Strategies
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Beumer CM1212. Beumer CM. Innovative solutions: The effect of a workshop on reducing the experience of moral distress in an intensive care unit setting. Dimens Crit Care Nurs [Internet]. 2008 [cited 2021 Jan 28];27(6):263-7. Available from: Available from: https://doi.org/10.1097/01.DCC.0000338871.77658.03 https://doi.org/10.1097/01.DCC.000033887...
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Innovative solutions: the effect of a workshop on reducing the experience of moral distress in an intensive care unit setting |
USA, 2008 |
Intervention research, level VI |
Altounji D, Morgan H, Grover M, Daldumyan S, Secola R1313. Altounji D, Morgan H, Grover M, Daldumyan S, Secola R. A self-care retreat for pediatric hematology oncology nurses. J Pediatr Oncol Nurs [Internet]. 2013 [cited 2021 Jan 28];30(1):18-23. Available from: Available from: https://doi.org/10.1177/1043454212461951 https://doi.org/10.1177/1043454212461951...
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A Self-Care Retreat for Pediatric Hematology Oncology Nurses |
USA, 2013 |
Experience report, level VI |
Leggett JM, Wasson K, Sinacore JM, Gamelli RL1414. Leggett JM, Wasson K, Sinacore JM, Gamelli RL. A pilot study examining moral distress in nurses working in one United States burn center. J Burn Care Res [Internet]. 2013 [cited 2021 Jan 28];34(5):521-8. Available from: Available from: https://doi.org/10.1097/bcr.0b013e31828c7397 https://doi.org/10.1097/bcr.0b013e31828c...
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A pilot study examining moral distress in nurses working in one United States burn center |
USA, 2013 |
Qualitative study, level VI |
Abbasi S, Ghafari S, Shahriari M, Shahgholian N1515. Abbasi S, Ghafari S, Shahriari M, Shahgholian N. Effect of moral empowerment program on moral distress in intensive care unit nurses. Nurs Ethics [Internet]. 2019 [cited 2021 Jan 28];26(5):1494-504. Available from: Available from: https://doi.org/10.1177/0969733018766576 https://doi.org/10.1177/0969733018766576...
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Effect of moral empowerment program on moral distress in intensive care unit nurses |
Iran, 2019 |
Clinical trial, level II |
Recommendations
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Akbar RE, Elahi N, Mohammadi E, Khoshknab MF1616. Eslami Akbar R, Elahi N, Mohammadi E, Fallahi Khoshknab M. What Strategies Do the Nurses Apply to Cope With Job Stress?: A Qualitative Study. Glob J Health Sci [Internet]. 2015 [cited 2021 Jan 28];8(6):55-64. Available from: Available from: https://doi.org/10.5539/gjhs.v8n6p55 https://doi.org/10.5539/gjhs.v8n6p55...
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What strategies do the nurses apply to cope with job stress?: A Qualitative Study |
Iran, 2015 |
Qualitative study, level VI |
Helmers A, Palmer KD, Greenberg RA1717. Helmers A, Palmer KD, Greenberg RA. Moral distress: Developing strategies from experience. Nurs Ethics [Internet]. 2020 [cited 2021 Jan 28];27(4):1147-56. Available from: Available from: https://doi.org/10.1177/0969733020906593 https://doi.org/10.1177/0969733020906593...
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Moral distress: Developing strategies from experience |
Canada, 2020 |
Qualitative and exploratory study, level VI |
Schaefer R, Zoboli ELCP, Vieira M1818. Schaefer R, Zoboli ELCP, Vieira M. Moral distress in nurses: a description of the risks for professionals. Texto Contexto Enferm [Internet]. 2018 [cited 2021 Jan 28];27(4):e4020017. Available from: Available from: https://doi.org/10.1590/0104-07072018004020017 https://doi.org/10.1590/0104-07072018004...
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Moral distress in nurses: A description of the risks for professionals |
Brazil, 2018 |
Quantitative, descriptive and cross-sectional study, level VI |
Rodrigues NP, Cohen LL, Swartout KM, Trotochaud K, Murray E1919. Rodrigues NP, Cohen LL, Swartout KM, Trotochaud K, Murray E. Burnout in Nurses Working With Youth With Chronic Pain: A Mixed-Methods Analysis. J Pediatr Psychol [Internet]. 2018 [cited 2021 Jan 28];43(4):369-81. Available from: Available from: https://doi.org/10.1093/jpepsy/jsx105 https://doi.org/10.1093/jpepsy/jsx105...
