Moral distress of nurses caring for hematopoietic stem cell transplantation patients:a qualitative stud-y
Objective To elucidate the moral distress nurses encounter while caring for patients undergoing hematopoietic stem cell transplantation(HSCT),thereby establishing a theoretical framework for identifying nursing ethics issues and de-vising intervention strategies.Methods Employing purposive sampling,this study involved 18 nurses from the transplant u-nits of six tertiary hospitals from May 2022 to December 2023.Data were collected through both in-person and online inter-views,employing a descriptive qualitative research approach.The data were meticulously analyzed,synthesized,and the-matic patterns were identified using a conventional content analysis technique.Results The moral distress experienced by nurses in the care of HSCT patients were distilled into three themes:perplexity stemming from treatment decision-making,the disquietude of being unable to deliver the best possible nursing practices,and the dilemmas associated with upholding pa-tient rights and interests.Conclusion Nurses are confronted with intricate moral dilemmas in the care of HSCT patients.Constructing a supportive work environment can mitigate the adverse effects of these moral distress,thereby enhancing nurse's motivation and bolstering their professional worth.
hematopoietic stem cell transplantationnursingmalignant tumormoral distressqualitative research