Moralni distres medicinskih sestara

master's thesis

• Title (english): Moral distress in nurses
• Author: Smiljana Kolundžić
• Mentor: Tea Vukušić Rukavina (mentor)
• Committee member: Ognjen Brborović (predsjednik povjerenstva)
• Committee member: Ana Borovečki (član povjerenstva)
• Committee member: Tea Vukušić Rukavina (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; Zagreb
• Defense date and country: 2017-07-03, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Public Health and Health Care; Social Medicine

Abstract

Moralni distres je značajan problem u sestrinstvu. Koncept moralnog distresa definiran je na području sestrinstva 1984.godine, a nakon čega slijedi razvoj brojnih teorija i kritička analiza moralnih koncepata u sestrinstvu. Situacije etičkih dilema u sestrinskoj praksi su specifično povezane s pojavom moralnog distresa. Licenciranjem sestrinske profesije medicinske sestre su stekle odgovornost za pružanje kvalitetne zdravstvene njege i osiguranje sigurnosti pacijenata. Moralni distres nastaje u situacijama kada medicinska sestra ne može postupati sukladno vlastitim moralnim vrijednostima i zahtjevima standarda kvalitete profesionalne prakse zbog unutarnjih ili vanjskih ograničenja odnosno kada su sestrinske vrijednosti i percipirane profesionalne dužnosti inkompatibilne sa zahtjevima i prevladavajućim pogledima u radnom okruženju. Dostupni literaturni podaci ukazuju na učestalost i značajni intenzitet navedenog problema u sestrinstvu. Situacije etičkih dilema zahtijevaju moralnu hrabrost za glasno zagovaranje interesa pacijenata i medicinskih sestara. Specifični oblici moralnog distresa ističu se kako u kliničkom sestrinstvu tako i kod medicinskih sestara menadžera na svim razinama upravljanja u sestrinstvu. Moralni distres može imati negativan utjecaj na zdravlje medicinskih sestara, ugroziti kvalitetu zdravstvene skrbi i/ili uzrokovati napuštanje radnog mjesta i drugo. Preventivne strategije u rješavanju moralnog distresa zahtijevaju pravovremeno prepoznavanje navedenog problema u radnom okruženju i primjenu intervencija, a pri čemu ključnu ulogu imaju medicinske sestre na rukovodećim radnim mjestima zbog značajnog utjecaja organizacijskih čimbenika na razvoj moralnog distresa.

Abstract (english)

Moral distress is a significant problem in nursing. The concept of moral distress in the field of nursing was defined in 1984, subsequently followed by the development of numerous theories and the critical analysis of the moral concepts in nursing.The situations of ethical dilemmas in nursing practice are specifically correlated with the moral distress emerged. By nursing professional licencing the nurses have acquired the responsibility for providing the quality of healthcare and ensuring the patient safety. Moral distress occurs in the situations when the nurse can not act in accordance with her own moral values and the standard quality requirements of the professional practice due to internal and external constraints, that is when the nursing values and the perceived professional roles are incompatible with the requirements and the overwhelming views in the work environment. Data available in literature show the frequency and significant intensity of the specified problem in the nursing profession. The ethical dilemmas situations require moral courage for the loud advocacy of the patients and nurses interests. Specific forms of moral distress are present both in clinical nursing and in nurse managers at all levels of nursing management. Moral distress can have negative influence on the health of nurses, jeopardize heaalthcare quality and/or cause leaving the workplace and other. Preventive strategies in resolving the moral distress require timely recognition of the specified problem in the working environment and the application of interventions,
with the key role of nurses employed as managers/leaders due to significant influence of organizational factors on the moral distress development.

• Keywords: moralni distres; etika; sestrinstvo; zdravstvena zaštita
• Keywords (english): moral distress; ethics; nursing; health care
• Language: croatian
• URN:NBN: urn:nbn:hr:105:495789
• Study programme: Title: Studies in Nursing; Study programme type: university; Study level: graduate; Academic / professional title: magistar/magistra sestrinstva (magistar/magistra sestrinstva)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2018-03-20 09:27:39