DescriptionPurpose of the Project: The study aimed to look at frontline nurse leader perceptions of moral distress and to understand how demographic components are affiliated with coping and resiliency.
Methodology: The project was a qualitative descriptive study using a convenience sample to investigate the relationship between nursing leader perceptions of moral distress and demographic variables. Inclusion criteria included nurses who identified as directors of nursing, patient care directors, and clinical managers. Exclusion criteria were nurse managers who did not oversee frontline teams. Moral distress was measured using The Moral Distress Scale-Revised (MDS-R) tool adopted as a framework by The American Association of Critical-Care Nurses (AACN).
Results: A total of 52 (N = 52) nurse leaders participated in this project to evaluate the perceptions of moral distress during the Covid pandemic. Data on frequency of strategies used by leaders were informative to understand the implications of moral distress. There were no significant differences with demographics related to experiences of moral distress. Most of the participants, (73%) reported burnout as a type of distress they experienced during the Covid pandemic. Survey responses were sufficient to determine that there was an association between coping and perceptions of moral distress during the Covid pandemic.
Implications for Practice: Moral distress is a concept that necessitates further research in nursing due to a gap in knowledge about nursing leaders and moral distress. Strategies fostering coping and resiliency are important for nursing leadership. Development of a resource guide and a tool specifically designed for this targeted audience are important in the future.