Evidence map›Paper›PMID 34465316›Full record

ArticleBMC nursing2021

Exploring the experiences of nurses' moral distress in long-term care of older adults: a phenomenological study.

Alireza Nikbakht Nasrabadi, Ahmad Hasyim Wibisono, Kelly-Ann Allen, Ameneh Yaghoobzadeh, Yee Bit-Lian

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Article in BMC nursing, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Alireza Nikbakht NasrabadiSchool of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Ahmad Hasyim WibisonoMedical Surgical Nursing Department, School of Nursing, Brawijaya University, Malang, Indonesia.
Kelly-Ann AllenSchool of Educational Psychology and Counseling, Faculty of Education, Monash University, Clayton, Australia.
Ameneh YaghoobzadehSchool of Nursing, Arak University of Medical Sciences, Arak, Iran. a.yaghoobzadeh@yahoo.com.ORCID http://orcid.org/0000-0002-2175-0260
Yee Bit-LianNursing Division, School of Health Sciences, International Medical University, Kuala Lumpur, Malaysia.

Funding

Tehran University of Medical Sciences Tehran University of Medical Sciences
6 · The paper itself

Abstract

backgroundMoral distress is a poorly defined and frequently misunderstood phenomenon, and little is known about its triggering factors during ICU end-of-life decisions for nurses in Iran. This study aimed to explore the experiences of nurses' moral distress in the long-term care of older adults via a phenomenological study.

methodsA qualitative, phenomenological study was conducted with 9 participants using in-depth semi-structured interviews. The purpose was to gain insight into the lived experiences and perceptions of moral distress among ICU nurses in hospitals affiliated with Tehran University of Medical Sciences during their long-term care of older adults.

resultsFive major themes are identified from the interviews: advocating, defense mechanisms, burden of care, relationships, and organizational issues. In addition, several subthemes emerged including respectful end of life care, symptom management, coping, spirituality, futile care, emotional work, powerlessness, relationships between patients and families, relationships with healthcare teams, relationships with institutions, inadequate staffing, inadequate training, preparedness, education/mentoring, workload, and support.

conclusionsThis qualitative study contributes to the limited knowledge and understanding of the challenges nurses face in the ICU. It also offers possible implications for implementing supportive interventions.

Indexed as

AgingCritical careIntensive careMoral distressNursingOlder adultQualitative research

Identifiers

PMID34465316
PMCPMC8406037

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.