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NAVIGATING MORAL DISTRESS: NURSE LEADERS' EXPERIENCES IN FACILITATING ETHICAL DECISION-MAKING.

Objective: This study examines the relationship between moral distress and nurse leadership by identifying nurse leaders' challenges in making ethical decisions. By employing empirically rooted theoretical frameworks and the available literature, this research explores how nurse leaders, positioned...

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Published in:Online Brazilian Journal of Nursing Vol. 24; pp. 1 - 2
Main Authors: Kannan, Latha S., Abd, Rawaa Kamel, Kamalasanan, Ajayan, Ramzi, Ola Ibrahim, Abdalla, Nafisa O. S., Rohini, Athirarani M.
Format: tables/charts Journal Article
Published: Fundacao Euclides da Cunha de Apoio Institucional a UFF 2025 Supplement
Online Access:View this record in EBSCOhost
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      dt: 2025 Supplement
      vid: 24
      pid: 24737
      pub: Fundacao Euclides da Cunha de Apoio Institucional a UFF
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        10.17665/1676-4285.20256912
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        atl: NAVIGATING MORAL DISTRESS: NURSE LEADERS' EXPERIENCES IN FACILITATING ETHICAL DECISION-MAKING.
      aug:
        au:
          Kannan, Latha S.
          Abd, Rawaa Kamel
          Kamalasanan, Ajayan
          Ramzi, Ola Ibrahim
          Abdalla, Nafisa O. S.
          Rohini, Athirarani M.
        affil: Department of nursing, Mohammed Al-Mana College for Medical Science, Dammam, Saudi Arabia
      sug:
        subj:
          Psychological Distress
          Morals
          Nursing Leaders Psychosocial Factors
          Decision Making, Ethical
          Ethics, Nursing
          Ethical Dilemmas
          Leadership
          Bioethics
          Conceptual Framework
          Hardiness
          Ethics, Organizational
          Frontline Nurses
          Professional Role
          Health Care Delivery
          Health Services Administration
      ab:
        Objective: This study examines the relationship between moral distress and nurse leadership by identifying nurse leaders' challenges in making ethical decisions. By employing empirically rooted theoretical frameworks and the available literature, this research explores how nurse leaders, positioned between frontline staff and organizational administration, experience moral distress and how this distress affects their ethical decision-making processes. Methods: This paper presents a conceptual model that outlines leadership responsibility for the moral resilience of nursing practices. Consideration is given to individuals' moral distress, staff support in ethical dilemmas, the creation of an ethical practice environment, and the development of leadership for a morally resilient domain. Results: Emphasize ethical concerns in leadership roles, structured ethical discourse, moral agency support, and resilience-building approaches to strengthen ethical decision-making in health care settings. Conclusion: Nursing leadership moral distress exceeds individual patient care moral dilemmas, including system-level ethical concerns affecting nurses and institutional policy. A multifaceted approach that includes strong ethical conversation, support for moral agency, and resilience practices is essential to reduce distress and promote ethical decision-making.
        Objetivo: Este estudo examina a relação entre o sofrimento moral e a liderança de enfermagem, identificando os desafios enfrentados pelos líderes de enfermagem na tomada de decisões éticas. Empregando estruturas teóricas com base empírica e a literatura disponível, esta pesquisa explora como os líderes de enfermagem, posicionados entre a equipe da linha de frente e a administração organizacional, experimentam o sofrimento moral e como esse sofrimento afeta seus processos de tomada de decisão ética. Métodos: Este artigo apresenta um modelo conceitual que descreve a responsabilidade da liderança pela resiliência moral das práticas de enfermagem. É dada atenção ao sofrimento moral dos indivíduos, ao apoio da equipe em dilemas éticos, à criação de um ambiente de prática ética e ao desenvolvimento da liderança para um domínio moralmente resiliente. Resultados: Enfatiza as preocupações éticas nas funções de liderança, o discurso ético estruturado, o apoio à agência moral e as abordagens de construção de resiliência para fortalecer a tomada de decisões éticas em ambientes de saúde. Conclusão: O sofrimento moral da liderança de enfermagem exceed os dilemas morais do atendimento individual ao paciente, incluindo preocupações éticas em nível de sistema que afetam os enfermeiros e a política institucional. Uma abordagem multifacetada que inclua conversas éticas sólidas, apoio à agência moral e práticas de resiliência é essencial para reduzir o sofrimento e promover a tomada de decisões éticas.
      pubtype: Academic Journal
      doctype:
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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