Jodi-rae Kortje, Ph.D., is a 2016 graduate of the PhD Program in Leadership and Change at Antioch University
Dr. Kortje [center] at her Dissertation Defense, with Dissertation Chair, Dr. Laurien Alexandre [right], and Committee Member, Dr. Jon Wergin [left].
- Laurien Alexandre, Ph.D., Chair
- Jon Wergin, Ph.D., Committee Member
- Sally Thorne, Ph.D., Committee Member
moral distress, nursing leadership, interpretive description, experiences, strategies, lessons, recommendations, Canada, ethics
Moral distress in nursing has been studied across many care contexts, yet there is a paucity of research on the experience among health care leaders.The purpose of this study was to understand the experiences and perceptions of moral distress in nurse leaders.This study used an interpretive description approach interviewing 32 Canadian nurse leaders about their experiences and perceptions of moral distress within their role as a leader and nurse.A constant comparative and thematic analysis process revealed three thematic patterns:(a) leaders suffer moral distress in similar and different ways from their employees; (b) relationships matter in the midst of coping and emerging from moral distress; and (c) navigation through moral distress requires institutional, professional, and personal strategies.These patterns were important structural components in identifying the overarching metaphor of an ethical whirlwind that contextualized the experience as a vortex of constantly changing variables in dynamic interplay on a micro (patient/individual), meso (organizational), and macro (community) level.Findings were extracted from the participants’ interpretations of their experiences and from the interpretation of the data that illuminated experiential issues of importance to nurse leaders in relation to moral distress.On the basis of study findings, resiliency, resourcefulness, and self-awareness assisted nursing leaders in navigating and meaning-making of their experiences.Recommendations for leadership practice, policy implications, and future research are suggested to help diminish conditions that produce moral distress.This dissertation is available in open access at AURA:Antioch University Repository and Archive, http://aura.antioch.edu/ and OhioLINK ETD Center, https://etd.ohiolink.edu/etd
Kortje, J. (2016). Canadian Nurse Leaders' Experiences with and Perceptions of Moral Distress: An Interpretive Descriptive Study. https://aura.antioch.edu/etds/307