Petersen Julia, Rösler Ulrike, Meyer Gabriele, Luderer Christiane
Internationale Graduiertenakademie (InGrA), Institut für Gesundheits-, Hebammen- und Pflegewissenschaft, Medizinische Fakultät, Martin-Luther-Universität Halle-Wittenberg, Halle (Saale), Deutschland; Bundesanstalt für Arbeitsschutz und Arbeitsmedizin, Dresden, Deutschland.
Bundesanstalt für Arbeitsschutz und Arbeitsmedizin, Dresden, Deutschland.
Z Evid Fortbild Qual Gesundhwes. 2025 Jul;196:15-21. doi: 10.1016/j.zefq.2025.05.005. Epub 2025 Jun 19.
Moral distress affects the health of home care nurses and can lead to the decision to leave the profession early. Little is known about the ways to reduce moral distress in the context of home care nursing.
Identification of interventions to reduce moral distress in home care nurses.
Interviews with home care nurses (n=20; 04-08/2023) from different organizations and with from different federal states and with care ethicists (n=6; 10/2023-04/2024) were conducted, transcribed and analyzed via qualitative content analysis.
On the one hand, interventions were identified that directly address the situations triggering moral distress or relate to the organization of work: e.g., support from superiors, evaluation of informal care, adaptation of the performance and billing system, family-friendly working time models, greater scope for decision-making, and improved cooperation between healthcare stakeholders. On the other hand, the respondents would like to see "ethical interventions", such as ethics counseling, and more opportunities for professional exchange, e.g., in the context of team meetings on ethical issues.
In addition to improving working conditions and creating a positive organizational culture, outpatient ethics consultations at provider level or across care services represent an important intervention.
