The Critique of Chief Nursing Officers Experience with Moral Distress
TheCritique of Chief Nursing Officers Experience with Moral Distress
Nursingleaders experience various challenges and dilemmas in their dailypractices, and thus without sufficient adherence to professionalism,nursing leaders are likely going to experience moral distress. Thisstudy seeks to critique nursing journal article regarding objective,the background of study, purpose, methods, data analysis, results,and conclusion. Moreover, the study will pay close attention toqualitative of quantitative methods.
Thisjournal article aimed at finding out whether nursing officersexperienced and endured moral distress during practice (Prestia etal., 2017).
Backgroundand the research
Theresearch was driven by the fact that nursing career is one of themost remarkable professions where individuals encounter diverseexperiences in their service (Yoost & Crawford, 2015).Correspondingly, nurses are expected to uphold strict professionalvalues and commit themselves to serve and benefit their patients. Theresearch was based on the postulation that moral distress is asubject of international concern (Prestia et al., 2017). The argumentwas that there was a possibility of unethical practices that couldresult from nursing leaders as they make the critical decision in thehealthcare institutions. Nursing leaders are bestowed with theresponsibilities of nurses, and other clinical staffs are committedto their duties of taking care of patients and playing significantadvocacy roles. According to the research, the main challenges occurwhen chief nursing officers encountered moral dilemmas which are sochallenging that they are unable to judge the situation (Prestia etal., 2017). Chances of errors increases leading to the physicalmanifestation of symptoms such as fatigue, hypertension, ulcers,exhaustion. Other emotional symptoms include sadness, frustration,isolation, depression and hence distress. As such, the research wasvery relevant and necessary considering that moral distress has beena huge challenge to nursing leaders (Speziale & Carpenter, 2013).Background of the research and the objective was satisfactory becauseit captured the research problem.
Purposeof the research
Thepurpose of the research was to investigate whether the inability tomaintain professionalism in all these challenges contributed to themoral distress of the nursing officers who are in leadership (Prestiaet al., 2017). The research purpose was satisfactory because itcaptured the problem that was identified in the background of theresearch. However, the research did not review literature.
Thisresearch used the qualitative method. Nevertheless, the nature ofthis study was very objective and relevant to the nursing field andthus both quantitative and qualitative methods ought to have beenutilized in the research (Leavy, 2017). Accordingly, the research wasnot encompassing and desirable in approach as it would have possiblybeen if both quantitative and qualitative methods were used. Each ofthe participants was required to have been a chief nursing officerfor at least three years (Prestia et al., 2017). The participantswere recruited through advertisement in that only the willing leadersparticipated. Although participation was based on the voluntarybasis, the research did not consider ethnic or racial balances andother relevant variables while recruiting (Speziale & Carpenter,2013). Twenty chief nursing officers participated in the research.Seventeen of the participants were women who constituted 85% of theparticipants while 3 were men who represented 15% of theparticipants. Mean of all their ages was 57.6 years while the averageyears in which they were in practice was 33.98 years (Prestia et al.,2017). Oral interviews were conducted without recordings of theinformation given by the chief nursing officers. Demographicinformation was obtained through emails, and the information wascoded appropriately to safeguard their identity. Research settled onand utilized five questions which were based on literature that waspreviously reviewed by experts in the field of nursing to ensure thatthey were valid. Selection of the recruits was not sensitive togender issues because only three men out of twenty were recruited forresearch (Leavy, 2017). The interview process should have beensupported by questionnaires, with particular variables andmeasurements such as nominal, interval, ordinal or ratios.
Datawas analyzed through content analysis and by utilization of recordedtext data described by Shannon and Hsieh (Prestia et al., 2017).Subcategories and categories of strategic concepts were developedfrom the real words of the interviewed participants. Furtherenhancement of the subcategories and categories was carried outduring peer briefing. Data analysis method used was sufficientbecause it was influenced by the data that was initially collected.Moreover, necessary measures were taken to review subcategories andcategories during peer briefing (Takhar & Ghorbani, 2015). Thisexercise enabled them to dig deeper into the presentation given byeach subject during the interview.
Allchief nursing officers reported that they had experienced distress onat least one occasion (Prestia et al., 2017). One of the participantshad experienced excessive moral distresses especially on the issuesregarding compensation and salary for the staff members. Othermatters that caused moral distress include the limitation in hiringand augmented patient to nurse ratio. Sufficient statistics thatcould have consolidated the results were not obtained because initialmeasures on data collection were not sufficiently positioned (Leavy,2017). Consequently, the results appeared fragmented and difficult toconsolidate for presentation. Other issues include feeling powerless,deficient psychological safety and inability to maintain the moralcompass. From the outcome of this research, it is evident thatreliable results could not be obtained without factual data regardingpercentages, tables, trends and relationships (Takhar & Ghorbani,2015).
Thestudy acknowledged that moral distress was a repetitive occurrenceand confirmed that the chief nursing officers who employ moralcourage in their leadership do not encounter the challenges of moraldistress. Correspondingly, the research is insufficient to derive thedepth understanding of the moral distress because data collected andmethod of analysis was not exhaustive enough to make the viableconclusion regarding moral distress. Moral feeling entails manyvariables such as values, feeling and beliefs in that there was theneed for concrete analysis that included these variables (Speziale &Carpenter, 2013). The research did not recommend further studies inthis area despite the fact that it requires additional research.
Leavy,P. (2017). Researchdesign: Quantitative, qualitative, mixed methods, arts-based andcommunity-based participatory research approaches.Guilford Publications.
Prestia,A. Sherman, R. & Demezie, C.(2017). ChiefNursing Officers Experiences with Moral Distress: Thejournal of nursing administration.47 (2), pp. 101-107 Retrieved fromhttp://journals.lww.com/jonajournal/Fulltext/2017/02000/Chief_Nursing_Officers__Experiences_With_Moral.9.aspx?WT.mc_id=HPxADx20100319xMP
Speziale,H. S., & Carpenter, D. R. (2013). Qualitativeresearch in nursing: Advancing the humanistic imperative.Philadelphia: Wolters Kluwer Health/Lippincott Williams &Wilkins.
Takhar-Lail,A., & Ghorbani, A. (2015). Marketresearch methodologies: Multi-method and qualitative approaches.
Yoost,B. L., & Crawford, L. R. (2015). Fundamentalsof Nursing: Active Learning for Collaborative Practice.
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