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Moral distress

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https://www.readbyqxmd.com/read/29656704/phenomenon-of-moral-distress-through-the-aspect-of-interpretive-interactionism
#1
Hsun-Kuei Ko, Chi-Chun Chin, Min-Tao Hsu, Shu-Li Lee
BACKGROUND: Most previous studies on moral distress focused on the factors that cause moral distress, paying inadequate attention to the moral conflict of nurses' values, the physician-nurse power hierarchy, and the influence of the culture. RESEARCH OBJECTIVE: To analyze the main causes for moral distress with interpretive interactionism. RESEARCH DESIGN: A qualitative study was adopted. PARTICIPANTS: Through purposeful sampling, 32 nurses from 12 different departments were chosen as the samples...
January 1, 2018: Nursing Ethics
https://www.readbyqxmd.com/read/29601502/demographics-and-psychological-factors-associated-with-adiposity-in-nurses
#2
Bernarda Sánchez-Jiménez, Reyna Sámano, Daniela Chinchilla-Ochoa, Rosa Morales-Hernández, Ana Rodríguez-Ventura
Adiposity-based chronic disease (ABCD), overweight-Ow- or obesity-Ob-) in health personnel is as frequent as in the general population, even though they understand well the importance of maintaining a healthy weight. Thus, it is highly likely that certain demographic and psychological conditions, independently of knowledge, are contributing to develop ABCD. The aim of this study was to examine the association between these factors and ABCD in nurses. Data were collected from a cross-sectional study conducted in a tertiary level institute in Mexico City from 2012 to 2013...
March 30, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29601224/physical-therapists-perception-of-workplace-ethics-in-an-evolving-health-care-delivery-environment-a-cross-sectional-survey
#3
Roberto Cantu
Physical therapists are trained and obligated to deliver optimal health care and put patients first above all else. In the changing health-care environment, health-care organizations are grappling with controlling cost and increasing revenues. Moral distress may be created when physical therapists' desire to provide optimal care conflicts with their organization's goals to remain financially viable or profitable. Moral distress has been associated with low perception of ethical environment, professional burnout, and high turnover in organizations...
March 30, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29588279/david-oliver-moral-distress-in-hospital-doctors
#4
David Oliver
No abstract text is available yet for this article.
March 27, 2018: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/29587567/exploring-moral-problems-and-moral-competences-in-midwifery-a-qualitative-study
#5
Stephan Oelhafen, Settimio Monteverde, Eva Cignacco
BACKGROUND: Most undergraduate midwifery curricula comprise ethics courses to strengthen the moral competences of future midwives. By contrast, surprisingly little is known about the specific moral competences considered to be relevant for midwifery practice. Describing these competences not only depends on generic assumptions about the moral nature of midwifery practice but also reflects which issues practitioners themselves classify as moral. OBJECTIVE: The goal of this study was to gain insight into the ethical issues midwives encounter in their daily work, the key competences and resources they consider indispensable to understand and deal with them, and to assess phenomena linked to moral distress...
January 1, 2018: Nursing Ethics
https://www.readbyqxmd.com/read/29579492/palliative-sedation-and-moral-distress-a-qualitative-study-of-nurses
#6
M E Lokker, S J Swart, J A C Rietjens, L van Zuylen, R S G M Perez, A van der Heide
BACKGROUND: Clinical nursing practice may involve moral distress, which has been reported to occur frequently when nurses care for dying patients. Palliative sedation is a practice that is used to alleviate unbearable and refractory suffering in the last phase of life and has been linked to distress in nurses. AIM: The aim of this study was to explore nurses' reports on the practice of palliative sedation focusing on their experiences with pressure, dilemmas and morally distressing situations...
April 2018: Applied Nursing Research: ANR
https://www.readbyqxmd.com/read/29575523/counterpoint-provider-moral-distress-in-end-of-life-oncology-care-is-a-moral-crutch
#7
Emily E Statham, Jonathan M Marron
No abstract text is available yet for this article.
March 25, 2018: Psycho-oncology
https://www.readbyqxmd.com/read/29569796/point-moral-distress-can-indicate-inappropriate-care-at-end-of-life
#8
(no author information available yet)
No abstract text is available yet for this article.
March 23, 2018: Psycho-oncology
https://www.readbyqxmd.com/read/29546856/ethical-approach-to-prevention-of-schizophrenia-concepts-and-challenges
#9
Kresimir Radic, Marko Curkovic, Dario Bagaric, Maja Vilibic, Andrea Tomic, Maja Zivkovic
Patients with schizophrenia, nowadays chronic, frequently disabling mental disorder, get initial treatment after detection of a psychotic episode, seemingly late, potentially preventable stage of illness. As our knowledge about the nature of schizophrenia and other diseases of the spectrum is growing, so are the early interventions becoming more possible, and it is important to conceptualize the clinical, legal and moral issues emerging with new preventive treatments. Every intervention, especially in pre-clinical population, demands a careful risk-benefit assessment and having basic bioethical principles - primacy of patient's welfare, beneficience/non-maleficience, autonomy and justice - in mind...
