Moral Distress in Palliative Care

Submission Instructions:
You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)
All replies must be constructive and use literature where possible.

My peers post:
Nurses working in clinical settings with complex ethical dilemmas are prone to moral distress. As they endeavor to meet both the medical and non-medical needs of the patients, nurses are regularly forced to make hard ethical decisions, even when verdicts contradict their values. Mealer and Moss (2016) report that moral distress is a common phenomenon in nursing practice, affecting nearly 80% of the workforce. Prolonged exposure to moral distress results in emotional exhaustion, withdrawal, disengaged nurse-patient relationships, burnout syndrome, reduced empathy, and other professional burdens (Mealer & Moss, 2016). These consequences have negative impacts on the quality and safety of nursing practice and patient care.
In my nursing career, I have had several encounters with scenarios that could potentially lead to moral distress. One of these encounters is when some patients refuse treatment and request to be discharged, claiming to seek spiritual healing, only for them to be readmitted later in critical conditions. These encounters have forced me to confront my spirituality, provoking an internal debate on the impacts of religious beliefs on impulsive behaviors, even when logic demands otherwise. Another collective experience occurs within the family relation domains. Some patients are too afraid to go against their family’s wishes and end up signing consent forms that are totally against their expectations and desires. It makes me feel powerless, knowing very well that the consent form is inaccurate because the patient’s freedom and autonomy are intricately tied to their husbands, parents, or financiers. Dealing with other healthcare professionals in a clinical environment could also cause moral distress (Purtilo & Doherty, 2016). If there is resistance from multidisciplinary health teams, the inability to fully exercise nursing advocacy responsibilities could lead to emotional distress among nurses.

Don't use plagiarized sources. Get Your Custom Essay on
Moral Distress in Palliative Care
Get an essay WRITTEN FOR YOU, Plagiarism free, and by an EXPERT!
Order Essay

Although people have the right to accept, reject, or influence the choice of health, various incidents could diminish the patient’s autonomy. The lack of advanced directives among terminally-ill patients can reduce their right to self-autonomous, subjecting their family caregivers and health providers to stress (Duke et al., 2007). Besides, nurses are prone to frustrations due to interferences from the patient’s family (Ellington et al., 2012). These challenges are some of the common issues influencing moral distress in nursing practice. However, dealing with incidents that could result in moral anxiety necessitates the integration of both personal and professional approaches.

In these scenarios, I often initiate dialogue among the interested parties to promote a healthy discussion of the underlying problem, primarily through health education. Crafting educative lessons can empower patients and their family members to reconcile their religious and individual beliefs (Duke et al., 2007). Research further indicates that effective communication between nurses and terminally-ill patients promotes bereavement adjustment to all parties, reducing the risk of moral distress (Ellington et al., 2012). Educative discourses are also essential in interdisciplinary teams as they foster the patient’s ability to navigate through the everyday challenges by exploiting alternative approaches to treatment (Bockhold & Hughes, 2016). These techniques are crucial for obtaining satisfactory outcomes from interdisciplinary teams.

In summary, moral distress erodes therapeutic trust and relationships, severing effective communication between nurse, patients, and their families. These effects are detrimental to the nursing professional, patient care, and practice. However, educating patients about their rights could enhance their participation in the treatment process, increasing the possibility of reasonable outcomes and expectations in nursing care.

Top Grade Homework
Order NOW For a 10% Discount!
Pages (550 words)
Approximate price: -

Why Work with Us

Top Quality and Well-Researched Papers

We always make sure that writers follow all your instructions precisely. You can choose your academic level: high school, college/university or professional, and we will assign a writer who has a respective degree.

Professional and Experienced Academic Writers

We have a team of professional writers with experience in academic and business writing. Many are native speakers and able to perform any task for which you need help.

Free Unlimited Revisions

If you think we missed something, send your order for a free revision. You have 10 days to submit the order for review after you have received the final document. You can do this yourself after logging into your personal account or by contacting our support.

Prompt Delivery and 100% Money-Back-Guarantee

All papers are always delivered on time. In case we need more time to master your paper, we may contact you regarding the deadline extension. In case you cannot provide us with more time, a 100% refund is guaranteed.

Original & Confidential

We use several writing tools checks to ensure that all documents you receive are free from plagiarism. Our editors carefully review all quotations in the text. We also promise maximum confidentiality in all of our services.

24/7 Customer Support

Our support agents are available 24 hours a day 7 days a week and committed to providing you with the best customer experience. Get in touch whenever you need any assistance.

Try it now!

Calculate the price of your order

Total price:

How it works?

Follow these simple steps to get your paper done

Place your order

Fill in the order form and provide all details of your assignment.

Proceed with the payment

Choose the payment system that suits you most.

Receive the final file

Once your paper is ready, we will email it to you.

Our Services

No need to work on your paper at night. Sleep tight, we will cover your back. We offer all kinds of writing services.


Essay Writing Service

No matter what kind of academic paper you need and how urgent you need it, you are welcome to choose your academic level and the type of your paper at an affordable price. We take care of all your paper needs and give a 24/7 customer care support system.


Admission Essays & Business Writing Help

An admission essay is an essay or other written statement by a candidate, often a potential student enrolling in a college, university, or graduate school. You can be rest assurred that through our service we will write the best admission essay for you.


Editing Support

Our academic writers and editors make the necessary changes to your paper so that it is polished. We also format your document by correctly quoting the sources and creating reference lists in the formats APA, Harvard, MLA, Chicago / Turabian.


Revision Support

If you think your paper could be improved, you can request a review. In this case, your paper will be checked by the writer or assigned to an editor. You can use this option as many times as you see fit. This is free because we want you to be completely satisfied with the service offered.