Research Critique: increased complexity in provision of healthcare services

ARTICLE CRITIQUE
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Introduction
There is increased complexity in provision of healthcare services, and this has resulted to unforeseen issues that have serious consequences to both health care providers and patients alike. The advancement of technology has posed challenges to both healthcare providers and patients due to difficulties of choices and decision making. Inadequate resources impede provision of health care appropriately due to complication of managed directives, regulations and expectation of the organization. Moral distress and persuasive are hardly recognized and this hinders the ability of health care practitioners to deliver optimal care. This is because of the nature of moral endeavors and the intimacy relationship between healthcare provider and patient as well as their roles.
Purpose of the study
Moral distress is a core issue for nurses due to its negative impact on the quality and the cost of patient care. These nurses are emotionally and ethically challenges regarding the situation in clinical setting making them to experience moral distress. The purpose of this article is to have an understanding and facilitation of identifying moral distress in nurses and to develop strategies that improve the effects of moral distress. It describes the moral distress of registered nurses of large health care systems, while identifying conditions that contribute to moral distress.
Literature Review
Registered nurses Neonatal Intensive Care Unit (NICU) have experienced stress in the course of their duties in an attempt to control professionalism and personal values with realities of the health care. The moral distress is contributed by the surrounding end-of-life care, and the futile aggressive care without the perception of the patients’ benefits. Patients experience harm which comes from pain and suffering, depersonalization of patients in the event of meeting requirements of the institution, health policy constraints and directives of managed care. Additionally there are inadequate staffs working with incompetent colleagues and effects of containment of costs contribute largely to moral distress of NICU nurses. This interferes with the ability of nurses to provide optimal care thereby creating moral distress.
Moral distress affects negatively the outcome of a patient and on nursing practice by influencing the quality, quantity and the cost accrued for the care leading to frustrations. The outcome of moral distress is loss of integrity and dissatisfaction with the environment thereby losing capacity to care, good care, avoidance of patient contact, becoming emotionally detached and denial of personal pain which makes them to become cynical and sarcastic. The ultimate consequences of moral distress is burnout leaving their work setting and profession, while those who continue with moral distress experience stress induced physical, psychological and emotional pain and anguish.
Moral distress is a phenomenon that exists in clinical practice mostly where there is inadequate staff and issues regarding end-of-life decisions. Moral distress is found to be influenced by many factors, but the demographic aspect of the subject is not related significantly. The moral distress has been associated with burnout and nurses quitting their profession and the adverse effects of nurses. Findings from this study will help nurses to cope with their moral distress and achieve moral comfort thereby improving the quality of care and employee retention.
Findings from the study indicates that the subjects did not perceive those conditions in instruments had a frequent occurrence and did not cause great distress. The subjects indicated that moral distress occurred in troubling situation for some while others the distress ...