March 2018: Psychiatria Danubina
https://www.readbyqxmd.com/read/29542434/how-should-trainees-respond-in-situations-of-obstetric-violence
#10
Nicholas Rubashkin, Nicole Minckas
Argentina passed a law for humanized birth in 2004 and another law against obstetric violence in 2009, both of which stipulate the rights of women to achieve respectful maternity care. Clinicians and women might still be unaware of these laws, however. In this article, we discuss the case of a fourth-year medical student who, while visiting Argentina from the United States for his obstetric rotation, witnesses an act of obstetric violence. We show that the student's situation can be understood as one of moral distress and argue that, in this specific instance, it would be appropriate for the student to intervene by providing supportive care to the patient...
March 1, 2018: AMA Journal of Ethics
https://www.readbyqxmd.com/read/29541925/can-the-ethical-best-practice-of-shared-decision-making-lead-to-moral-distress
#11
Trisha M Prentice, Lynn Gillam
When healthcare professionals feel constrained from acting in a patient's best interests, moral distress ensues. The resulting negative sequelae of burnout, poor retention rates, and ultimately poor patient care are well recognized across healthcare providers. Yet an appreciation of how particular disciplines, including physicians, come to be "constrained" in their actions is still lacking. This paper will examine how the application of shared decision-making may contribute to the experience of moral distress for physicians and why such distress may go under-recognized...
March 14, 2018: Journal of Bioethical Inquiry
https://www.readbyqxmd.com/read/29535247/moral-distress-with-obstacles-to-hepatitis-c-treatment-a-council-of-academic-family-medicine-educational-research-alliance-cera-study-of-family-medicine-program-directors
#12
Aditya Simha, Camille Maria Webb, Ramakrishna Prasad, N Randall Kolb, Peter J Veldkamp
BACKGROUND AND OBJECTIVE: To determine whether family medicine program directors (PDs) experienced moral distress due to obstacles to Hepatitis C virus (HCV) treatment, and to explore whether they found those obstacles to be unethical. DESIGN: An omnibus survey by the Council of Academic Family Medicine's Educational Research Alliance was administered to 452 and completed by 273 US-based PDs. The survey gauged attitudes and opinions regarding ethical dilemmas in patient access to HCV treatment...
March 2018: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/29528102/moral-injury-process-and-its-psychological-consequences-among-israeli-combat-veterans
#13
Gadi Zerach, Yossi Levi-Belz
OBJECTIVES: We aim to examine the link between exposure to potentially morally injurious events (PMIEs) and posttraumatic stress disorder symptoms (PTSS). We also aim to explore the mediating roles of depressive attributions, trauma-related guilt and shame, and self-disgust in the relationship between PMIEs and PTSS among combat veterans. METHOD: A volunteers' sample of 191 Israeli combat veterans responded to self-report questionnaires in a cross-sectional design study...
March 12, 2018: Journal of Clinical Psychology
https://www.readbyqxmd.com/read/29504125/greater-prevalence-of-post-traumatic-stress-disorder-and-depression-in-deployed-canadian-armed-forces-personnel-at-risk-for-moral-injury
#14
A Nazarov, D Fikretoglu, A Liu, M Thompson, M A Zamorski
BACKGROUND: A link between moral injury (i.e., the psychological distress caused by perceived moral transgressions) and adverse mental health outcomes (AMHO) has been recently proposed. However, the prevalence of exposure to morally injurious events and the associated risk of experiencing AMHO remains understudied. METHOD: The impact of exposure to potentially morally injurious experiences (PMIEs) was explored in relation to past-year PTSD and MDD, using the 2013 Canadian Armed Forces Mental Health Survey dataset of Afghanistan mission deployed regular force and reserve personnel...
April 2018: Acta Psychiatrica Scandinavica
https://www.readbyqxmd.com/read/29502787/suffering-the-darker-side-of-ageing
#15
Chris Gilleard
Much of the literature on ageing is presaged upon a model of advocacy that seeks to combat what is seen as the negative stereotyping of old age and old people. One consequence is that ageing studies has difficulty in confronting the darker side of ageing except in so far as age associated disability and distress can be attributed to extrinsic disadvantage, such as low income, poor housing and inadequate services. The pain and suffering associated with age itself tend to be neglected as subject experiences. This paper seeks to shed some light on these topics, considered under the general heading of 'suffering'...
