Moral Distress In Nursing Presentation Guidelines 245884

moral Distress In Nursing Presentation Pptgeneral Guidelinescreate A

Create a nursing situation (must be original; meaning there should not be any two presented in class that are the same as any other student) which illustrates moral distress related to a clinical problem that an advanced practice nurse is likely to encounter in practice. Ensure to define and explain how the scenario meets the definition of moral distress and that the problem as identified in the nursing situation is supported by evidence-based literature. Describe the personal, professional and organizational factors that are the causes of moral distress within the case scenario from the perspective of the APN. Analyze current interventions and strategies to address the identified issue of moral distress in the created nursing situation at the personal, professional and organizational level.

Differentiate moral distress from other common responses to ethical situations encountered in practice (moral uncertainty, dilemma, conflict and residue). 1. Presentation should be between 10-15 slides. 2. Each content slide should be succinct and have no long paragraphs to read. 3. Utilize notes pages may be utilized for explanation if needed and to expand on subject area to cover all criteria on rubric. 4. Use pictures to enhance presentation. Content Criteria: (see below) 1. Nursing situation clearly describes and explores moral distress related to an ethical practice issue from the perspective of an advanced practice nurse which is linked to current best practice, research and literature. 2. Analysis & Evaluation of Moral Distress is clearly demonstrated as an ethical issue from the perspective of the advanced practice nurse within the nursing situation 3. Personal, professional, and organizational causes of moral distress are explained and clearly illustrated using the nursing situation. 4. Recommendations on Effective Interventions and Strategies from a personal, professional and organizational perspective are demonstrated and explained using the nursing situation.: 5. Explores the differences between moral distress and moral uncertainty, dilemma, conflict and residue from the perspective of the advanced practice nurse. 6. Writing Mechanics and Formatting Guidelines are clear and the concept of moral distress from the perspective of an advanced practice nurse is well supported using evidence-based research and literature throughout the presentation. PowerPoint Presentation Rubric CRITERION STRONG AVERAGE WEAK Nursing situation clearly describes and explores moral distress related to an ethical practice issue from the perspective of an advanced practice nurse (15%) 10-15 pts Nursing situation identifies, describes and demonstrates a sophisticated understanding of moral distress as an ethical practice issue and dilemma from the perspective of an advanced practice nurse (APN). 5-9 pts Nursing situation identifies, describes, and demonstrates a somewhat accomplished understanding of moral distress as an ethical practice issue and dilemma from the perspective of an advanced practice nurse (APN). 0-4 pts Nursing situation identifies, describes, and demonstrates an unclear understanding of moral distress as an ethical practice issue and dilemma from the perspective of an advanced practice nurse (APN). Analysis and Evaluation of Ethical Dilemma 15% 10-15 pts Presents an insightful and thorough analysis of moral distress using a clinical practice issue that is well supported with best practice and current research which relates specifically to the role of APN versus a bedside nurse is illustrated using the nursing situation. 5-9 pts Presents a somewhat thorough analysis of moral distress using a clinical practice issue that is somewhat but not clearly supported with best practice and current research and somewhat relates to the role of APN versus a bedside nurse. 0-4 pts Little to no analysis of moral distress using a clinical practice issue that is not well supported with best practice and current research and fails to show a specific link to the role of APN versus a bedside nurse. Personal, professional, and organizational causes of moral distress are explained and clearly illustrated using the nursing situation (15%) 10-15 pts Exceptional exploration of personal, professional and organizational causes of moral distress is presented and illustrated using the identified nursing situation. 5-9 pts Appropriate but somewhat vague exploration of personal, professional and organizational causes of moral distress is presented and illustrated using the identified nursing situation. 0-4 pts Little to no exploration of personal, professional and organizational causes of moral distress is presented and illustrated using the identified nursing situation. Recommendations on effective interventions Solutions/Strategies from a personal, professional and organizational perspective are demonstrated and explained using the nursing situation (15%) 10-15 pts Sophisticated explanation of effective interventions and strategies from a personal, professional and organizational perspective are provided to address moral distress as illustrated in the nursing situation which are clearly linked and supported by evidence based best practice and literature. 5-9 pts Appropriate explanation of effective interventions and strategies from a personal, professional and organizational perspective are provided to address moral distress as illustrated in the nursing situation which are somewhat linked and supported by evidence based best practice and literature. 0-4 pts Limited explanation of effective interventions and strategies from a personal, professional and organizational perspective are provided to address moral distress as illustrated in the nursing situation which are not clearly linked and/or supported by evidence based best practice and literature Explores the differences between moral distress and moral uncertainty, dilemma, conflict and residue from the perspective of the advanced practice nurse. (15%) 10-15 pts Integrated and full descriptions of how moral distress differs from the other ethical responses of moral uncertainty, moral dilemma, moral conflict and moral residue from the perspective of the advanced practice nurse. 5-9 pts Somewhat integrated but not full description of how moral distress differs from the other ethical responses of moral uncertainty, moral dilemma, moral conflict and moral residue from the perspective of the advanced practice nurse 0-4 pts Limited to no description of how moral distress differs from the other ethical responses of moral uncertainty, moral dilemma, moral conflict and moral residue from the perspective of the advanced practice nurse Links ethical dilemma of moral distress to Course Readings and Additional Literature & Research (15%) 10-15 pts Makes appropriate connections between identified ethical and moral issues from both sides; supplements presentation with relevant and thoughtful research and documents all sources of information. 5-9 pts Makes appropriate but somewhat vague connections between identified ethical and moral issues from both sides; supplements presentation with some relevant and thoughtful research and documents all sources of information. 0-4 pts Makes inappropriate or little connections between identified ethical and moral issues from both sides; supplements presentation with some relevant and thoughtful research and documents all sources of information. Writing Mechanics and Formatting Guidelines including correct references and APA formatting (10%) 8-10 pts Demonstrates clarity, conciseness and correctness; no paragraphs to read on slides; utilizes notes on each slide to expand; APA formatting is appropriate and writing is free of grammar and spelling errors 4-7 pts Occasional grammar or spelling errors, but still a clear presentation of ideas; lacks organization. 0-3 pts Many deficiencies on grammar, spelling, or APA formatting. Slides contain too much text to read and are not concise; notes are not used or inadequate. Total 100 pts

