Moral Distress Part I: Critical Literature Review on Definition, Magnitude, Antecedents and Consequences
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Abstract
The articles are two-series paper. First one reviews the literature on moral distress focusing on definition, magnitude of problem, its antecedents and consequences. The issues on measurement will be covered on the second part. In 2002, Nathaniel defined moral distress as “the anguish in response to a situation in which the person is aware of a moral problem, acknowledges moral responsibility, and makes a moral judgment about the correct action; yet, as a result of real or perceived constraints, participates in perceived moral wrongdoing”. Moral distress is a serious problem in nursing. Studies show that 33-80% of nurses reported experiencing moral distress, and 15-26% of nurses who quitted the job reported they did so because of moral distress. Three sources of moral distress include clinical situations, factors internal to the caregiver, and factors external to the caregiver but inherent in the environment in which the moral distress occurs. Negative effects of moral distress on psychological and physical health, quality of patient care, moral integrity, burnout, job satisfaction, and turnover are also discussed.
Article Details
ผลการวิจัยและความคิดเห็นที่ปรากฏในบทความถือเป็นความคิดเห็นและอยู่ในความรับผิดชอบของผู้นิพนธ์ มิใช่ความเห็นหรือความรับผิดชอบของกองบรรณาธิการ หรือคณะเภสัชศาสตร์ มหาวิทยาลัยสงขลานครินทร์ ทั้งนี้ไม่รวมความผิดพลาดอันเกิดจากการพิมพ์ บทความที่ได้รับการเผยแพร่โดยวารสารเภสัชกรรมไทยถือเป็นสิทธิ์ของวารสารฯ
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