Hu li za zhi The journal of nursing
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While nursing staff learn the rules of ethical behavior in nursing education programs, they commonly experience confusion, frustration and stress in practice settings due to barriers to moral action faced in the work environment. "Moral distress" is a term used to describe the situation in which a decision-maker cannot carry out an ethical or moral action due to the presence of an obstacle. In this article, we described the meaning of and factors influencing moral distress in nursing work settings in relation to nursing leader management strategies. Goals of the article were to help nursing leaders appreciate their personal beliefs as well as to develop strategies to alleviate emotional distress and promote self-efficacy among nursing staff members. One favorable benefit is expected to be greater retention of nursing staff.
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Discussions of the impact of technological innovation on nursing practices have focused on how technology enhances nursing professional abilities to deliver quality nursing care, on one hand, and the sacrifice of artistic and humanistic aspects of nursing on the other. The debate highlights the fundamental incompatibilities between technology and nursing. ⋯ This article discusses medical technology in the context of the nursing practice in an attempt to reveal the interplay between technology and nursing with four major themes including the transformation of the ownership of technology, the transformation of nurses' professional identity, the transformation of the relationship between physicians and nurses, and the transformation of the nursing labor process. Implications for nursing practice and directions for future research are suggested.