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¶ … Nursing
Ethical and moral distress may result in feelings of irritation and helplessness. Such distress transpires when nursing professionals are required to behave in a way that contradicts their ideals. Nurses' integrity may be undermined by such a disregard for professional and personal ideals. Nurses are caught in a quandary between their duty to offer comfort in death and their duty to abide by the orders of the physician (Davies, et al., 1996). Obstacles might emerge when personnel in the healthcare sector cannot act in accordance with professional norms and personal ideals. The obstacles can be both internal and external. The former emerge due to ineffective communication and job-based skills and knowledge in the nursing staff, from providing adequate palliative care, while the latter occur when the opinion of the nursing staff isn't asked for or given value at the workplace. Such obstacles should be resolved for ensuring both proper patient care and job satisfaction of nurses.
Literature indicates that when nursing professionals believe they are unable to aid terminally ill patients in recovering any longer, they start experiencing a profound feeling of helplessness, sorrow, and uncertainty. They have no idea as to how they must handle the issue...
Sound instances of this include case management and pain management issues. Bedside nurses who remain with a young patient for half a day, will perhaps, be the best judge when it comes to evaluating how effective the present pain treatment regimen, as well as other end-of-life requirements are. But the nurse might end up reporting poor control of pain or the requirement of a patient healthcare meeting; their request might not be taken into consideration. Neglect of nurse input tends to make nurses irritated, offended, and unsatisfied, with the patient care being offered. Implementing any aggressive treatment plan is not easy when one sees a child actively dying. Sometimes, kids who need to be in palliative care continue to receive aggressive, painful treatment that might be administered with scant patient pain appraisal and suboptimal patient pain management. Such aggressive measures require the devotion of precious time, which could otherwise be devoted to the much-needed task of preparing the young patient for death, by the child's parents, siblings, and hospital staff. Both adults and children require time for completing unfinished tasks, finding closure and saying goodbye. It has…
References
Dalmolin, G. d., Lunardi, V. L., Barlem, E. L., & Silveira, R. S. (2012). Implications of moral distress on nurses and its similarities with Burnout. Texto contexto - enferm, 21(1).
Davies, B., Clarke, D., Connaughty, S., Cook, K., MacKenzie, B., & McCormick, J. (1996). Caring for dying children: Nurses' experiences. Pediatric Nursing, 22(6), 500-507.
Gallagher, A. (2010). Moral Distress and Moral Courage in Everyday Nursing Practice. OJIN: The Online Journal of Issues in Nursing, 16(2).
Morgan, D. (2009). Caring for Dying Children: Assessing the Needs of the Pediatric Palliative Care Nurse. Pediatr Nurs, 35(2), 86-91.
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