Rushton Cynda Hylton, Caldwell Meredith, Kurtz Melissa
Cynda Hylton Rushton is the Anne and George L. Bunting Professor of Clinical Ethics at the Johns Hopkins Berman Institute of Bioethics and a professor of nursing and pediatrics at the Johns Hopkins School of Nursing, Baltimore, MD. Meredith Caldwell is a research specialist in the Department of Otolaryngology-Head and Neck at the University of California, San Francisco. At the time of this writing, she was the research program coordinator at the Johns Hopkins Berman Institute of Bioethics. Melissa Kurtz is a neonatal ICU nurse at the Johns Hopkins Hospital and a doctoral candidate at the Johns Hopkins School of Nursing. Contact author: Cynda Hylton Rushton,
Am J Nurs. 2016 Jul;116(7):40-9. doi: 10.1097/01.NAJ.0000484933.40476.5b.
: Moral distress is a pervasive problem in the nursing profession. An inability to act in alignment with one's moral values is detrimental not only to the nurse's well-being but also to patient care and clinical practice as a whole. Moral distress has typically been seen as characterized by powerlessness and victimization; we offer an alternate view. Ethically complex situations and experiences of moral distress can become opportunities for growth, empowerment, and increased moral resilience. This article outlines the concept and prevalence of moral distress, describes its impact and precipitating factors, and discusses promising practices and interventions.
道德困扰是护理行业中普遍存在的问题。无法按照自己的道德价值观行事不仅对护士的幸福感有害，而且对患者护理和整个临床实践也有害。道德困扰通常被视为以无力感和受害感为特征；我们提出另一种观点。道德复杂的情况和道德困扰的经历可以成为成长、赋权和增强道德复原力的机会。本文概述了道德困扰的概念和普遍性，描述了其影响和促成因素，并讨论了有前景的做法和干预措施。
