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Moral Distress of Nurses Working in Paediatric Healthcare Settings

dc.contributor.authorMiranda, Ana Cristina Ribeiro
dc.contributor.authorFernandes, Sara Duarte
dc.contributor.authorRamos, Sílvia
dc.contributor.authorNunes, Elisabete
dc.contributor.authorFabri, Janaína
dc.contributor.authorCaldeira, Sílvia
dc.date.accessioned2025-04-04T11:03:35Z
dc.date.available2025-04-04T11:03:35Z
dc.date.issued2024
dc.description.abstractThis scoping review aims to map the evidence on moral distress of nurses working in paediatric healthcare settings from homecare to hospital. It was conducted according to the Joanna Briggs Institute. International databases were searched according to the specific thesaurus and free search terms. Independent screening and analysis were conducted using Rayyan QCRI. This review considered a total of 54 studies, including quantitative and qualitative studies, systematic reviews, and grey literature; English and Portuguese languages were included. Moral distress is a phenomenon discussed in nursing literature and in the paediatric context but is considered absent from discussion in clinical practice. It is caused by disproportionate care associated with overtreatment. Nurses can present a variety of symptoms, characterising moral distress as a highly subjective experience. The paediatric contexts of practice should promote a healthy ethical climate and work towards a moral community built with peer support, education, communication, leadership, and management involvement. Moral distress is still a complex and challenging multidimensional concept, and the aim should be to promote a culture of prevention of the devastating consequences of moral distress and work towards moral resilience.eng
dc.identifier.citationMiranda, A. C. R., Fernandes, S. D., Ramos, S., Nunes, E., Fabri, J., & Caldeira, S. (2024). Moral Distress of Nurses Working in Paediatric Healthcare Settings. Healthcare, 12(13), 1364. https://doi.org/10.3390/healthcare12131364
dc.identifier.doihttps://doi.org/10.3390/healthcare12131364
dc.identifier.issn2227-9032
dc.identifier.urihttp://hdl.handle.net/10400.26/57557
dc.language.isoeng
dc.peerreviewedyes
dc.publisherMDPI
dc.relation.hasversionhttps://www.mdpi.com/2227-9032/12/13/1364
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectMoral distress
dc.subjectMoral resilience
dc.subjectPaediatric care
dc.titleMoral Distress of Nurses Working in Paediatric Healthcare Settingseng
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue13
oaire.citation.startPage1364
oaire.citation.titleHealthcare
oaire.citation.volume12
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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