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Moral Distress Experienced by US Nurses on the Frontlines During the COVID-19 Pandemic: Implications for Nursing Policy and Practice

INTRODUCTION: The ongoing COVID-19 pandemic represents the largest contemporary challenge to the nursing workforce in the 21(st) century given the high stress and prolonged strain it has created for both human and healthcare supply resources. Nurses on the frontlines providing patient care during CO...

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Autores principales: Simonovich, Shannon D., Webber-Ritchey, Kashica J., Spurlark, Roxanne S., Florczak, Kristine, Mueller Wiesemann, Lucy, Ponder, Tiffany N., Reid, Madeline, Shino, Denita, Stevens, Bonnie R., Aquino, Elizabeth, Badowski, Donna, Lattner, Christina, Soco, Cheryl, Krawczyk, Susan, Amer, Kim
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8995195/
https://www.ncbi.nlm.nih.gov/pubmed/35434307
http://dx.doi.org/10.1177/23779608221091059
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author Simonovich, Shannon D.
Webber-Ritchey, Kashica J.
Spurlark, Roxanne S.
Florczak, Kristine
Mueller Wiesemann, Lucy
Ponder, Tiffany N.
Reid, Madeline
Shino, Denita
Stevens, Bonnie R.
Aquino, Elizabeth
Badowski, Donna
Lattner, Christina
Soco, Cheryl
Krawczyk, Susan
Amer, Kim
author_facet Simonovich, Shannon D.
Webber-Ritchey, Kashica J.
Spurlark, Roxanne S.
Florczak, Kristine
Mueller Wiesemann, Lucy
Ponder, Tiffany N.
Reid, Madeline
Shino, Denita
Stevens, Bonnie R.
Aquino, Elizabeth
Badowski, Donna
Lattner, Christina
Soco, Cheryl
Krawczyk, Susan
Amer, Kim
author_sort Simonovich, Shannon D.
collection PubMed
description INTRODUCTION: The ongoing COVID-19 pandemic represents the largest contemporary challenge to the nursing workforce in the 21(st) century given the high stress and prolonged strain it has created for both human and healthcare supply resources. Nurses on the frontlines providing patient care during COVID-19 have faced unrivaled psychological and physical demands. However, no known large-scale qualitative study has described the emotions experienced by nurses providing patient care during the first wave of the COVID-19 pandemic in the US. Objective: Therefore, the purpose of this study was to qualitatively describe the emotions experienced by US nurses during the initial COVID-19 pandemic response. METHODS: One hundred individual interviews were conducted with nurses across the United States from May to September of 2020 asking participants to describe how they felt taking care of COVID-19 patients. All interviews followed a semi-structured interview guide, were audio recorded, transcribed, verified, and coded by the research team. RESULTS: Participants narratives of the emotions they experienced providing patient care during COVID-19 unequivocally described (1) moral distress, and moral distress related (1.1) fear, (1.2) frustration, (1.3) powerlessness, and (1.4) guilt. In sum, the major emotional response of nurses across the US providing patient care during the pandemic was that of moral distress. CONCLUSION: Investments in healthcare infrastructures that address moral distress in nurses may improve retention and reduce burnout in the US nursing workforce.
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spelling pubmed-89951952022-04-12 Moral Distress Experienced by US Nurses on the Frontlines During the COVID-19 Pandemic: Implications for Nursing Policy and Practice Simonovich, Shannon D. Webber-Ritchey, Kashica J. Spurlark, Roxanne S. Florczak, Kristine Mueller Wiesemann, Lucy Ponder, Tiffany N. Reid, Madeline Shino, Denita Stevens, Bonnie R. Aquino, Elizabeth Badowski, Donna Lattner, Christina Soco, Cheryl Krawczyk, Susan Amer, Kim SAGE Open Nurs COVID-19: On the Frontlines INTRODUCTION: The ongoing COVID-19 pandemic represents the largest contemporary challenge to the nursing workforce in the 21(st) century given the high stress and prolonged strain it has created for both human and healthcare supply resources. Nurses on the frontlines providing patient care during COVID-19 have faced unrivaled psychological and physical demands. However, no known large-scale qualitative study has described the emotions experienced by nurses providing patient care during the first wave of the COVID-19 pandemic in the US. Objective: Therefore, the purpose of this study was to qualitatively describe the emotions experienced by US nurses during the initial COVID-19 pandemic response. METHODS: One hundred individual interviews were conducted with nurses across the United States from May to September of 2020 asking participants to describe how they felt taking care of COVID-19 patients. All interviews followed a semi-structured interview guide, were audio recorded, transcribed, verified, and coded by the research team. RESULTS: Participants narratives of the emotions they experienced providing patient care during COVID-19 unequivocally described (1) moral distress, and moral distress related (1.1) fear, (1.2) frustration, (1.3) powerlessness, and (1.4) guilt. In sum, the major emotional response of nurses across the US providing patient care during the pandemic was that of moral distress. CONCLUSION: Investments in healthcare infrastructures that address moral distress in nurses may improve retention and reduce burnout in the US nursing workforce. SAGE Publications 2022-04-07 /pmc/articles/PMC8995195/ /pubmed/35434307 http://dx.doi.org/10.1177/23779608221091059 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle COVID-19: On the Frontlines
Simonovich, Shannon D.
Webber-Ritchey, Kashica J.
Spurlark, Roxanne S.
Florczak, Kristine
Mueller Wiesemann, Lucy
Ponder, Tiffany N.
Reid, Madeline
Shino, Denita
Stevens, Bonnie R.
Aquino, Elizabeth
Badowski, Donna
Lattner, Christina
Soco, Cheryl
Krawczyk, Susan
Amer, Kim
Moral Distress Experienced by US Nurses on the Frontlines During the COVID-19 Pandemic: Implications for Nursing Policy and Practice
title Moral Distress Experienced by US Nurses on the Frontlines During the COVID-19 Pandemic: Implications for Nursing Policy and Practice
title_full Moral Distress Experienced by US Nurses on the Frontlines During the COVID-19 Pandemic: Implications for Nursing Policy and Practice
title_fullStr Moral Distress Experienced by US Nurses on the Frontlines During the COVID-19 Pandemic: Implications for Nursing Policy and Practice
title_full_unstemmed Moral Distress Experienced by US Nurses on the Frontlines During the COVID-19 Pandemic: Implications for Nursing Policy and Practice
title_short Moral Distress Experienced by US Nurses on the Frontlines During the COVID-19 Pandemic: Implications for Nursing Policy and Practice
title_sort moral distress experienced by us nurses on the frontlines during the covid-19 pandemic: implications for nursing policy and practice
topic COVID-19: On the Frontlines
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8995195/
https://www.ncbi.nlm.nih.gov/pubmed/35434307
http://dx.doi.org/10.1177/23779608221091059
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