A vivência do sofrimento moral pelos residentes de enfermagem

Abstract

This study aims to analyze the experience of moral distress (MD) by nursing residents of a university hospital in the city of Rio de Janeiro; to identify what generates MD in nursing residents of a university hospital in the city of Rio de Janeiro; to identify how nursing residents perceive the intensity and frequency of moral distress in the practice of a university hospital in the city of Rio de Janeiro. This is a quantitative, descriptive and cross-sectional study. Data were collected through a questionnaire for sociodemographic and training characterization, and through a MD assessment scale, analyzed using simple statistics. The 104 incoming residents between 2017 and 2020 participated, from eleven specialization programs. As for the experience of SM, 69.2% (72) recognized experiencing situations that result in MD. In the analysis of the data, three categories emerged Lack of competence in the work team, Disrespect for the patient's autonomy and Denial of nursing as a patient's advocate. Interpersonal relationship situations indicated a high score of intensity and moderate frequency, related to the experience of MD. Events that generate MD need to be discussed in the search for resolutions, considering that they affect the residents' mental health and generate physical and mental exhaustion, and on nursing care.