comment on this about morale distress and
comment on this about morale distress and resilience. Watching the video Moral Distress Arising from End-of-Life Cases reminds me the emotional crisis that is involved for the patient, family, and healthcare workers. The story Stuart Finder, Ph.D. of Cedars Sinai Medical Center told of the teenager who was dying yet cognitively aware. The healthy teenager who had died from a drug interaction and hoping to recover and live a normal teenage life was especially distressing to me. This once healthy active teenager declined very slowly while in the care of healthcare professionals. That is a distressing situation since there is a belief that if in the hospital setting you will recover, which is not always the case. The staff were diligent in caring for this teenager but ultimately became too overwhelmed knowing the outcome this patient will face. Stuart Finder, Ph.D. stated the staff unwittingly began to shun this patient, which is incredibly distressing to the patient and family. That type of avoidance in the healthcare field should not be occurring. My opinion is the patient and staff were in the grieving process even before the teenager died. The teenager would still speak of living a normal life which is a denial state. The staff shunning him seems to be a type of avoidance. However, healthcare staff should be better equipped than to avoid the morally distressing patient. A strategy discussed in the IOM Dying in America Key Findings and Recommendations that may have improved the quality of patient/family relations in this situation include the exert Clinician-Patient Communication and Advance Care Planning. The recommendations closely relate to the teenager who was dying slowly in ICU. The clinicians and health care team would be much better educated and emotionally prepared to care for this teenager if there was an advance care plan in place. The healthcare team and patient may have been more prepared to deal with the overwhelming task to care for this patient if the clinicians initiated high-quality conversations as recommended. That situation seemed to be lacking in the story told by Stuart Finder Ph.D. A high quality plan in place may have softened how overwhelming the care was. As a nurse leader and reviewing the ANA document, Exploring Moral Resilience Toward a Culture of Ethical Practice a strategy I would choose to implement at my facility with the goal of nurses improving their sense of moral resiliency would be self-regulation and mindfulness. These are such important skills to have especially working in the health care field. “Mindfulness is moment-to-moment awareness”, this is the best advice I read in the document. The ability to focus on the task at hand with clarity is an amazing tool for any nurse to have in the field. https://ukhealthcare.uky.edu/bioethics-program/moral-distress-projectLinks to an external site. http://moraldistressproject.med.uky.edu/themes/mdp-moral-distress-arising-end-life-cases Moral distress arising from end-of-life cases https://nap.nationalacademies.org/resource/18748/Key-Findings-and-Recommendations.pdf Page 5Links to an external site. https://www.nursingworld.org/~4907b6/globalassets/docs/ana/ana-call-to-action–exploring-moral-resilience-final.pdf https://eclearn.emmanuel.edu/courses/3651184/discussion_topics/21495067?module_item_id=91940535 page 7 Reply
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