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  1. Effectiveness of CURA: Healthcare professionals’ moral resilience and moral competences.Malene van Schaik, H. Roeline R. W. Pasman, Guy A. M. Widdershoven, Janine De Snoo-Trimp & Suzanne Metselaar - forthcoming - Nursing Ethics.
    Background: Clinical ethics support instruments aim to support healthcare professionals in dealing with moral challenges in clinical practice. CURA is a relatively new instrument tailored to the wishes and needs of healthcare professionals in palliative care, especially nurses. It aims to foster their moral resilience and moral competences. Aim: To investigate the effects of using CURA on healthcare professionals regarding their Moral Resilience and Moral Competences. Design: Single group pre-/post-test design with two questionnaires. Methods: Questionnaires used were the Rushton Moral (...)
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  • Sub-categories of moral distress among nurses: A descriptive longitudinal study.Georgina Morley, James F. Bena, Shannon L. Morrison & Nancy M. Albert - 2023 - Nursing Ethics 30 (6):885-903.
    Background There is ongoing debate regarding how moral distress should be defined. Some scholars argue that the standard “narrow” definition overlooks morally relevant causes of distress, while others argue that broadening the definition of moral distress risks making measurement impractical. However, without measurement, the true extent of moral distress remains unknown. Research aims To explore the frequency and intensity of five sub-categorizations of moral distress, resources used, intention to leave, and turnover of nurses using a new survey instrument. Research design (...)
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  • “Please, Don’t Make Me Do This”: The Role of the Ethics Consultant in Responding to and Mitigating Moral Distress.Georgina Morley & Steven Bocchese - 2024 - American Journal of Bioethics 24 (1):134-137.
    In response to the case study of Mr. Rivers, we will speak to three critical elements for an ethics consultant to address when a consult is requested due to moral distress. First, discern if the re...
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  • Nurturing moral community: A novel moral distress peer support navigator tool.Georgina Morley & Lauren R. Sankary - forthcoming - Nursing Ethics.
    Moral distress is a pervasive phenomenon in healthcare for which there is no straightforward “solution.” Rhetoric surrounding moral distress has shifted over time, with some scholars arguing that moral distress needs to be remedied, resolved, and eradicated, while others recognize that moral distress can have some positive value. The authors of this paper recognize that moral distress has value in its function as a warning sign, signaling the presence of an ethical issue related to patient care that requires deeper exploration, (...)
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  • Fostering moral resilience through moral case deliberation.Suzanne Metselaar & Bert Molewijk - 2023 - Nursing Ethics 30 (5):730-745.
    Moral distress forms a major threat to the well-being of healthcare professionals, and is argued to negatively impact patient care. It is associated with emotions such as anger, frustration, guilt, and anxiety. In order to effectively deal with moral distress, the concept of moral resilience is introduced as the positive capacity of an individual to sustain or restore their integrity in response to moral adversity. Interventions are needed that foster moral resilience among healthcare professionals. Ethics consultation has been proposed as (...)
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  • Moral Distress and the Marginalization of Nurses.Georgina Campelia & Carina Fourie - 2024 - American Journal of Bioethics 24 (1):132-134.
    Responding to the nurse’s moral distress in this case depends on a deeper understanding of the source. It is possible that there is concern that resuscitation is morally wrong—perhaps because it wo...
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