Jameton A
AWHONNS Clin Issues Perinat Womens Health Nurs. 1993;4(4):542-51.
The experience of moral distress can be distinguished from the experience of moral dilemmas. In moral distress, a nurse knows the morally right course of action to take, but institutional structure and conflicts with other co-workers create obstacles. A nurse who fails to act in the face of obstacles also may have reactive distress in addition to the initial distress. Both kinds of distress pose dilemmas about individual and collective moral responsibility. Coping with these dilemmas effectively requires taking at least some successful actions to resolve distress.
道德困扰的体验可与道德困境的体验区分开来。在道德困扰中，护士知道应该采取符合道德的正确行动方针，但机构结构以及与其他同事的冲突造成了障碍。面对障碍却未能采取行动的护士除了最初的困扰之外，可能还会产生反应性困扰。这两种困扰都会带来关于个人和集体道德责任的困境。有效应对这些困境需要至少采取一些成功的行动来化解困扰。
