Prestia Angela S, Sherman Rose O, Demezier Christopher
Author Affiliations: Corporate Chief Nurse (Dr Prestia), The GEO Group, Boca Raton, Florida; and Professor of Nursing (Dr Sherman) and Nursing Student (Mr Demezier), Christine E. Lynn College of Nursing, Florida Atlantic University, Boca Raton; President, Florida Nursing Students Association, Orlando.
J Nurs Adm. 2017 Feb;47(2):101-107. doi: 10.1097/NNA.0000000000000447.
This study explores if moral distress and its lingering residue were experienced by chief nursing officers (CNOs).
Chief nursing officers, by virtue of their position and experience, are expected to uphold their professional values and act for the benefit of others. Exploration is needed to determine if the inability to do so contributes to the moral distress of these leaders.
Twenty CNOs were interviewed to determine the lived experience related to moral distress and moral residue. An interpretive phenomenological analysis approach was used.
Six themes emerged describing CNO experience of moral distress including lacking psychological safety, feeling a sense of powerlessness, seeking to maintain moral compass, drawing strength from networking, moral residue, and living with the consequences.
Moral distress is a common experience for CNOs. Although CNOs act with moral courage, they still experience moral distress. Further research and professional discussion are needed to support nurse executive leaders.
本研究探讨首席护理官（CNO）是否经历过道德困扰及其长期影响。
首席护理官凭借其职位和经验，应秉持专业价值观并为他人谋福利。需要进行探索以确定无法做到这一点是否会导致这些领导者产生道德困扰。
对20位首席护理官进行访谈，以确定与道德困扰和道德残留相关的实际经历。采用解释性现象学分析方法。
出现了六个主题，描述了首席护理官道德困扰的经历，包括缺乏心理安全感、感到无力、寻求保持道德准则、从人际关系中汲取力量、道德残留以及承受后果。
道德困扰是首席护理官的常见经历。尽管首席护理官以道德勇气行事，但他们仍会经历道德困扰。需要进一步研究和专业讨论来支持护理行政领导者。
