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Moral distress

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https://www.readbyqxmd.com/read/28106679/a-daisy-nurse-moral-distress-and-end-of-life-decisions-in-the-pediatric-setting
#1
Cynthia Divens Sweeney
What does it mean to be a "DAISY nurse"? Moral distress and end-of-life issues are difficult in any situation but, within the context of a pediatric setting, can be even more difficult. In this column, a DAISY nurse shares her thoughts on her role, her professional journey to explore moral distress and ethical decision making, and the lessons learned that led to her recognition with The DAISY Award and the joyful celebration.
February 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/28070806/a-health-system-wide-moral-distress-consultation-service-development-and-evaluation
#2
Ann B Hamric, Elizabeth G Epstein
Although moral distress is now a well-recognized phenomenon among all of the healthcare professions, few evidence-based strategies have been published to address it. In morally distressing situations, the "presenting problem" may be a particular patient situation, but most often signals a deeper unit- or system-centered issue. This article describes one institution's ongoing effort to address moral distress in its providers. We discuss the development and evaluation of the Moral Distress Consultation Service, an interprofessional, unit/system-oriented approach to addressing and ameliorating moral distress...
January 9, 2017: HEC Forum: An Interdisciplinary Journal on Hospitals' Ethical and Legal Issues
https://www.readbyqxmd.com/read/28067680/chief-nursing-officers-experiences-with-moral-distress
#3
Angela S Prestia, Rose O Sherman, Christopher Demezier
OBJECTIVE: This study explores if moral distress and its lingering residue were experienced by chief nursing officers (CNOs). BACKGROUND: Chief nursing officers, by virtue of their position and experience, are expected to uphold their professional values and act for the benefit of others. Exploration is needed to determine if the inability to do so contributes to the moral distress of these leaders. METHODS: Twenty CNOs were interviewed to determine the lived experience related to moral distress and moral residue...
February 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/28045885/moral-distress-model-reconstructed-using-grounded-theory
#4
Hsun-Kuei Ko, Chi-Chun Chin, Min-Tao Hsu
BACKGROUND: The problems of nurse burnout and manpower shortage relate to moral distress. Thus, having a good understanding of moral distress is critical to developing strategies that effectively improve the clinical ethical climate and improve nursing retention in Taiwan. PURPOSE: The aim of this study was to reconstruct the model of moral distress using the grounded theory. METHODS: Twenty-five staff nurses at work units who attend to the needs of adult, pediatric, acute, and critical disease or end-of-life-care patients were recruited as participants using theoretical sampling from three teaching hospitals in Taiwan...
December 29, 2016: Journal of Nursing Research: JNR
https://www.readbyqxmd.com/read/28024438/to-participate-or-not-participate-in-unprofessional-behavior-is-that-the-question
#5
Renato Soleiman Franco, Camila Ament Giuliani Dos Santos Franco, Solena Ziemer Kusma, Milton Severo, Maria Amélia Ferreira
INTRODUCTION: Medical education provides students with abundant learning opportunities, each of which is embodied with messages concerning what is expected from students. This paper analyses students? exposure to instances of unprofessional behavior, investigating whether they judge such behavior to be unprofessional and whether they also participate in unprofessional behavior. METHODS: The survey developed in the Pritzker School of Medicine at the University of Chicago was the basis of this questionnaire that was answered by 276 students from two medical schools in Brazil and Portugal...
December 26, 2016: Medical Teacher
https://www.readbyqxmd.com/read/28008747/validation-of-an-instrument-to-measure-moral-distress-within-the-australian-residential-and-community-care-environments
#6
Adam Burston, Robert Eley, Deborah Parker, Anthony Tuckett
AIM AND OBJECTIVES: The aim of this study was to gain insight into the experience of moral distress within the aged care workforce. The objective of this study was to use and validate an existing instrument to measure moral distress within the aged care setting. BACKGROUND: Moral distress, a phenomenon associated with worker satisfaction and retention, is common within nursing. Instruments to measure moral distress exist; however, there are no validated instruments to measure moral distress within an aged care setting...
December 23, 2016: International Journal of Older People Nursing
https://www.readbyqxmd.com/read/28004238/development-and-validation-of-a-questionnaire-to-measure-moral-distress-in-community-pharmacists
#7
Jayne L Astbury, Cathal T Gallagher
Background Pharmacists work within a highly-regulated occupational sphere, and are bound by strict legal frameworks and codes of professional conduct. This regulatory environment creates the potential for moral distress to occur due to the limitations it places on acting in congruence with moral judgements. Very little research regarding this phenomenon has been undertaken in pharmacy: thus, prominent research gaps have arisen for the development of a robust tool to measure and quantify moral distress experienced in the profession...
December 22, 2016: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/28003133/myofascial-induction-effects-on-neck-shoulder-pain-in-breast-cancer-survivors-randomized-single-blind-placebo-controlled-cross-over-design
#8
Eduardo Castro-Martín, Lucía Ortiz-Comino, Tania Gallart-Aragón, Bernabé Esteban-Moreno, Manuel Arroyo-Morales, Noelia Galiano-Castillo
OBJECTIVES: To investigate the immediate effects of myofascial induction (MI) with placebo electrotherapy as control on perceived pain, cervical/shoulder range of motion (ROM) and mood state in breast cancer survivors (BCSs) with shoulder/arm morbidity. Our secondary objective was to examine the relationships between pain modifications and cervical/shoulder ROM on the side affected by breast cancer. DESIGN: Randomized, single-blind, placebo-controlled cross-over study...
