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dc.contributor.authorKleinknecht-Dolf, Michael-
dc.contributor.authorFrei, Irena Anna-
dc.contributor.authorSpichiger, Elisabeth-
dc.contributor.authorMüller, Marianne-
dc.contributor.authorMartin, Jacqueline S.-
dc.contributor.authorSpirig, Rebecca-
dc.date.accessioned2018-11-27T17:37:11Z-
dc.date.available2018-11-27T17:37:11Z-
dc.date.issued2014-
dc.identifier.issn0969-7330de_CH
dc.identifier.issn1477-0989de_CH
dc.identifier.urihttps://digitalcollection.zhaw.ch/handle/11475/13295-
dc.description.abstractBackground: In the context of new reimbursement systems like diagnosis-related groups, moral distress is becoming a growing problem for healthcare providers. Moral distress can trigger emotional and physical reactions in nurses and can cause them to withdraw emotionally from patients or can cause them to change their work place. Objective: The aim of this pilot study was to develop an instrument to measure moral distress among acute care nurses in the German-speaking context, to test its applicability, and to obtain initial indications of the instrument’s validity. Method: The study was designed in 2011 as a cross-sectional pilot survey. Conducted on eight units of one university hospital in German-speaking Switzerland, 294 registered nurses were asked to fill out a web-based questionnaire on moral distress. Ethical considerations: The study proposal was approved by the cantonal ethics committee. All participating nurses provided informed consent and were assured of data confidentiality. Results: The survey had a response rate of 55%. The results show the prevalence of statements on the questionnaire indicating situations with the potential to trigger moral distress. The entire range of answers was used in the responses. Most participants found the questionnaire comprehensible, while some criticized the phraseology of certain statements. Many more found the registration process prior to online access to be too time consuming. Nurses confirmed that the results reflect their subjective assessment of their situation and their experience of moral distress. Conclusion: The newly developed moral distress questionnaire appears to produce face validity and is sufficiently applicable for use in our study. The results indicate that moral distress appears to be a relevant phenomenon also in Swiss hospitals and that nurses were experiencing it prior to the introduction of Swiss diagnosis-related groups.de_CH
dc.language.isoende_CH
dc.publisherSagede_CH
dc.relation.ispartofNursing Ethicsde_CH
dc.rightsLicence according to publishing contractde_CH
dc.subjectAcute care nursesde_CH
dc.subjectInstrument developmentde_CH
dc.subjectMoral distressde_CH
dc.subjectCross-sectional studiesde_CH
dc.subjectHospital nursing staffde_CH
dc.subjectPilot projectsde_CH
dc.subjectReproducibility of resultsde_CH
dc.subjectPsychological stressde_CH
dc.subjectSurveys and questionnairesde_CH
dc.subjectSwitzerlandde_CH
dc.subjectAttitude of health personnelde_CH
dc.subject.ddc610.73: Pflegede_CH
dc.titleMoral distress in nurses at an acute care hospital in Switzerland : results of a pilot studyde_CH
dc.typeBeitrag in wissenschaftlicher Zeitschriftde_CH
dcterms.typeTextde_CH
zhaw.departementSchool of Engineeringde_CH
zhaw.organisationalunitInstitut für Datenanalyse und Prozessdesign (IDP)de_CH
dc.identifier.doi10.1177/0969733014534875de_CH
dc.identifier.pmid24917266de_CH
zhaw.funding.euNode_CH
zhaw.originated.zhawYesde_CH
zhaw.pages.end90de_CH
zhaw.pages.start77de_CH
zhaw.publication.statuspublishedVersionde_CH
zhaw.publication.reviewPeer review (Publikation)de_CH
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Kleinknecht-Dolf, M., Frei, I. A., Spichiger, E., Müller, M., Martin, J. S., & Spirig, R. (2014). Moral distress in nurses at an acute care hospital in Switzerland : results of a pilot study. Nursing Ethics, 77–90. https://doi.org/10.1177/0969733014534875
Kleinknecht-Dolf, M. et al. (2014) ‘Moral distress in nurses at an acute care hospital in Switzerland : results of a pilot study’, Nursing Ethics, pp. 77–90. Available at: https://doi.org/10.1177/0969733014534875.
M. Kleinknecht-Dolf, I. A. Frei, E. Spichiger, M. Müller, J. S. Martin, and R. Spirig, “Moral distress in nurses at an acute care hospital in Switzerland : results of a pilot study,” Nursing Ethics, pp. 77–90, 2014, doi: 10.1177/0969733014534875.
KLEINKNECHT-DOLF, Michael, Irena Anna FREI, Elisabeth SPICHIGER, Marianne MÜLLER, Jacqueline S. MARTIN und Rebecca SPIRIG, 2014. Moral distress in nurses at an acute care hospital in Switzerland : results of a pilot study. Nursing Ethics. 2014. S. 77–90. DOI 10.1177/0969733014534875
Kleinknecht-Dolf, Michael, Irena Anna Frei, Elisabeth Spichiger, Marianne Müller, Jacqueline S. Martin, and Rebecca Spirig. 2014. “Moral Distress in Nurses at an Acute Care Hospital in Switzerland : Results of a Pilot Study.” Nursing Ethics, 77–90. https://doi.org/10.1177/0969733014534875.
Kleinknecht-Dolf, Michael, et al. “Moral Distress in Nurses at an Acute Care Hospital in Switzerland : Results of a Pilot Study.” Nursing Ethics, 2014, pp. 77–90, https://doi.org/10.1177/0969733014534875.


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