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"Moral distress"

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https://www.readbyqxmd.com/read/28212225/do-we-need-another-moral-distress-in-the-icu-study
#1
Lisa Anderson-Shaw
No abstract text is available yet for this article.
March 2017: Critical Care Medicine
https://www.readbyqxmd.com/read/28199261/perceived-ethics-dilemmas-among-pioneer-accountable-care-organizations
#2
Craig R Westling, Thom Walsh, William A Nelson
This study of Pioneer accountable care organizations (ACOs) suggests that the ACO model is creating moral distress for physicians and business leaders in seven critical ways:Despite an overall sense of optimism associated with the ACO model, our research identified an underlying sense of moral distress at most sites. A clear opportunity exists for ACOs to use a more comprehensive, coordinated approach to proactively resolving ethical dilemmas while continuing the march toward risk-based contracts.
January 2017: Journal of Healthcare Management / American College of Healthcare Executives
https://www.readbyqxmd.com/read/28159074/ethical-considerations-for-care%C3%A2-of-the-child-undergoing-extracorporeal-membrane-oxygenation
#3
Martha A Carter
Extracorporeal membrane oxygenation (ECMO) is a complex, highly technical surgical procedure that can offer hope for children born with congenital heart defects. The procedure may only briefly prolong a life, has limited potential for decreasing mortality, and may lead to serious complications, however. Perioperative nurses play an important role in caring for the child who requires ECMO. They are involved in assessing the child, implementing the plan of care, and facilitating communication between the child's family members and the health care team...
February 2017: AORN Journal
https://www.readbyqxmd.com/read/28125491/executive-summary-transforming-moral-distress-into-moral-resilience-in-nursing
#4
Cynda Hylton Rushton, Kathy Schoonover-Shoffner, Maureen Shawn Kennedy
: To examine practices for addressing moral distress, a collaborative project was developed by the Johns Hopkins Berman Institute of Bioethics, the Johns Hopkins School of Nursing, the American Journal of Nursing, and the Journal of Christian Nursing, along with the American Association of Critical-Care Nurses and the American Nurses Association. Its purpose was to identify strategies that individuals and systems can use to mitigate the detrimental effects of moral distress and foster moral resilience. On August 11 and 12, 2016, an invitational symposium, State of the Science: Transforming Moral Distress into Moral Resilience in Nursing, was held at the Johns Hopkins School of Nursing in Baltimore, Maryland...
February 2017: American Journal of Nursing
https://www.readbyqxmd.com/read/28125468/mitigating-the-effects-of-moral-distress
#5
Maureen Shawn Kennedy
Supporting individuals and systems in ethical practice.
February 2017: American Journal of Nursing
https://www.readbyqxmd.com/read/28116964/between-the-patient-and-the-next-of-kin-in-end-of-life-care
#6
Ellen Ramvi, Venke Irene Ueland
BACKGROUND: For the experience of end-of-life care to be 'good' many ethical challenges in various relationships have to be resolved. In this article, we focus on challenges in the nurse-next of kin relationship. Little is known about difficulties in this relationship, when the next of kin are seen as separate from the patient. Research problem: From the perspective of nurses: What are the ethical challenges in relation to next of kin in end-of-life care? RESEARCH DESIGN: A critical qualitative approach was used, based on four focus group interviews...
January 1, 2017: Nursing Ethics
https://www.readbyqxmd.com/read/28112618/navigating-the-liminal-state-between-life-and-death-clinician-moral-distress-and-uncertainty-regarding-new-life-sustaining-technologies
#7
Elizabeth Dzeng
No abstract text is available yet for this article.
February 2017: American Journal of Bioethics: AJOB
https://www.readbyqxmd.com/read/28112617/doing-what-we-shouldn-t-medical-futility-and-moral-distress
#8
Nancy S Jecker
No abstract text is available yet for this article.
February 2017: American Journal of Bioethics: AJOB
https://www.readbyqxmd.com/read/28106679/a-daisy-nurse-moral-distress-and-end-of-life-decisions-in-the-pediatric-setting
#9
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
#10
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
#11
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
#12
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
#13
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
#14
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
#15
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...
February 2017: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/27979603/cases-that-haunt-us-the-rashomon-effect-and-moral-distress-on-the-consult-service
#16
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
#17
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...
March 2017: Critical Care Medicine
https://www.readbyqxmd.com/read/27908942/the-need-for-an-effective-process-to-resolve-conflicts-over-medical-futility-a-case-study-and-analysis
#18
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
#19
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
#20
Carina Fourie
No abstract text is available yet for this article.
December 2016: American Journal of Bioethics: AJOB
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