vulnerable, mainly because they lack a solid philosophical and empirical basis. The present article aimed at elaborating a theoretical model for moral distress, considering the process of moral deliberation, spaces of power and resistance and patient advocacy, and sought to carry out a reflection that culminated with the creation of a broader concept of moral distress.
道德困扰已被视为影响所有医疗系统中护士的主要伦理问题之一，并被描述为对护士的职业操守以及患者护理质量的一种威胁。近年来，多项研究试图调查道德困扰、其成因以及对医疗专业人员、患者和机构的影响。然而，此类研究被认为具有争议性且较为薄弱，主要是因为它们缺乏坚实的哲学和实证基础。本文旨在阐述一个道德困扰的理论模型，考虑道德审议过程、权力与抵抗空间以及患者维权，并试图进行反思，最终形成一个更宽泛的道德困扰概念。
