title: Moral distress: challenges for an autonomous nursing professional practice.
abstract: Constantly experiencing limiting situations that hinder a professional practice coherent with its principles - of autonomy and advocacy of users' interests -, and often conditioned to experience moral distress, the nursing profession plays a prominent role in the current health model because it has the characteristic of managing the care rendered to users in a perspective of social inclusion, both in the basic health network and in hospitals. Aiming at carrying out a reflection on the nursing practice and the difficulties present in its work routine, and considering its characteristics as a profession, this article sought to make a reflection between the practice of nursing and the numerous moral challenges imposed by the routine, resulting, in many cases, in a value crisis that can reverberate directly on the quality of the service rendered, and in abandonment of the ideals of advocacy for users.
authors.affiliation: Universidade Federal do RioGrande. Rio Grande, RS, Brazil. ebarlem@gmail.com
authors.forename: Edison Luiz Devos
authors.initials: EL
authors.lastname: Barlem
authors.forename: Valéria Lerch
authors.initials: VL
authors.lastname: Lunardi
authors.forename: Jamila Geri
authors.initials: JG
authors.lastname: Tomaschewski
authors.forename: Guilherme Lerch
authors.initials: GL
authors.lastname: Lunardi
authors.forename: Wilson Danilo
authors.initials: WD
authors.lastname: Lunardi Filho
authors.forename: Camila Rose Guadalupe Barcelos
authors.initials: CR
authors.lastname: Schwonke
mesh_terms: D006801:Humans; D009014:Morals; D009729:Nursing; D010344:Patient Advocacy; D017009:Professional Autonomy; D011364:Professional Practice; D013315:Stress, Psychological / Q000209:etiology