A survey of moral distress in certified registered nurse anesthetists: A theoretical perspective for change in ethics education for advance practice nurses
Objective: The aim of this study was to examine the relationship between moral distress that may affect patient safety, and the clinical practice model, assessing ethical decision-making skills of certified registered nurse anesthetists (CRNAs). Methods: A survey using the Ethical Stress Scale (ESS)...
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| Format: | Article |
| Language: | English |
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Elsevier
2018-04-01
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| Series: | International Journal of Nursing Sciences |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352013217303137 |
| _version_ | 1811333549673938944 |
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| author | Brenda A. Wands |
| author_facet | Brenda A. Wands |
| author_sort | Brenda A. Wands |
| collection | DOAJ |
| description | Objective: The aim of this study was to examine the relationship between moral distress that may affect patient safety, and the clinical practice model, assessing ethical decision-making skills of certified registered nurse anesthetists (CRNAs). Methods: A survey using the Ethical Stress Scale (ESS) and the Ethical Assessment Skills Survey (EASS) was conducted with 134 CRNAs. Results: Results indicated no significant effect of practice model on level of moral distress or perceived ethical assessment skill knowledge [Wilks's lambda = 0.952, F (6, 256) = 1.068, P = 0.382, n2 = 0.02]. A statistically significant positive correlation existed between importance and skill (r = 0.275, P = 0.001). CRNAs felt skilled to manage the actions or activities they deemed important. Conclusion: CRNAs who perceived a higher skill level in addressing ethical issues experienced lower levels of moral distress. Findings indicate content-specific curricula for the CRNAs need to be evaluated for ethical decision-making skill assessment content. Keywords: Advance practice nurse, Certified registered nurse anesthetist, Moral distress |
| first_indexed | 2024-04-13T16:54:34Z |
| format | Article |
| id | doaj.art-f5fac38ee60447938a0927796d5fd9b0 |
| institution | Directory Open Access Journal |
| issn | 2352-0132 |
| language | English |
| last_indexed | 2024-04-13T16:54:34Z |
| publishDate | 2018-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | International Journal of Nursing Sciences |
| spelling | doaj.art-f5fac38ee60447938a0927796d5fd9b02022-12-22T02:38:51ZengElsevierInternational Journal of Nursing Sciences2352-01322018-04-0152121125A survey of moral distress in certified registered nurse anesthetists: A theoretical perspective for change in ethics education for advance practice nursesBrenda A. Wands0Department of Nurse Anesthesia, Virginia Commonwealth University, Virginia, United StatesObjective: The aim of this study was to examine the relationship between moral distress that may affect patient safety, and the clinical practice model, assessing ethical decision-making skills of certified registered nurse anesthetists (CRNAs). Methods: A survey using the Ethical Stress Scale (ESS) and the Ethical Assessment Skills Survey (EASS) was conducted with 134 CRNAs. Results: Results indicated no significant effect of practice model on level of moral distress or perceived ethical assessment skill knowledge [Wilks's lambda = 0.952, F (6, 256) = 1.068, P = 0.382, n2 = 0.02]. A statistically significant positive correlation existed between importance and skill (r = 0.275, P = 0.001). CRNAs felt skilled to manage the actions or activities they deemed important. Conclusion: CRNAs who perceived a higher skill level in addressing ethical issues experienced lower levels of moral distress. Findings indicate content-specific curricula for the CRNAs need to be evaluated for ethical decision-making skill assessment content. Keywords: Advance practice nurse, Certified registered nurse anesthetist, Moral distresshttp://www.sciencedirect.com/science/article/pii/S2352013217303137 |
| spellingShingle | Brenda A. Wands A survey of moral distress in certified registered nurse anesthetists: A theoretical perspective for change in ethics education for advance practice nurses International Journal of Nursing Sciences |
| title | A survey of moral distress in certified registered nurse anesthetists: A theoretical perspective for change in ethics education for advance practice nurses |
| title_full | A survey of moral distress in certified registered nurse anesthetists: A theoretical perspective for change in ethics education for advance practice nurses |
| title_fullStr | A survey of moral distress in certified registered nurse anesthetists: A theoretical perspective for change in ethics education for advance practice nurses |
| title_full_unstemmed | A survey of moral distress in certified registered nurse anesthetists: A theoretical perspective for change in ethics education for advance practice nurses |
| title_short | A survey of moral distress in certified registered nurse anesthetists: A theoretical perspective for change in ethics education for advance practice nurses |
| title_sort | survey of moral distress in certified registered nurse anesthetists a theoretical perspective for change in ethics education for advance practice nurses |
| url | http://www.sciencedirect.com/science/article/pii/S2352013217303137 |
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