Journal Review: Moral Distress in Undergraduate Nursing Students

This report presents a review of two journal articles concerning moral distress in nursing students. The first article, "Moral distress in undergraduate nursing students: A systematic review," explores the socioeconomic, compliance, and sociocultural factors contributing to moral distress, emphasizing the impact on nurses' emotional, behavioral, and personality well-being. The RADAR analysis highlights the authors' credentials, the article's peer-reviewed status, and its focus on factors like decision-making and relationship-building. The second article, "Moral Distress and Associated Factors Among Baccalaureate Nursing Students," examines the causes of moral distress, including inequalities among nurses and the impact of learning experiences. The report discusses factors like fatigue, burnout, and ethical dilemmas. Both articles emphasize the importance of evidence-based practices, increased knowledge, and awareness in mitigating moral distress among nursing students, highlighting the significance of addressing sociocultural and workplace differences to foster a supportive and ethical environment.

RUNNING HEAD: JOURNAL REVIEW
JOURNAL REVIEW
Name of Student
Name of University
Author note

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Article 1: Moral distress in undergraduate nursing students: A systematic review
The article determines to understand the moral distress of the undergraduate nursing students.
The study identified various factors related to socioeconomic, compliance and sociocultural
aspects in development of moral distress in the undergraduate nursing students.
RADAR ANALYSIS
Relevance –
This article focusses on the causation and effect of moral distress amongst the undergraduate
students the study emphasizes the nursing sociological and physiological issues related to
improper service delivery and deficiency in the ethical best practice areas. The topic relates to
emotional, behavioural and personality problems of the nurses in association with work stress
and inability to comply with the best practice standards of the profession.
Authority –
Sasso Loredana, Annamaria Bagnasco, Monica Bianchi, Valentina Bressan, Franco
Carnevale are the authors of this article.
Journal article link - https://journals.sagepub.com/doi/abs/10.1177/0969733015574926
Author credentials –
Sasso Loredana – is a professional at University of Genoa and has an immense expertise in
nursing. The author has the right credentials to write this topic.
Annamaria Bagnasco – is an associate professional at the University of Genoa and has been
in expertise at nursing.
Monica Bianchi – is the nursing professional at university and has the right credentials to
write the article.

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Valentina Bressan – is a professional from nursing education and teaching and has the right
expertise to write the article.
Franco Carnevale – is a nursing professor and has the right spectrum of experience from
teaching, nedded to write this article.
Date – When was the information first published or last updated?
First Published April 22, 2015
Appearance
The article has appeared in all the peer reviewed journals and the in text citations are from
contemporary and recent researches that increased the validity and reliability of the research.
Moreover, the article’s appearance in the peer reviewed journals has extended the reliability
of the research methodology and results further. The article draws its evidences from
scholarly sources.
Reason (for creation) –
The research purpose of the article is focused on environmental, intra and inter organizational
and relational factors that relate to moral distress amongst the undergraduate nurses during
the span of nursing graduate academics and education along with first experiences of clinical
experience.
Two main ideas about the article –
The different critical aspects of different areas of decision making by the nursing students and
relationship building with the parents and with the family of the patients (McCarthy &
Gastmans, 2015). Nursing education and training on improvement of nursing skills are the
positive factors related to reduction of moral distress.

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Learning outcome
I have learned that while sociocultural and workplace differences lead to causation of moral
stress. In the same way, as the study emphasizes, increasing the knowledge and awareness of
nurses is the main intervention to counter moral distress.
Article 2 - Moral Distress and Associated Factors Among Baccalaureate Nursing
Students
This article aims to understand the causes of moral distress amongst Baccalaureate Nursing
Students
Relevance
The research explores to understand the different types of socio-dynamics between the
nurses, the caregivers and the peers and the study finds our marked inequalities amongst the
nurses (social and cultural) to be the main reason to moral distress. The study also finds out
learning experience, professional development to be positive factors in reduction of moral
stress.
Authority –
All the authors of this research have the credibility to perform this research
Date –
November/December 2017
Appearance
The article has appeared in all the peer reviewed journals and the in text citations are from
contemporary and recent researches that increased the validity and reliability of the research.
Moreover, the article’s appearance in the peer reviewed journals has extended the reliability

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of the research methodology and results further. The article draws its evidences from
scholarly sources.
Reason (for creation) –
The article identifies important factors relating to fatigue, burnout, stress, work related
frustration and turnover that influences morality of the nurses resulting in distress. The ethical
dilemmas are used and analyzed in the core of the study’s purpose in order to inform and
teach the peers and professions from same or other disciplines. The author justifies the
content of the research with balanced ideas and concepts and there is no such bias exhibited
as such.
Two main ideas about the article
The factors that lead to moral distress amongst nursing students are lack of best practices and
lack of communication with the peers and the patients. Loss of human dignity, personal
image and self-concept are the major facilitators of moral distress amongst bachelorette
nurses.
Learning outcome
I have learned evidence based practices are critical to countering of moral distress. Increasing
knowledge and awareness of nurses and lifting their self-concept can lead to moral fulfilment.

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References
Krautscheid, L., DeMeester, D. A., Orton, V., Smith, A., Livingston, C., & McLennon, S. M.
(2017). Moral distress and associated factors among baccalaureate nursing students: a
multisite descriptive study. Nursing education perspectives, 38(6), 313-319.
McCarthy, J., & Gastmans, C. (2015). Moral distress: a review of the argument-based nursing
ethics literature. Nursing ethics, 22(1), 131-152.
Sasso, L., Bagnasco, A., Bianchi, M., Bressan, V., & Carnevale, F. (2016). Moral distress in
undergraduate nursing students: A systematic review. Nursing ethics, 23(5), 523-534.