Abstract

Nurses providing end-of-life care in acute care units often suffer from moral distress. Reflective practice (RP) may enable these nurses to realise desirable practice and then decrease their moral distress. This study aims to assess the feasibility, acceptability, and preliminary effects of an RP intervention on moral distress. This pilot study has a one group pre-test/post-test design. Nurses working in acute care units were recruited. An RP intervention was tested that included three 45-75-minute group sessions using the Johns' model for structured reflection (2006) . Most nurse participants (16/19) completed the intervention and noticed changes in their practice (13/16). The results did not show a significant difference (3.97 points, p=0.62) in the mean of the pre- and post-intervention moral distress. The RP intervention seemed feasible and acceptable to participants. Other studies are needed to demonstrate the effects of RP on the moral distress of nurses.

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