A Longitudinal Study of the Impact of Schwartz Center Rounds on Moral Distress. (July 2021)

• Record Type: Journal Article
• Authors: Whitehead, Phyllis B.; Locklear, Tonja M.; Carter, Kimberly Ferren
• Is Part Of: Journal of nursing administration. Volume 51:issue 7/8(2021)
• Publication Date: 2021-07
• Subjects: Nursing services -- Administration -- Periodicals; 610.7305
• DOI: 10.1097/NNA.0000000000001037
• Languages: English
• ISSNs: 0002-0443

Abstract

Abstract : Moral distress occurs when moral integrity is compromised and can affect any healthcare professional. This study examined the impact of Schwartz Center Rounds (SCRs) on moral distress using a longitudinal, quasi-experimental design to examine SCR attendees from 2015 to 2019. Data were collected via a 2-part survey composed of demographics and Moral Distress Thermometer (MDT) readings before rounds and immediately after rounds. Most participants experienced either no change in moral distress (50.6%) or a decrease in moral distress (33.7%) after attending one of the SCRs. Participants who worked with adult populations had higher moral distress after participation for most topics. An increase in moral distress was associated with a longer time in the current position. Fifty percent of the physicians had a decrease in their moral distress immediately after the rounds. Schwartz Center Rounds is a promising approach to foster high-functioning teams while promoting wellness and mitigating moral distress among employees.