Question Set 1. Moral distress is initial distress that occurs when one perceives their core values are being violated due to constraints (can be internal or external) that prevent one from taking the course of action they perceive to be ethically appropriate (moral agency). Most nurses have patients who we have carried with us for years. The reasons for this can be many, but often it is these individuals or situations that were a source of moral distress for us. It is known that even after the initial distressing event has ended, residual distress remains, which is known as moral residue. Over time, this creates what Epstein and Hamric (2009) identified as the Crescendo Effect. After reviewing the materials for this week, post answers to these questions.
- What is it about the profession of nursing that makes nurses susceptible to moral distress?
- Identify at least 4-5 of the most common causes of moral distress in nursing. Have any of these personally affected you?
- Describe the Crescendo Effect and its long-term effect on nurses.
- Reflect on your own nursing experiences that resulted in you experiencing moral distress. Select one and identify the constraints you experienced in the situation. What processes or policies do you believe could mitigate a similar situation from reoccurring (preventive ethics).
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