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Freirean Conscientization With Critical Care Nurses to Reduce Moral Distress and Increase Perceived Empowerment: A Pilot Study
Abstract
Moral distress in nursing has been linked to a relative lack of power in the workplace. We designed and piloted a Freirean-based conscientization intervention to raise awareness and address disempowerment with 13 critical care nurses in the US Midwest who recently experienced moral distress. A transformative, mixed-methods, pre/post design was used with convergence of qualitative and quantitative data. Results showed improved moral distress and mixed results in perceived personal and group empowerment. Further study is warranted to test conscientization-based interventions that give nurses opportunity collectively to develop empowered responses to situations that lead to moral distress.
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From Workplace interventions to improve well-being and reduce burnout for nurses, physicians and allied healthcare professionals: a systematic review. (2023) · cites this paper as [42]
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Cohen, C., Pignata, S., Bezak, E., Tie, M., & Childs, J. (2023) · BMJ open · doi:10.1136/bmjopen-2022-071203 · Cited by 514
Metadata
- Authors
- Bevan, N. A., & Emerson, A. M.
- Affiliations
- University of Missouri–Kansas City (US)
- Corresponding author
- Bevan, Nancy A.
- ORCID
- Emerson, Amanda M.
- Venue
- Advances in Nursing Science
- Published
- 2020-04-01
- Volume
- 43
- Issue
- 3
- Pages
- E131-E146
- ISSN
- 0161-9268 (ISSN-L)
- OpenAlex
- W3021210971
- Cited by
- 17
- References
- 1
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 3 · 2023: 3 · 2022: 3 · 2021: 2
- FWCI
- 2.09
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Advances in Nursing Science (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Ethics in medical practice
- Health Sciences › Nursing › Research and Theory › Nursing education and management
- Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Ethics in Business and Education
- Keywords
- moral distress, critical consciousness, Freirean pedagogy, intensive care unit nurses, nurse empowerment, workplace power, nursing ethics, empowerment interventions
- MeSH terms
- Adult, Burnout, Professional, Critical Care, Female, Humans, Job Satisfaction, Male, Morals, Nursing Staff, Hospital, Pilot Projects, Power, Psychological, Workplace, Nurse's Role, Critical Care Nursing
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