December 18, 2016: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/27984674/abortion-stigma-among-low-income-women-obtaining-abortions-in-western-pennsylvania-a-qualitative-assessment
#9
Amanda Gelman, Elian A Rosenfeld, Cara Nikolajski, Lori R Freedman, Julia R Steinberg, Sonya Borrero
CONTEXT: Abortion stigma may cause psychological distress in women who are considering having an abortion or have had one. This phenomenon has been relatively underexplored in low-income women, who may already be at an increased risk for poor abortion-related outcomes because of difficulties accessing timely and safe abortion services. METHODS: A qualitative study conducted between 2010 and 2013 used semistructured interviews to explore pregnancy intentions among low-income women recruited from six reproductive health clinics in Western Pennsylvania...
December 16, 2016: Perspectives on Sexual and Reproductive Health
https://www.readbyqxmd.com/read/27979603/cases-that-haunt-us-the-rashomon-effect-and-moral-distress-on-the-consult-service
#10
Caridad Ponce Martinez, Colleen E Suratt, Donna T Chen
No abstract text is available yet for this article.
September 19, 2016: Psychosomatics
https://www.readbyqxmd.com/read/27930369/measuring-moral-distress-among-critical-care-clinicians-validation-and-psychometric-properties-of-the-italian-moral-distress-scale-revised
#11
Giulia Lamiani, Ilaria Setti, Luca Barlascini, Elena Vegni, Piergiorgio Argentero
OBJECTIVES: Moral distress is a common experience among critical care professionals, leading to frustration, withdrawal from patient care, and job abandonment. Most of the studies on moral distress have used the Moral Distress Scale or its revised version (Moral Distress Scale-Revised). However, these scales have never been validated through factor analysis. This article aims to explore the factorial structure of the Moral Distress Scale-Revised and develop a valid and reliable scale through factor analysis...
December 7, 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27918062/harm-aversion-explains-utilitarian-choices-in-moral-decision-making-in-males-but-not-in-females
#12
G Rota, S Palumbo, N Lattanzi, A Manfrinati, M Sarlo, L Lotto, P Pietrini, R Rumiati, S Pellegrini
In recent years, a great deal of research has relied on hypothetical sacrificial dilemmas to investigate decision-making processes involved in pro-social utilitarian choices. Recent evidence, however, has suggested that moral sacrificial choices may actually reflect reduced harm aversion and antisocial dispositions rather than an utilitarian inclination. Here, we used moral dilemmas to confront healthy volunteers with controversial action choices. We measured impulsiveness and venturesomeness personality traits, which have been shown to influence harm aversion, to test their role in utilitarian action and evaluation of moral acceptability...
June 1, 2016: Archives Italiennes de Biologie
https://www.readbyqxmd.com/read/27908942/the-need-for-an-effective-process-to-resolve-conflicts-over-medical-futility-a-case-study-and-analysis
#13
Jocelyn A Olmstead, Michael D Dahnke
The issue of medical futility requires a well-defined process in which both sides of the dispute can be heard and a resolution reached in a fair and ethical manner. Procedural approaches to medical futility cases provide all parties involved with a process-driven framework for resolving these disputes. Medical paternalism or the belief in the absolute rightness of the medical model will not serve to resolve these disputes. Although medical futility is first determined by medicine, in order for the determination to meet legal criteria, it must be subject to review...
December 2016: Critical Care Nurse
https://www.readbyqxmd.com/read/27901446/response-to-open-peer-commentaries-on-a-broader-understanding-of-moral-distress
#14
Stephen M Campbell, Connie M Ulrich, Christine Grady
No abstract text is available yet for this article.
December 2016: American Journal of Bioethics: AJOB
https://www.readbyqxmd.com/read/27901444/the-ethical-significance-of-moral-distress-inequality-and-nurses-constraint-distress
#15
Carina Fourie
No abstract text is available yet for this article.
December 2016: American Journal of Bioethics: AJOB
https://www.readbyqxmd.com/read/27901443/moral-distress-in-scientific-research
#16
David B Resnik
No abstract text is available yet for this article.
December 2016: American Journal of Bioethics: AJOB
https://www.readbyqxmd.com/read/27901442/a-broader-understanding-of-moral-distress
#17
Stephen M Campbell, Connie M Ulrich, Christine Grady
On the traditional view, moral distress arises only in cases where an individual believes she knows the morally right thing to do but fails to perform that action due to various constraints. We seek to motivate a broader understanding of moral distress. We begin by presenting six types of distress that fall outside the bounds of the traditional definition and explaining why they should be recognized as forms of moral distress. We then propose and defend a new and more expansive definition of moral distress and examine how it can enable the development of a taxonomy of moral distress...
December 2016: American Journal of Bioethics: AJOB
https://www.readbyqxmd.com/read/27901441/moral-sensitivity-as-a-precondition-of-moral-distress
#18
Markus Christen, Johannes Katsarov
No abstract text is available yet for this article.
December 2016: American Journal of Bioethics: AJOB
https://www.readbyqxmd.com/read/27901439/understanding-moral-distress-through-the-lens-of-social-reflective-equilibrium
#19
Carolyn W April, Michael D April
No abstract text is available yet for this article.
December 2016: American Journal of Bioethics: AJOB
https://www.readbyqxmd.com/read/27901437/moral-distress-professional-integrity-as-the-basis-for-taxonomies
#20
Tessy Ann Thomas, Courtenay Rose Bruce
No abstract text is available yet for this article.
December 2016: American Journal of Bioethics: AJOB
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