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Moral distress: A theorized model of influences to facilitate mitigation and resilience


Guzys, D, Moral distress: A theorized model of influences to facilitate mitigation and resilience, Nursing and Health Sciences, 23, (3) pp. 658-664. ISSN 1441-0745 (2021) [Refereed Article]

Copyright Statement

Copyright 2021 John Wiley & Sons Australia, Ltd.

DOI: doi:10.1111/nhs.12827


Moral distress results from the threat to professional moral integrity and identity. This phenomenon is well documented in nursing literature. Persistent and unresolved moral distress is frequently linked to high nursing staff turnover and shortages. Engagement in a structured hermeneutic critical reflective process facilitated identification of micro, meso, and macro factors influencing the experience of moral distress. Following this process, a theorized model was developed to illustrate interactions between influences contributing to the experience of moral distress in nurses. The model highlights where opportunities lay to take action to avoid or minimize the negative consequences of this phenomenon. Professional resilience is achieved via the conscientious development of professional identity and practice of critical reflection, as components of enculturation of nurses into the profession. Undergraduate and further nurse education activities must focus on developing the necessary attitude, confidence, and skills to address issues in practice which contribute to the experience moral distress to build resilience.

Item Details

Item Type:Refereed Article
Keywords:critical reflection, moral distress, nurses, professional identity, resilience
Research Division:Health Sciences
Research Group:Nursing
Research Field:Nursing workforce
Objective Division:Health
Objective Group:Provision of health and support services
Objective Field:Nursing
UTAS Author:Guzys, D (Ms Diana Guzys)
ID Code:146873
Year Published:2021
Deposited By:Nursing
Deposited On:2021-10-01
Last Modified:2021-11-23

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