Caring in the wake of the rising tide: Moral distress in residential nursing care of people living with dementia

被引：37

作者：

Pijl-Zieber, Em M. ^{[1
]}

Awosoga, Olu ^{[1
]}

Spenceley, Shannon ^{[1
]}

Hagen, Brad ^{[1
]}

Hall, Barry ^{[2
]}

Lapins, Janet ^{[3
]}

机构：

[1] Univ Lethbridge, Fac Hlth Sci, 4401 Univ Dr, Lethbridge, AB T1K 3M4, Canada

[2] Southern Alberta Reg Univ Lethbridge, Fac Social Work, Univ Calgary, 4401 Univ Dr, Lethbridge, AB T1K 3M4, Canada

[3] Lethbridge Coll, Nursing Educ Southwestern Alberta NESA Program, 3000 Coll Dr, Lethbridge, AB T1K 1L6, Canada

来源：

DEMENTIA-INTERNATIONAL JOURNAL OF SOCIAL RESEARCH AND PRACTICE | 2018年 / 17卷 / 03期

关键词：

dementia; moral distress; ageing; nursing staff; long-term care; assisted living; survey; LONG-TERM-CARE; QUALITY-OF-LIFE; NURSES PERCEPTIONS; HEALTH-CARE; REGISTERED NURSES; STAFF; RESPONSES; OUTCOMES; TIME; DETERMINANTS;

D O I：

10.1177/1471301216645214

中图分类号：

R4 [临床医学]; R592 [老年病学];

学科分类号：

1002 ; 100203 ; 100602 ;

摘要：

Objective Moral distress is increasingly being recognized as a concern for health care professionals. The purpose of this study was to explore the nature and prevalence of moral distress among nursing staff who care for people living with dementia. Methods This study was focused on nursing staff caring for people with dementia in long-term care and assisted living sites. The Moral Distress in Dementia Care Survey instrument was distributed to 23 sites and nursing staff rated the frequency and severity of situations that were identified as potentially causing moral distress. Results Moral distress is prevalent in the nursing staff who provide dementia care. Nursing staff reported experiencing moral distress at least daily or weekly. Both frequency and severity of moral distress increased with proximity to (amount of time spent at) the bedside. Moral distress had negative psychological and physiological effects on nursing staff, and affected intention to quit.

引用

页码：315 / 336

页数：22

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