Framing the Issues: Moral Distress in Health Care [Book Review]
HEC Forum 24 (1):1-11 (2012)
AbstractMoral distress in health care has been identified as a growing concern and a focus of research in nursing and health care for almost three decades. Researchers and theorists have argued that moral distress has both short and long-term consequences. Moral distress has implications for satisfaction, recruitment and retention of health care providers and implications for the delivery of safe and competent quality patient care. In over a decade of research on ethical practice, registered nurses and other health care practitioners have repeatedly identified moral distress as a concern and called for action. However, research and action on moral distress has been constrained by lack of conceptual clarity and theoretical confusion as to the meaning and underpinnings of moral distress. To further examine these issues and foster action on moral distress, three members of the University of Victoria/University of British Columbia (UVIC/UVIC) nursing ethics research team initiated the development and delivery of a multi-faceted and interdisciplinary symposium on Moral Distress with international experts, researchers, and practitioners. The goal of the symposium was to develop an agenda for action on moral distress in health care. We sought to develop a plan of action that would encompass recommendations for education, practice, research and policy. The papers in this special issue of HEC Forum arose from that symposium. In this first paper, we provide an introduction to moral distress; make explicit some of the challenges associated with theoretical and conceptual constructions of moral distress; and discuss the barriers to the development of research, education, and policy that could, if addressed, foster action on moral distress in health care practice. The following three papers were written by key international experts on moral distress, who explore in-depth the issues in three arenas: education, practice, research. In the fifth and last paper in the series, we highlight key insights from the symposium and the papers in the series, propose to redefine moral distress, and outline directions for an agenda for action on moral distress in health care
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Citations of this work
Moral Distress Experienced by Nurses: A Quantitative Literature Review.Younjae Oh & Chris Gastmans - 2015 - Nursing Ethics 22 (1):15-31.
What is ‘Moral Distress’? A Narrative Synthesis of the Literature.Georgina Morley, Jonathan Ives, Caroline Bradbury-Jones & Fiona Irvine - forthcoming - Nursing Ethics:096973301772435.
Moral Sensitivity, Moral Distress, and Moral Courage Among Baccalaureate Filipino Nursing Students.Rowena L. Escolar-Chua - 2018 - Nursing Ethics 25 (4):458-469.
Moral Distress Reexamined: A Feminist Interpretation of Nurses' Identities, Relationships, and Responsibilites. [REVIEW]Elizabeth Peter & Joan Liaschenko - 2013 - Journal of Bioethical Inquiry 10 (3):337-345.
Ethikkompetenzentwicklung in der (zukünftigen) pflegeberuflichen Qualifizierung – Konkretion und Stufung als Grundlegung für curriculare Entwicklungen.Annette Riedel & Constanze Giese - 2019 - Ethik in der Medizin 31 (1):61-79.
References found in this work
Moral Distress, Moral Residue, and the Crescendo Effect.Elizabeth Gingell Epstein & Ann Baile Hamric - 2009 - Journal of Clinical Ethics 20 (4):330.
Nurse Moral Distress and Ethical Work Environment.Mary C. Corley, Ptlene Minick, R. K. Elswick & Mary Jacobs - 2005 - Nursing Ethics 12 (4):381-390.
Registered Nurses' Perceptions of Moral Distress and Ethical Climate.Bernadette Pauly, Colleen Varcoe, Janet Storch & Lorelei Newton - 2009 - Nursing Ethics 16 (5):561-573.
Developing the Concept of Moral Sensitivity in Health Care Practice.Kim Lützén, Vera Dahlqvist, Sture Eriksson & Astrid Norberg - 2006 - Nursing Ethics 13 (2):187-196.