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"Moral distress"

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https://www.readbyqxmd.com/read/27908942/the-need-for-an-effective-process-to-resolve-conflicts-over-medical-futility-a-case-study-and-analysis
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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
#9
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
#10
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
#11
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
#12
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
#13
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
#14
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
#15
Moti Gorin
No abstract text is available yet for this article.
December 2016: American Journal of Bioethics: AJOB
https://www.readbyqxmd.com/read/27834037/assessing-the-learning-environment-for-medical-students-an-evaluation-of-a-novel-survey-instrument-in-four-medical-schools
#16
Linda H Pololi, Arthur T Evans, Leslie Nickell, Annette C Reboli, Lisa D Coplit, Margaret L Stuber, Vasilia Vasiliou, Janet T Civian, Robert T Brennan
OBJECTIVE: A practical, reliable, and valid instrument is needed to measure the impact of the learning environment on medical students' well-being and educational experience and to meet medical school accreditation requirements. METHODS: From 2012 to 2015, medical students were surveyed at the end of their first, second, and third year of studies at four medical schools. The survey assessed students' perceptions of the following nine dimensions of the school culture: vitality, self-efficacy, institutional support, relationships/inclusion, values alignment, ethical/moral distress, work-life integration, gender equity, and ethnic minority equity...
November 10, 2016: Academic Psychiatry
https://www.readbyqxmd.com/read/27815753/pediatric-ethics-and-communication-excellence-peace-rounds-decreasing-moral-distress-and-patient-length-of-stay-in-the-picu
#17
Lucia Wocial, Veda Ackerman, Brian Leland, Brian Benneyworth, Vinit Patel, Yan Tong, Mara Nitu
This paper describes a practice innovation: the addition of formal weekly discussions of patients with prolonged PICU stay to reduce healthcare providers' moral distress and decrease length of stay for patients with life-threatening illnesses. We evaluated the innovation using a pre/post intervention design measuring provider moral distress and comparing patient outcomes using retrospective historical controls. Physicians and nurses on staff in our pediatric intensive care unit in a quaternary care children's hospital participated in the evaluation...
November 4, 2016: HEC Forum: An Interdisciplinary Journal on Hospitals' Ethical and Legal Issues
https://www.readbyqxmd.com/read/27797570/moral-distress-in-physicians-and-nurses-impact-on-professional-quality-of-life-and-turnover
#18
Cindy L Austin, Robert Saylor, Phillip J Finley
Objective: The purpose of this study was to investigate moral distress (MD) and turnover intent as related to professional quality of life in physicians and nurses at a tertiary care hospital. Method: Health care providers from a variety of hospital departments anonymously completed 2 validated questionnaires (Moral Distress Scale-Revised and Professional Quality of Life Scale). Compassion fatigue (as measured by secondary traumatic stress [STS] and burnout [BRN]) and compassion satisfaction are subscales which make up one's professional quality of life...
October 31, 2016: Psychological Trauma: Theory, Research, Practice and Policy
https://www.readbyqxmd.com/read/27779495/exploring-nicu-nurses-affective-responses-to-end-of-life-care
#19
Stephanie Lacefield Lewis
BACKGROUND: The survival rate for infants born with life-threatening problems has improved greatly over the last few decades. Nevertheless, infants still die in neonatal intensive care units (NICUs) every day. Despite existing standards of care, some aspects of end-of-life care (EOLC) are still not delivered consistently. Little is known about how NICU nurses' individual experiences affect EOLC. PURPOSE: The purpose of this study was to explore, through lived and told stories, the affective, interactional, and meaning-related responses that NICU nurses have while caring for dying infants and their families...
October 24, 2016: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
https://www.readbyqxmd.com/read/27726233/moral-distress-among-nurses-in-medical-surgical-and-intensive-care-units
#20
Maura Lusignani, Maria Lorella Giannì, Luca Giuseppe Re, Maria Luisa Buffon
AIM: To assess the frequency, intensity and level of moral distress perceived by nurses working in medical, surgical and intensive care units. BACKGROUND: Moral distress among nurses compromises their ability to provide optimal patient care and may cause them to leave their job. METHODS: A cross-sectional questionnaire survey of 283 registered nurses was conducted to evaluate the frequency, intensity and levels of moral distress. A revised version of the Moral Distress Scale (MDS-R) was used...
October 11, 2016: Journal of Nursing Management
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