Journal
CLINICAL JOURNAL OF ONCOLOGY NURSING
Volume 22, Issue 3, Pages 326-332Publisher
ONCOLOGY NURSING SOC
DOI: 10.1188/18.CJON.326-332
Keywords
moral distress; mindfulness; false hope; mindfulness-based stress reduction
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BACKGROUND: Studies have shown that the moral distress experienced by nurses affects patient outcomes and staff engagement OBJECTIVES: The purpose of this quality improvement initiative was to implement a process for staff to cope with moral distress. METHODS:The 21-item Moral Distress Scale-Revised (MDS-R) was administered pre- and postintervention to a sample of 56 oncology nurses to assess moral distress and whether it was alleviated with the use of mindfulness interventions. Chi-square analysis compared the frequency of morally distressing situations. FINDINGS: Moral distress was identified, with the finding that mindfulness interventions decreased nurse perceptions of distress. Healthcare providers offering a false sense of hope was the most frequently reported situation. Postintervention MDS-R survey results reflected a decrease in frequency of distress.
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