ICU nurses' moral distress in decisions to implement physical restraints - PubMed
4 days ago
- #physical restraints
- #moral distress
- #ICU nurses
- ICU nurses face moral distress when deciding to use physical restraints, balancing patient safety with autonomy and dignity.
- The study explored Iranian ICU nurses' experiences with moral distress related to physical restraint decisions using a qualitative approach.
- Twenty ICU nurses with at least two years of experience were interviewed, and data was analyzed using content analysis.
- Two main categories emerged: moral suffering in decision-making and adaptation strategies to reduce distress.
- Nurses reported emotional exhaustion, guilt, and reduced motivation due to ethical conflicts and organizational pressures.
- Key factors contributing to distress included staff shortages, workload pressure, and unilateral physician orders.
- Coping strategies included peer support, temporary distancing, and spiritual practices.
- Suggestions to reduce distress included education on alternatives, clear guidelines, and improved interprofessional collaboration.
- Organizational support and clearer guidance are recommended to alleviate the ethical burden on nurses.