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Moral distress is a phenomenon that is increasing in nursing practice. Many factors can contribute to moral distress such as the quality of leadership, the rationing of care, the skill mix assigned to the unit or failure of leadership to respond to the nurse's patient advocacy. While there is a significant amount of research on moral distress in nurses' fewer studies have focused on the role of leadership in managing the moral distress experienced by Registered Nurses. To explore the relationship between leadership and moral distress in nursing, to identify the role of leadership in supporting and mitigating moral distress. Studies published from 2022-November 2024 were included. The populations were Registered Nurses, and the phenomenon of interest is the role of leaders in supporting nurses and mitigating moral distress. A scoping review using Arksey and O'Malley five-stage framework. From the 2892 records retrieved, 20 met the inclusion criteria. Three themes were identified: (1) Qualities of the manager, (2) Workload and resource management, and (3) Culture and values. Nurse leaders play an important role in supporting nursing staff through distressing events and situations. Nurse managers must display qualities of a good leader, including being authentic and ethical in decision-making. Nurse leaders must work between policy and procedure requirements and the needs of individual staff to support a wider culture of safety and advocacy.
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http://dx.doi.org/10.1155/jonm/5443770 | DOI Listing |
BMC Geriatr
September 2025
Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institutet, Stockholm, Sweden.
Background: The benefits of physical activity for frail older acutely hospitalized adults are becoming increasingly clear. To enhance opportunities for physical activity on geriatric wards, it is essential to understand the older adult's perspective.
Aim: The aim of the study was to explore the experiences and perceptions of physical activity among older adults during hospital stays on a geriatric ward.
Int J Nurs Stud
August 2025
Florence Nightingale Faculty of Nursing Midwifery and Palliative Care, Cicely Saunders Institute of Palliative Care, Policy and Rehabilitation, King's College London, Bessemer Road, London SE5 9PJ, UK; Sussex Community NHS Foundation Trust, Brighton General Hospital, Elm Grove, Brighton, East Sussex
Background: People with advanced illness at home, and their families, rely on 'out-of-hours' services provided by community, primary and specialist palliative care services. Home is commonly expressed as the preferred place to be cared for and die, and an increasing proportion of people are dying at home, but what constitutes 'good' care is poorly understood from the combined perspectives of healthcare professionals and patients and family caregivers.
Objective: To understand the convergence and divergence of the perspectives of healthcare professionals with those of patients and family caregivers, on priorities for home-based palliative care in the 'out-of-hours' period in the UK.
Int Rev Psychiatry
September 2025
Neuropsychiatry Department, Okasha Institute of Psychiatry, Ain Shams University, Cairo, Egypt.
This review traces the evolution of psychiatry in Egypt and the broader Arab region from 1994 to 2024, offering a comprehensive analysis of reforms in mental health policy, clinical infrastructure, education, legislation and workforce development. This paper examines key challenges, including service fragmentation, sociocultural stigma, refugee mental health and underinvestment. It highlights current contradictions in the field, such as increased demand, limited access and the dominance of imported psychiatric models with insufficient cultural adaptation.
View Article and Find Full Text PDFPLoS One
September 2025
Institute of Laboratory Animal Science, Medical Faculty, Heinrich-Heine-University, Duesseldorf, Germany.
Early-career researchers (ECRs) play a key role in conducting animal experiments in academic research. However, they face considerable challenges, including poor working conditions, and inadequate strategies for managing distress. These difficulties are often amplified in animal research, where a lack of consensus on the 3Rs (replacement, reduction, and refinement), challenges to navigate complex regulations and ethical dilemmas can further complicate the situation.
View Article and Find Full Text PDFBioscience
September 2025
South African National Biodiversity Institute, Kirstenbosch Research Centre, Cape Town.
Conservation policies often need to integrate scientific predictions with ethical considerations. However, different normative ethical systems at the root of conservation approaches often support different decisions, and the moral stances of stakeholders are influenced by diverse societal values and perceptions. This creates the potential for dilemmas and conflicts.
View Article and Find Full Text PDF