Johns Hopkins University Berman Institute of Bioethics, Baltimore, MD, USA.
Johns Hopkins University School of Nursing and Berman Institute of Bioethics, Baltimore, MD, USA.
J Clin Nurs. 2018 Feb;27(3-4):e488-e494. doi: 10.1111/jocn.13989. Epub 2017 Dec 6.
To describe common characteristics and themes of the concept of moral resilience as reported by interprofessional clinicians in health care.
Research has provided an abundance of data on moral distress with limited research to resolve and help negate the detrimental effects of moral distress. This reveals a critical need for research on how to mitigate the negative consequences of moral distress that plague nurses and other healthcare providers. One promising direction is to build resilience as an individual strategy concurrently with interventions to build a culture of ethical practice.
DESIGN/METHODS: Qualitative descriptive methods were used to analyse descriptive definitions provided by 184 interprofessional clinicians in health care attending educational programmes in various locations as well as a small group of 23 professionals with backgrounds such as chaplaincy and nonhealthcare providers.
Three primary themes and three subthemes emerged from the data. The primary themes are integrity-personal and relational, and buoyancy. The subthemes are self-regulation, self-stewardship and moral efficacy.
Individual healthcare providers and healthcare systems can use this research to help negate the detrimental effects of moral distress by finding ways to develop interventions to cultivate moral resilience.
Moral resilience involves not only building and fostering the individual's capacity to navigate moral adversity but also developing systems that support a culture of ethical practice for healthcare providers.
描述医疗保健领域跨专业临床医生报告的道德韧性概念的共同特征和主题。
研究提供了大量关于道德困境的数据，但对于解决和帮助减轻道德困境的不利影响的研究有限。这表明迫切需要研究如何减轻困扰护士和其他医疗保健提供者的道德困境的负面影响。一个有前途的方向是作为一种个体策略来建立韧性，同时进行干预以建立伦理实践文化。
设计/方法：采用定性描述性方法分析了在不同地点参加教育项目的 184 名跨专业临床医生以及 23 名具有牧师和非医疗保健提供者等背景的专业人员提供的描述性定义。
从数据中出现了三个主要主题和三个子主题。主要主题是完整性-个人和关系，以及弹性。子主题是自我调节、自我管理和道德效力。
个体医疗保健提供者和医疗保健系统可以利用这项研究，通过寻找培养道德韧性的干预措施，帮助减轻道德困境的不利影响。
道德韧性不仅涉及培养和增强个人应对道德困境的能力，还涉及发展支持医疗保健提供者伦理实践文化的系统。
