Nursing Practitioners: A Case Study

Ulrich, Soeken, and Miller (2003) mainly discussed about the impact of managed care networks on the ethical concerns for practitioners. They present deception in managed care network to gain access to insurance as a moral and ethical issue commonly seen in current practice. Ulrich et al. (2003) found that 55% of practitioners believed that they do not need to be truthful to the health plans under managed care, so that the patient can received appropriate care. Under managed care organization, the practitioners not only have agency relationship with their patient, but also with the health plan. The goal of the health plan is to maximize the economic gain, while the healthcare professional want to distribute resources to their client. There is
Moral distress can have negative impact on both professional and personal life of the nurses. de Veer et al. (2013) mentioned that the moral distress can lead to short temper, irritability, difficulty concentrating at work, and feeling of ineffectiveness. In addition, “moral distress is associated with decreased job, satisfaction, burnout, and nurse turnover” (de Veer et al., 2013, pg. 101). Hence, there is a need to reduce moral distress in the healthcare system and identifying factors that can cause moral distress is a great strategy to solve the problem. de Veer et al. (2013) found the common situation that cause moral distress among the nurses is when there is conflict between and family and patient regarding the treatment regimen. In addition, there was an association between poor job satisfaction and moral distress. The nurses who were less satisfied with their job scored higher moral distress scale (de Veer et al., 2013). The other factors that can lead to moral distress include lack of time to provide patient care, fewer working hours, low satisfaction with interdisciplinary consults, and instrumental leadership (de Veer et al.