During the professional practice of every day, caregivers use a set of ethical rules that warrant morality and irreproachabilityof welfare deed they are guarantors to.Nevertheless, hyperspecialization of knowledge and the development of new technologies, steadily submit professionalsof wealth to inability to reconcile many times what “it is possible to do” to what “it is right to do” and“ethically correct” for patients, and that’s what potentially creates moral distress to the caregiver.Nurses who experience this moral distress, live a strong situation of discomfort, because they recognize the rightbehavior to have in a certain clinic situation but, due to several reasons, they can’t execute as they should, and theyare incline to practice against their professional values.The most of surveys about moral distress are all conducted on nurses. This analysis inquires all situations that producemoral conflict in lived of nursing students, related to all those situations that lie on the border between an ethicand conscientious Medicine, about the proportionality in the use of means used and burdensomeness or beneficenceof treatments for patients.It was carried out a phenomenological study by written semi-structured interviews on a purposeful sample of nursingstudents of a roman Campus. The texts of the interviews were analyzed with Giorgi’s method. The results showedthat moral distress occurs in experiential lived of a student who is already able to outline unpleasant situations,causes, effects, and in few cases, possible strategies to respond to the distress experienced in clinical settings.
Gli operatori sanitari, nell’esercizio professionale quotidiano, si avvalgono di un insieme di regole deontologicheche giustificano la moralità e irreprensibilità dell’atto assistenziale di cui sono garanti. Tuttavia l’iper-specializzazionedel sapere e lo sviluppo di nuove tecnologie sottopongono costantemente i professionisti della salute all’impossibilitàdi conciliare sempre ciò che “è possibile fare” con ciò che “è doveroso” ed “eticamente lecito” fare peril paziente, condizione che potenzialmente genera nell’operatore distress morale.Gli infermieri che sperimentano Moral distress vivono una situazione di forte disagio, poiché riconoscono il comportamentoda intraprendere più adeguato alla situazione clinica ma, per svariati motivi, non possono metterlo inpratica trovandosi quindi ad agire in modo contrario ai propri valori professionali.Le ricerche sul distress morale sono state condotte prevalentemente su infermieri. Nel presente studio sono stateesaminate le situazioni che provocano conflitto morale nel vissuto degli studenti infermieri, in relazione a tutte quellesituazioni d’assistenza che si collocano al limite di una medicina etica e coscienziosa in termini di proporzionalitàdei mezzi impiegati e di gravosità o beneficità dei trattamenti per il paziente.È stato svolto uno studio fenomenologico con interviste scritte semi-strutturate su un campione propositivo di studentiinfermieri di una università romana. I testi delle interviste sono stati analizzati con il metodo Giorgi. I risultatihanno evidenziato che il Moral distress si manifesta nel vissuto esperienziale dello studente che è già in gradodi delineare situazioni spiacevoli, cause, effetti e, in limitati casi, possibili strategie per rispondere al disagio vissutonei setting clinici.
Distress morale e cure futili: indagine conoscitiva sulla percezione degli studenti infermieri
GALLETTI C
2016-01-01
Abstract
During the professional practice of every day, caregivers use a set of ethical rules that warrant morality and irreproachabilityof welfare deed they are guarantors to.Nevertheless, hyperspecialization of knowledge and the development of new technologies, steadily submit professionalsof wealth to inability to reconcile many times what “it is possible to do” to what “it is right to do” and“ethically correct” for patients, and that’s what potentially creates moral distress to the caregiver.Nurses who experience this moral distress, live a strong situation of discomfort, because they recognize the rightbehavior to have in a certain clinic situation but, due to several reasons, they can’t execute as they should, and theyare incline to practice against their professional values.The most of surveys about moral distress are all conducted on nurses. This analysis inquires all situations that producemoral conflict in lived of nursing students, related to all those situations that lie on the border between an ethicand conscientious Medicine, about the proportionality in the use of means used and burdensomeness or beneficenceof treatments for patients.It was carried out a phenomenological study by written semi-structured interviews on a purposeful sample of nursingstudents of a roman Campus. The texts of the interviews were analyzed with Giorgi’s method. The results showedthat moral distress occurs in experiential lived of a student who is already able to outline unpleasant situations,causes, effects, and in few cases, possible strategies to respond to the distress experienced in clinical settings.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.