219782Federal University of Santa Catarina, Florianópolis, SC, Brazil.
Nurs Ethics. 2022 Aug;29(5):1253-1265. doi: 10.1177/09697330221085770. Epub 2022 May 13.
Moral distress is a phenomenon that can lead to an imbalance of the mind and body. There are many coping strategies to overcome the obstacles that lead the subject to this condition. Some coping strategies are capable of being achieved through the cultivation of moral resilience.
The aim is to identify the strategies of moral resilience in the nursing management of University Hospitals in Brazil.
The research design is the qualitative study with discursive textual analysis.
: 44 nurse managers and nurses in leadership positions participated in a total of 30 University Hospitals in Brazil. Data were collected online, using a questionnaire with open questions.
The Ethics Committee approved the study. Participants received information about the research, agreed to respond to the questionnaire, and were guaranteed anonymity.
Personal adaptive strategies (intrapersonal and interpersonal) and organizational collaborative strategies (intrinsic and transformational management) emerged from this process. The intrapersonal strategies involved elements of rationality, flexibility, rebalancing practices, moral courage, and detachment. The interpersonal strategies addressed support networks, team involvement, and dialog. Organizational strategies dealt with actions which reorient ethical infrastructure, ethical education, and psychological protection, as well as fostering dialogical relationships, empowerment, and cooperation.
From the perspective of social historical construction, it is understood that developing personal and organizational strategies is essential to cultivating moral resilience.
道德困境是一种可能导致身心失衡的现象。有许多应对策略可以克服导致这种情况的障碍。一些应对策略可以通过培养道德适应力来实现。
旨在确定巴西大学医院护理管理中道德适应力的策略。
这是一项定性研究，采用话语文本分析。
共有 44 名护士长和处于领导地位的护士参与了巴西 30 家大学医院的研究。数据通过在线问卷收集，问卷采用开放式问题。
伦理委员会批准了该研究。参与者收到了有关研究的信息，同意回答问卷，并保证匿名。
从个人适应性策略（内在和人际）和组织协作策略（内在和变革性管理）中得出了这些结果。内在策略包括理性、灵活性、平衡实践、道德勇气和超脱。人际策略涉及支持网络、团队参与和对话。组织策略涉及重新调整道德基础设施、道德教育和心理保护的行动，以及培养对话关系、赋权和合作。
从社会历史建构的角度来看，培养个人和组织策略对于培养道德适应力至关重要。