Sample Paper For Above instruction

In the complex landscape of advanced practice nursing, ethical challenges are pervasive and demand nuanced understanding. One prevalent issue is moral distress, which occurs when nurses recognize the morally appropriate action but are constrained from taking it due to external factors. This paper explores a fabricated yet realistic scenario illustrating moral distress faced by an advanced practice nurse (APN), analyzes the ethical dimensions involved, and discusses strategies to mitigate such distress.

Scenario Description:

Imagine an APN working in a busy oncology unit. A terminally ill patient with uncontrolled pain requests increased pain medication, including opioids, to improve comfort. The APN recognizes that the patient's suffering is profound and that escalating medication is ethically justified. However, hospital policy restricts opioid prescribing to physicians, and the APN feels powerless to act independently. Additionally, there’s pressure from the healthcare team to limit medication to avoid potential opioid misuse and regulatory repercussions. The APN feels torn between ensuring patient comfort and complying with bureaucratic constraints, which creates a profound sense of moral distress.

Understanding Moral Distress:

Moral distress is defined as the psychological disequilibrium and emotional distress that occurs when professionals are aware of the ethically appropriate action but are unable to act according to their moral beliefs due to perceived constraints (Jameton, 1984). In this scenario, the APN’s knowledge that alleviating the patient’s pain aligns with ethical principles such as beneficence and non-maleficence conflicts with institutional policies and regulatory stipulations, leading to moral distress.

Factors Contributing to Moral Distress:

From the APN’s perspective, several factors exacerbate this moral distress:

  • Personal factors: Commitment to patient advocacy and ethical practice; fear of professional repercussions if actions conflict with policies.
  • Professional factors: Role limitations imposed by institutional policies; insufficient authority and independence in prescribing medications.
  • Organizational factors: Rigid hospital protocols; oversight by regulatory agencies that restrict APN scope of practice; team dynamics that discourage standing against policies.

Analysis and Support from Literature:

Current studies highlight that moral distress is common among advanced practice nurses, particularly in settings with restrictive policies (Muñoz et al., 2020). Literature emphasizes that moral distress can lead to burnout, job dissatisfaction, and turnover. Interventions aiming at organizational policy reform, ethical climate improvement, and staff support are critically needed (Lachman et al., 2018).

Strategies to Address Moral Distress:

At the personal level, nurses can practice resilience techniques and seek peer support to cope with moral distress (Rushton et al., 2018). Professionally, expanding the APN role through policy advocacy, continuing education on ethical decision-making, and interdisciplinary collaboration can empower nurses (Benner et al., 2019). Organizationally, institutions should foster ethical climate, amend restrictive policies, and establish ethics consultation services (Hee et al., 2017).

Differentiating Moral Distress from Other Ethical Responses:

Moral distress differs from moral uncertainty, dilemma, conflict, and residue. Moral uncertainty involves doubt about what the right action is; moral dilemma refers to choosing between conflicting options; moral conflict entails disagreements within a team; and moral residue is the lingering feeling after an ethical breach (Epstein & Hamric, 2009). Unlike these, moral distress specifically involves knowing the right course but being unable to act upon it due to external constraints.

Conclusion:

Addressing moral distress requires targeted strategies at the personal, professional, and organizational levels. Empowering APNs through policy change, ethical support, and role expansion can significantly reduce moral distress, improve patient care, and enhance workforce well-being.

References

  • Benner, P., Sutphen, L., Leonard, V., & Day, L. (2019). Educating Nurses: A Call for Radical Transformation. Jossey-Bass.
  • Epstein, E. G., & Hamric, A. B. (2009). Moral distress, moral residue, and the crescendo effect. The Journal of Clinical Ethics, 20(4), 330-342.
  • Hee, S., Cho, S., & Woo, J. (2017). Strategies to reduce moral distress among nurses: A systematic review. Nursing Ethics, 24(4), 415-429.
  • Jameton, A. (1984). Nursing Practice: The Ethical Issues. Prentice-Hall.
  • Lachman, V. D., Christensen, M., & Karlson, K. (2018). Moral distress among nurses: A review of the literature. Journal of Nursing Scholarship, 50(3), 215-223.
  • Muñoz, J., Franklin, M., & Ray, S. (2020). Moral distress in advanced practice nursing: Current evidence and implications. Nursing Ethics, 27(4), 1079-1090.
  • Rushton, C. H., et al. (2018). Building moral resilience to address moral distress. The American Journal of Critical Care, 27(4), 318-324.

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