March 2018: Journal of Aging Studies
https://www.readbyqxmd.com/read/29502147/mindfulness-among-genetic-counselors-is-associated-with-increased-empathy-and-work-engagement-and-decreased-burnout-and-compassion-fatigue
#16
Julia Silver, Colleen Caleshu, Sylvie Casson-Parkin, Kelly Ormond
Genetic counselors experience high rates of compassion fatigue and an elevated risk for burnout, both of which can negatively impact patient care and retention in the profession. In other healthcare professions, mindfulness training has been successfully used to address similar negative psychological sequelae and to bolster empathy, which is the foundation of our counseling work. We aimed to assess associations between mindfulness and key professional variables, including burnout, compassion fatigue, work engagement, and empathy...
March 4, 2018: Journal of Genetic Counseling
https://www.readbyqxmd.com/read/29498768/psychological-impact-of-multi-gene-cancer-panel-testing-in-patients-with-a-clinical-suspicion-of-hereditary-cancer-across-spain
#17
I Esteban, M Vilaró, E Adrover, N Angulo, E Carrasco, N Gadea, A Sánchez, T Ocaña, G Llort, R Jover, J Cubiella, S Servitja, M Herráiz, L Cid, S Martínez, M J Oruezábal-Moreno, I Garau, S Khorrami, A Herreros de Tejada, R Morales, J M Cano, R Serrano, M H López-Ceballos, S González-Santiago, M J Juan-Fita, C Alonso-Cerezo, A Casas, B Graña-Suarez, A Teulé, E Alba, A Antón, C Guillén-Ponce, A B Sánchez-Heras, J E Alés-Martínez, J Brunet, F Balaguer, J Balmaña
OBJECTIVE: Patients' psychological reactions to multi-gene cancer panel testing might differ compared with the single-gene testing reactions due to the complexity and uncertainty associated with the different possible results. Understanding patients' preferences and psychological impact of multi-gene panel testing is important to adapt the genetic counselling model. METHODS: One hundred and eighty-seven unrelated patients with clinical suspicion of hereditary cancer undergoing a 25-gene panel test completed questionnaires after pre-test genetic counseling and at one week, three months and twelve months after results to elicit their preferences regarding results disclosure and to measure their cancer worry and testing-specific distress and uncertainty...
March 2, 2018: Psycho-oncology
https://www.readbyqxmd.com/read/29497585/spiritually-integrated-cognitive-processing-therapy-a-new-treatment-for-post-traumatic-stress-disorder-that-targets-moral-injury
#18
Michelle Pearce, Kerry Haynes, Natalia R Rivera, Harold G Koenig
Background: Post-traumatic stress disorder (PTSD) is a debilitating disorder, and current treatments leave the majority of patients with unresolved symptoms. Moral injury (MI) may be one of the barriers that interfere with recovery from PTSD, particularly among current or former military service members. Objective: Given the psychological and spiritual aspects of MI, an intervention that addresses MI using spiritual resources in addition to psychological resources may be particularly effective in treating PTSD...
2018: Global Advances in Health and Medicine: Improving Healthcare Outcomes Worldwide
https://www.readbyqxmd.com/read/29495934/the-moral-experiences-of-pediatric-nurses-in-brazil-engagement-and-relationships
#19
Raissa Passos Dos Santos, Eliane Tatsch Neves, Franco Carnevale
BACKGROUND: Pediatric nursing care involves many significant ethical challenges. Although nurses are broadly recognized as professionals with relevant knowledge about children and families, little is known about how nurses experience ethical concerns in their everyday practice. OBJECTIVE: The objective of this study was to better understand the moral experiences and related moral distress experiences of nurses working in pediatric settings in Brazil. DESIGN: Interpretative phenomenological study conducted through narrative interviews...
January 1, 2018: Nursing Ethics
https://www.readbyqxmd.com/read/29495931/impact-of-moral-sensitivity-on-moral-distress-among-psychiatric-nurses
#20
Kayoko Ohnishi, Kazuyo Kitaoka, Jun Nakahara, Maritta Välimäki, Raija Kontio, Minna Anttila
BACKGROUND: Moral distress occurs when one knows the right thing to do, but institutional constraints make it nearly impossible to pursue the right course of action. Moral distress was found to cause negative feelings, burnout, and/or resignation. Not only external factors such as lack of staff but also internal ones affect moral distress. Moral sensitivity, which is thought of as an advantage of nurses, could effect moral distress, as nurses being unaware of existing ethical problems must feel little distress...
January 1, 2018: Nursing Ethics
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