Revista da Escola de Enfermagem da USP (Apr 2013)

Moral distress: challenges for an autonomous nursing professional practice

  • Edison Luiz Devos Barlem,
  • Valéria Lerch Lunardi,
  • Jamila Geri Tomaschewski,
  • Guilherme Lerch Lunardi,
  • Wilson Danilo Lunardi Filho,
  • Camila Rose Guadalupe Barcelos Schwonke

DOI
https://doi.org/10.1590/S0080-62342013000200033
Journal volume & issue
Vol. 47, no. 2
pp. 506 – 510

Abstract

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Constantly experiencing limiting situations that hinder a professional practice coherent with its principles - of autonomy and advocacy of users' interests -, and often conditioned to experience moral distress, the nursing profession plays a prominent role in the current health model because it has the characteristic of managing the care rendered to users in a perspective of social inclusion, both in the basic health network and in hospitals. Aiming at carrying out a reflection on the nursing practice and the difficulties present in its work routine, and considering its characteristics as a profession, this article sought to make a reflection between the practice of nursing and the numerous moral challenges imposed by the routine, resulting, in many cases, in a value crisis that can reverberate directly on the quality of the service rendered, and in abandonment of the ideals of advocacy for users.

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