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Burnout in nurses working with youth with chronic pain: A Mixed-Methods Analysis |
USA, 2018 |
Mixed-methods, level VI |
Da Luz KR, De Oliveira Vargas MA, Barlem ELD, Schmitt PH, Ramos FRS, Meirelles BHS2020. Da Luz KR, de Oliveira Vargas MA, Barlem ELD, Schmitt PH, Ramos FRS, Meirelles BHS. Coping strategies for oncology nurses in high complexity. Rev Bras Enferm [Internet]. 2016 [cited 2021 Jan 28];69(1):59-63. Available from: Available from: https://doi.org/10.1590/0034-7167.2016690109i https://doi.org/10.1590/0034-7167.201669...
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Coping strategies for oncology nurses in high complexity |
Brazil, 2016 |
Qualitative, level VI |
Ko HK, Chin CC, Hsu MT2121. Ko HK, Chin CC, Hsu MT. Moral distress model reconstructed using grounded theory. J Nurs Res [Internet]. 2018 [cited 2021 Jan 28];26(1):18-26. Available from: Available from: https://doi.org/10.1097/JNR.0000000000000189 https://doi.org/10.1097/JNR.000000000000...
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Moral Distress model reconstructed using grounded theory |
China, 2018 |
Qualitative study, level VI |
Langley GC, Kisorio L, Schmollgruber S2222. Langley GC, Kisorio L, & Schmollgruber S. Moral distress experienced by intensive care nurses. Southern African Journal of Critical Care [Internet]. 2015 [cited 2021 Jan 28];31(2):36-41. Available from: Available from: https://doi.org/10.7196/SAJCC.2015.v31i2.235 https://doi.org/10.7196/SAJCC.2015.v31i2...
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Moral distress experienced by intensive care nurses |
South Africa, 2015 |
Descriptive/Exploratory study, level VI |
Bender MA, Andrilla CHA, Sharma RK, Hurd C, Solvang N, Mae-Baldwin L2323. Bender MA, Andrilla CHA, Sharma RK, Hurd C, Solvang N, Mae-Baldwin L. Moral Distress and Attitudes About Timing Related to Comfort Care for Hospitalized Patients: A Survey of Inpatient Providers and Nurses. Am J Hosp Palliat Care [Internet]. 2019 [cited 2021 Jan 28];36(11):967-73. Available from: Available from: https://doi.org/10.1177/1049909119843136 https://doi.org/10.1177/1049909119843136...
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Moral Distress and attitudes about timing related to comfort care for hospitalized patients: A survey of inpatient providers and Nurses |
USA, 2019 |
Cross-sectional study, level VI |
Christodoulou-Fella M, Middleton N, Papathanassoglou ED, Karanikola MN2424. Christodoulou-Fella M, Middleton N, Papathanassoglou EDE, Karanikola MNK. Exploration of the Association between Nurses' Moral Distress and Secondary Traumatic Stress Syndrome: Implications for Patient Safety in Mental Health Services. Biomed Res Int [Internet]. 2017 [cited 2021 Jan 28];2017:1908712. Available from: Available from: https://doi.org/10.1155/2017/1908712 https://doi.org/10.1155/2017/1908712...
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Exploration of the association between nurses’ moral distress and secondary traumatic stress syndrome: Implications for patient safety in mental health services |
Cyprus, 2017 |
Cross-sectional study, level VI |
Wenwen Z, Xiaoyan W, Yufang Z, Lifeng C, Congcong S2525. Wenwen Z, Xiaoyan W, Yufang Z, Lifeng C, Congcong S. Moral distress and its influencing factors: A cross-sectional study in China. Nurs Ethics [Internet]. 2018 [cited 2021 Jan 28];25(4):470-80. Available from: Available from: https://doi.org/10.1177/0969733016658792 https://doi.org/10.1177/0969733016658792...
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Moral distress and its influencing factors: A cross-sectional study in China |
China, 2018 |
Cross-sectional study, level VI |
Hamaideh SH2626. Hamaideh SH. Moral distress and its correlates among mental health nurses in Jordan. Int J Ment Health Nurs [Internet]. 2014 [cited 2021 Jan 28];23(1):33-41. Available from: Available from: https://doi.org/10.1111/inm.12000 https://doi.org/10.1111/inm.12000...
