title: Resolving moral distress when caring for patients who smoke while using home oxygen therapy.
abstract: More than 1 million people in the United States use home oxygen therapy and its demand is growing. However, there are dangers associated with its use, such as burns and home fires, and smoking is the most common cause of these incidents. As a result, home healthcare nurses feel intense emotional distress when caring for patients who smoke while using home oxygen therapy. This distress arises from the nurse's competing sense of moral duties toward these patients. The purpose of this article is to describe this distress, then to propose a 3-step process of taking concrete actions to resolve the distress.
authors.affiliation: Université de Montréal, Montreal, Québec, Canada. john.kayser@mail.mcgill.ca
authors.forename: John W
authors.initials: JW
authors.lastname: Kayser
authors.forename: Diane
authors.initials: D
authors.lastname: Nault
authors.forename: Gaston
authors.initials: G
authors.lastname: Ostiguy
mesh_terms: D001291:Attitude of Health Personnel; D002056:Burns / Q000209:etiology / Q000517:prevention & control*; D005260:Female; D006699:Home Care Services / Q000458:organization & administration*; D006801:Humans; D008297:Male; D028681:Moral Obligations; D024802:Nurse's Role / Q000523:psychology; D009723:Nurse-Patient Relations; D010102:Oxygen Inhalation Therapy / Q000451:nursing*; D010353:Patient Education as Topic / Q000379:methods; D011792:Quebec; D012309:Risk-Taking; D012907:Smoking / Q000009:adverse effects*; D016540:Smoking Cessation; D013315:Stress, Psychological