Moral distress among critical care nurses is associated with: Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Having no voice in clinical decision making
2. Providing aggressive care to patients who cannot benefit
3. Realizing that nurses maintain power in bedside decision making
4. Knowing the right thing to do but not being able to do it
5. Leaving employment as a critical care nurse
1,2,4,5
Rationale 1: Nurses consistently state that when they do not have a voice in the decision making, they feel powerless, which contributes to moral distress.
Rationale 2: Nurses consistently state that when they cannot find meaning in the patients' or families' suffering this contributes to moral distress.
Rationale 3: This will not contribute to moral distress.
Rationale 4: Moral distress is when a nurse knows the right thing to do, yet institutional constraints such as lack of resources or personal authority would prevent the nurse from doing it.
Rationale 5: As many as half of critical care nurses may have left a unit due to moral distress.
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