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Moral distress and its correlates among mental health nurses in Jordan |
Jordan, 2014 |
Cross-sectional study, level VI |
Ghasemi E, Negarandeh R, Janani L2727. Ghasemi E, Negarandeh R, Janani L. Moral distress in Iranian pediatric nurses. Nurs Ethics [Internet]. 2019 [cited 2021 Jan 28];26(3):663-73. Available from: Available from: https://doi.org/10.1177/0969733017722824 https://doi.org/10.1177/0969733017722824...
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Moral distress in Iranian pediatric nurses |
Iran, 2019 |
Cross-sectional study, level VI |
Barlem ELD, Lunardi VL, Lunardi GL, Tomaschewski-Barlem JG, Silveira RSD, Dalmolin GDL2828. Barlem EL, Lunardi VL, Lunardi GL, Tomaschewski-Barlem JG, da Silveira RS, Dalmolin GL. Moral distress in nursing personnel. Rev Lat Am Enfermagem [Internet]. 2013 [cited 2021 Jan 28];21(Spe):79-87. Available from: Available from: https://doi.org/10.1590/s0104-11692013000700011 https://doi.org/10.1590/s0104-1169201300...
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Moral distress in nursing personnel |
Brazil, 2013 |
Quantitative, survey-type, exploratory-descriptive and cross-sectional research study, level IV |
Morley G2929. Morley G. Efficacy of the nurse ethicist in reducing moral distress: what can the NHS learn from the USA? Part 2. Br J Nurs [Internet]. 2016 [cited 2021 Jan 28];25(3):156-61. Available from: Available from: https://doi.org/10.12968/bjon.2016.25.3.156 https://doi.org/10.12968/bjon.2016.25.3....
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Efficacy of the nurse ethicist in reducing moral distress: what can the NHS learn from the USA? Part 2 |
England, 2016 |
Literature review, level V |
Ohnishi K, Kitaoka K, Nakahara J, Välimäki M, Kontio R, Anttila M3030. Ohnishi K, Kitaoka K, Nakahara J, Välimäki M, Kontio R, Anttila M. Impact of moral sensitivity on moral distress among psychiatric nurses. Nurs Ethics [Internet]. 2019 [cited 2021 Jan 28];26(5):1473-83. Available from: Available from: https://doi.org/10.1177/0969733017751264 https://doi.org/10.1177/0969733017751264...
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Impact of moral sensitivity on moral distress among psychiatric nurses |
Finland, 2019 |
Cross-sectional study, level VI |
Schaefer R, Vieira M3131. Schaefer R, Vieira M. Ethical competence as a coping resource for moral distress in nursing. Texto Contexto Enferm [Internet]. 2015 [cited 2021 Jan 28];24(2):563-73. Available from: Available from: https://doi.org/10.1590/0104-07072015001032014 https://doi.org/10.1590/0104-07072015001...
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Ethical competence as a coping resource for moral distress in nursing |
Brazil, 2015 |
Integrative literature review, level V |
Edmonson C3232. Edmonson C. Strengthening Moral Courage Among Nurse Leaders. Online J Issues Nurs [Internet]. 2015 [cited 2021 Jan 28];20(2):9. Available from: Available from: https://doi.org/10.3912/ojin.vol20no02ppt01 https://doi.org/10.3912/ojin.vol20no02pp...
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Strengthening Moral Courage among nurse leaders |
USA, 2015 |
Review, level V |
Schluter J, Winch S, Holzhauser K, Henderson A3333. Schluter J, Winch S, Holzhauser K, Henderson A. Nurses' moral sensitivity and hospital ethical climate: a literature review. Nurs Ethics [Internet]. 2008 [cited 2021 Jan 28];15(3):304-21. Available from: Available from: https://doi.org/10.1177/0969733007088357 https://doi.org/10.1177/0969733007088357...
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Nurses: moral sensitivity and hospital ethical climate: a literature review |
USA, 2008 |
Literature review of quantitative and qualitative studies, level V |
Dalmolin GDL, Lunardi VL, Lunardi GL, Barlem ELD, Silveira RSD3434. Dalmolin GDL, Lunardi VL, Lunardi GL, Barlem ELD, Silveira RSD. Nurses, nursing technicians and assistants: who experiences more moral distress? Rev Esc Enferm USP [Internet]. 2014 [cited 2021 Jan 28];48(3):521-9 Available from: Available from: https://doi.org/10.1590/S0080-623420140000300019 https://doi.org/10.1590/S0080-6234201400...
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Nurses, nursing technicians and assistants: Who experiences more moral distress? |
Brazil, 2014 |
Qualitative research, level VI |