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Moral distress

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https://www.readbyqxmd.com/read/27930369/measuring-moral-distress-among-critical-care-clinicians-validation-and-psychometric-properties-of-the-italian-moral-distress-scale-revised
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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
#9
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
#10
Tessy Ann Thomas, Courtenay Rose Bruce
No abstract text is available yet for this article.
December 2016: American Journal of Bioethics: AJOB
https://www.readbyqxmd.com/read/27901435/the-normative-and-evaluative-status-of-moral-distress-in-health-care-contexts
#11
Sven Nyholm
No abstract text is available yet for this article.
December 2016: American Journal of Bioethics: AJOB
https://www.readbyqxmd.com/read/27901432/moral-distress-and-conflict-of-interest
#12
Haavi Morreim
No abstract text is available yet for this article.
December 2016: American Journal of Bioethics: AJOB
https://www.readbyqxmd.com/read/27901425/moral-distress-in-clinical-ethics-expanding-the-concept
#13
Alyssa M Burgart, Katherine E Kruse
No abstract text is available yet for this article.
December 2016: American Journal of Bioethics: AJOB
https://www.readbyqxmd.com/read/27901423/moral-distress-moral-injury-and-moral-luck
#14
Andrew McAninch
No abstract text is available yet for this article.
December 2016: American Journal of Bioethics: AJOB
https://www.readbyqxmd.com/read/27901422/moral-distress-and-cooperation-with-wrongdoing
#15
Stephen R Latham
No abstract text is available yet for this article.
December 2016: American Journal of Bioethics: AJOB
https://www.readbyqxmd.com/read/27901421/a-misunderstanding-of-moral-distress
#16
Lucia D Wocial
No abstract text is available yet for this article.
December 2016: American Journal of Bioethics: AJOB
https://www.readbyqxmd.com/read/27901419/the-role-of-responsibility-in-moral-distress
#17
Moti Gorin
No abstract text is available yet for this article.
December 2016: American Journal of Bioethics: AJOB
https://www.readbyqxmd.com/read/27887604/variable-ventilation-improves-pulmonary-function-and-reduces-lung-damage-without-increasing-bacterial-translocation-in-a-rat-model-of-experimental-pneumonia
#18
Raquel F de Magalhães, Cynthia S Samary, Raquel S Santos, Milena V de Oliveira, Nazareth N Rocha, Cintia L Santos, Jamil Kitoko, Carlos A M Silva, Caroline L Hildebrandt, Cassiano F Goncalves-de-Albuquerque, Adriana R Silva, Hugo C Faria-Neto, Vanessa Martins, Vera L Capelozzi, Robert Huhle, Marcelo M Morales, Priscilla Olsen, Paolo Pelosi, Marcelo Gama de Abreu, Patricia R M Rocco, Pedro L Silva
BACKGROUND: Variable ventilation has been shown to improve pulmonary function and reduce lung damage in different models of acute respiratory distress syndrome. Nevertheless, variable ventilation has not been tested during pneumonia. Theoretically, periodic increases in tidal volume (VT) and airway pressures might worsen the impairment of alveolar barrier function usually seen in pneumonia and could increase bacterial translocation into the bloodstream. We investigated the impact of variable ventilation on lung function and histologic damage, as well as markers of lung inflammation, epithelial and endothelial cell damage, and alveolar stress, and bacterial translocation in experimental pneumonia...
November 25, 2016: Respiratory Research
https://www.readbyqxmd.com/read/27863575/complicated-realities-mental-health-and-moral-incongruence-in-disaster-humanitarian-response
#19
REVIEW
Suzanne M Boswell
In the course of disaster/humanitarian response, providers are exposed to chaotic environments riddled with morally complex situations. This article disseminates research findings that highlight the impact of moral incongruence on responder mental health within the disaster/humanitarian setting by focusing on the theme "Everything was gray." The information is extracted from a larger, mixed methods study examining numerous variables considered within relevant literature to be influential in the occurrence of psychological distress among disaster/humanitarian responders...
December 2016: Nursing Clinics of North America
https://www.readbyqxmd.com/read/27863536/how-to-support-staff-deploying-on-overseas-humanitarian-work-a-qualitative-analysis-of-responder-views-about-the-2014-15-west-african-ebola-outbreak
#20
Gideon James Rubin, Sarah Harper, Paolo Diaz Williams, Sanna Öström, Samantha Bredbere, Richard Amlôt, Neil Greenberg
BACKGROUND: Responding to health crises overseas can be both rewarding and distressing for staff involved. OBJECTIVE: We interviewed UK staff involved in the 2014/15 Ebola response to identify experiences that positively or negatively affected them. METHOD: We conducted qualitative telephone interviews with 30 Public Health England (PHE) staff and 21 non-governmental organisation (NGO) staff who had deployed to West Africa. RESULTS: The main motivations for deploying were for moral reasons and personal development...
2016: European Journal of Psychotraumatology
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