Moral Distress in Neonatal Intensive Care Nurses Who Care for Infants with Neonatal Abstinence Syndrome
Review TypeAbstract Review Only: Reviewed by Event Host
Repository Posting Date2012-01-11T11:18:11Z
Author DetailsDenise Passmore PhD; Denise Maguire PhD, RN; Genieveve J. Cline DNP, NNP-BC
(41st Biennial Convention) Moral distress has been defined as being the painful psychological disequilibrium that results from recognizing the appropriate action, yet not taking it because of some obstacle or constraint. Neonatal intensive care unit (NICU) nurses are thought to be at particular risk for moral distress due to the nature of this highly specialized nursing. Technological advances in the care of the newborn infants have been rapid and diverse, and often lead to extremely complex management of very ill infants who formerly would never have survived. More recently, NICU nurses are responsible for the care of babies with Neonatal Abstinence Syndrome (NAS) which creates numerous ethical and moral issues. Participants for this study are registered nurses who are assigned to work in a neonatal intensive care in a specialty licensed children's hospital. A snowball, purposive sampling technique is being used to initiate contact with potential. Recruitment will continue until data saturation is obtained. The principle investigator is conducting audio taped one-on-one interviews with each participant. Thematic and domain analysis will then be done to develop a rich description of the NICU nurses lived experience. Seventeen interviews have been completed. Each participant has identified caring for an infant born with Neonatal Abstinence Syndrome as a significant stressor. Participants have reported distress when observing manifestation of withdrawal symptoms from narcotics and have discussed the inconsolability of the babies. Participants sincerely want the mothers to be successful in their recovery/sobriety. However, nurses experience anger and frustration as they observe the effects of the drug withdrawal manifested in the infant. Most importantly nurses fear discharging the infant to a potentially unsafe environment and/or unstable care provider. Completed thematic and domain analyses will be presented at the conference. Recommendations for appropriate interventions for the nurses and families will also be presented.
Funder(s)Sigma Foundation for Nursing
Description41st Biennial Convention - 29 October-2 November 2011. Theme: People and Knowledge: Connecting for Global Health. Held at the Gaylord Texan Resort & convention Center.
Conference Name41st Biennial Convention: People and Knowledge: Connecting for Global Health
Conference HostSigma Theta Tau International
Conference LocationGrapevine, Texas USA
Date of Publication2012-01-04
NotesItems submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository, unless otherwise noted.
Items submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository.
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Top Visiting Cities
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Webb, Mary S. by View
Popular Works for Webb, Mary S. by Download
The citations below are meant to be used as guidelines. Patrons must make any necessary corrections before using. Pay special attention to personal names, capitalization, and dates. Always consult appropriate citation style resources for the exact formatting and punctuation guidelines.