Faraco MM, Gelbcke FL, Brehmer LCDF, Ramos FRS, Schneider DG, Silveira LR. Moral distress and moral resilience of nurse managers.
Nurs Ethics 2022;
29:1253-1265. [PMID:
35549481 DOI:
10.1177/09697330221085770]
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Abstract
BACKGROUND
Moral distress is a phenomenon that can lead to an imbalance of the mind and body. There are many coping strategies to overcome the obstacles that lead the subject to this condition. Some coping strategies are capable of being achieved through the cultivation of moral resilience.
AIM
The aim is to identify the strategies of moral resilience in the nursing management of University Hospitals in Brazil.
RESEARCH DESIGN
The research design is the qualitative study with discursive textual analysis.
PARTICIPANTS AND RESEARCH CONTEXT
: 44 nurse managers and nurses in leadership positions participated in a total of 30 University Hospitals in Brazil. Data were collected online, using a questionnaire with open questions.
ETHICAL CONSIDERATIONS
The Ethics Committee approved the study. Participants received information about the research, agreed to respond to the questionnaire, and were guaranteed anonymity.
FINDINGS
Personal adaptive strategies (intrapersonal and interpersonal) and organizational collaborative strategies (intrinsic and transformational management) emerged from this process. The intrapersonal strategies involved elements of rationality, flexibility, rebalancing practices, moral courage, and detachment. The interpersonal strategies addressed support networks, team involvement, and dialog. Organizational strategies dealt with actions which reorient ethical infrastructure, ethical education, and psychological protection, as well as fostering dialogical relationships, empowerment, and cooperation.
CONCLUSION
From the perspective of social historical construction, it is understood that developing personal and organizational strategies is essential to cultivating moral resilience.
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