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Advisor(s)
Abstract(s)
This article proposes to identify risk factors for moral distress from the literature, validate
them through expert analysis and provide the basis for a new tool to assess the
risk of moral distress among nurses. Moral distress is related to the psychological,
emotional and physiological aspects of nursing. It arises from constraints caused by
various circumstances and can lead to significant negative consequences. A scoping
review and validation through expert analysis were used. The research question guiding
this study was as follows: What is known about risk factors for moral distress in nursing?
The research was conducted using multiple sources including electronic databases
and lists of references from relevant literature. The final sample consisted of 38 studies.
A validation analysis was conducted by experts during December 2014 and June
2015. To exclude a risk factor item, at least 80% of the experts had to agree with the
exclusion. In total, 53 risk factors for moral distress were identified, reviewed by the
experts and grouped to form a new instrument that may help to identify risk for moral
distress and to address its consequences.
Description
Keywords
Ethics Instrument development Moral distress Nursing practice Risk factor Scoping review
Citation
Schaefer, R., Zoboli, E., Vieira, M. (2016). Identification of risk factors for moral distress in nurses: basis for the development of a new assessment tool. Nursing Inquiry, 23(4), 346-357
Publisher
John Wiley and Sons