22 found
Order:
  1.  23
    What is ‘moral distress’? A narrative synthesis of the literature.Georgina Morley, Jonathan Ives, Caroline Bradbury-Jones & Fiona Irvine - 2019 - Nursing Ethics 26 (3):646-662.
    Aims:The aim of this narrative synthesis was to explore the necessary and sufficient conditions required to define moral distress.Background:Moral distress is said to occur when one has made a moral judgement but is unable to act upon it. However, problems with this narrow conception have led to multiple redefinitions in the empirical and conceptual literature. As a consequence, much of the research exploring moral distress has lacked conceptual clarity, complicating attempts to study the phenomenon.Design:Systematic literature review and narrative synthesis (November (...)
    Direct download (4 more)  
     
    Export citation  
     
    Bookmark   57 citations  
  2.  65
    Covid‐19: Ethical Challenges for Nurses.Georgina Morley, Christine Grady, Joan McCarthy & Connie M. Ulrich - 2020 - Hastings Center Report 50 (3):35-39.
    The Covid‐19 pandemic has highlighted many of the difficult ethical issues that health care professionals confront in caring for patients and families. The decisions such workers face on the front lines are fraught with uncertainty for all stakeholders. Our focus is on the implications for nurses, who are the largest global health care workforce but whose perspectives are not always fully considered. This essay discusses three overarching ethical issues that create a myriad of concerns and will likely affect nurses globally (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   28 citations  
  3.  8
    What is ‘moral distress’ in nursing? A feminist empirical bioethics study.Georgina Morley, Caroline Bradbury-Jones & Jonathan Ives - 2020 - Nursing Ethics 27 (5):1297-1314.
    BackgroundThe phenomenon of ‘moral distress’ has continued to be a popular topic for nursing research. However, much of the scholarship has lacked conceptual clarity, and there is debate about what it means to experience moral distress. Moral distress remains an obscure concept to many clinical nurses, especially those outside of North America, and there is a lack of empirical research regarding its impact on nurses in the United Kingdom and its relevance to clinical practice.Research aimTo explore the concept of moral (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   21 citations  
  4.  16
    Reasons to Redefine Moral Distress: A Feminist Empirical Bioethics Analysis.Georgina Morley, Caroline Bradbury-Jones & Jonathan Ives - 2021 - Bioethics 35 (1):61-71.
    There has been increasing debate in recent years about the conceptualization of moral distress. Broadly speaking, two groups of scholars have emerged: those who agree with Jameton’s ‘narrow definition’ that focuses on constraint and those who argue that Jameton’s definition is insufficient and needs to be broadened. Using feminist empirical bioethics, we interviewed critical care nurses in the United Kingdom about their experiences and conceptualizations of moral distress. We provide our broader definition of moral distress and examples of data that (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   13 citations  
  5.  9
    Mitigating Moral Distress through Ethics Consultation.Georgina Morley, Lauren R. Sankary & Cristie Cole Horsburgh - 2022 - American Journal of Bioethics 22 (4):61-63.
    While the phenomenon of ‘moral distress’ has been of interest to the nursing community since Jameton first described it in 1984, moral distress is now understood to effect healthcare professionals...
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   6 citations  
  6.  17
    Reflective Debriefs as a Response to Moral Distress: Two Case Study Examples.Georgina Morley & Cristie Cole Horsburgh - 2023 - HEC Forum 35 (1):1-20.
    Within this paper, we discuss Moral Distress Reflective Debriefs as a promising approach to address and mitigate moral distress experienced by healthcare professionals. We briefly review the empirical and theoretical literature on critical incident stress debriefing and psychological debriefing to highlight the potential benefits of this modality. We then describe the approach that we take to facilitating reflective group discussions in response to morally distressing patient cases (“Moral Distress Reflective Debriefs”). We discuss how the debriefing literature and other clinical ethics (...)
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   11 citations  
  7.  30
    Moral Distress and Austerity: An Avoidable Ethical Challenge in Healthcare.Georgina Morley, Jonathan Ives & Caroline Bradbury-Jones - 2019 - Health Care Analysis 27 (3):185-201.
    Austerity, by its very nature, imposes constraints by limiting the options for action available to us because certain courses of action are too costly or insufficiently cost effective. In the context of healthcare, the constraints imposed by austerity come in various forms; ranging from the availability of certain treatments being reduced or withdrawn completely, to reductions in staffing that mean healthcare professionals must ration the time they make available to each patient. As austerity has taken hold, across the United Kingdom (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   12 citations  
  8.  7
    Debriefing as a Response to Moral Distress.Shilpa Shashidhara & Georgina Morley - 2020 - Journal of Clinical Ethics 31 (3):283-289.
    There are few evidence-based interventions that have been developed that mitigate the negative effects of moral distress. Group debriefing is one approach that some clinical ethicists have adopted as a response. However, there is very little academic literature or empirical research that identifies best practices and approaches to debriefing as a response to moral distress. Our aim at the 2020 UnConference was to share our different approaches to debriefing with other clinical ethicists to identify best practices or guiding principles to (...)
    No categories
    Direct download  
     
    Export citation  
     
    Bookmark   5 citations  
  9.  6
    When Obligations Conflict: Necessary Violations of Trauma Informed Care in Ethics Consultation?Paul J. Ford, Georgina Morley & Lauren R. Sankary - 2022 - American Journal of Bioethics 22 (5):60-62.
    Complex clinical ethics cases require a blend of compassion, sensitivity, and tenacity in order to navigate the hard work required of stakeholders. Each person comes to the table with rich historie...
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   2 citations  
  10.  17
    Deconstructing Structural Injustices in the Clinic, Classroom, and Boardroom.Georgina Morley, Timothy E. Brown, Lauren R. Sankary & Sundus H. Riaz - 2022 - American Journal of Bioethics 22 (3):29-32.
    Russell articulates compelling reasons that bioethicists and health care professionals should take individual responsibility for deconstructing structural injustices in healthcare through in...
    No categories
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   2 citations  
  11.  13
    Re‐examining the relationship between moral distress and moral agency in nursing.Georgina Morley & Lauren R. Sankary - 2024 - Nursing Philosophy 25 (1):e12419.
    In recent years, the phenomenon of moral distress has been critically examined—and for a good reason. There have been a number of different definitions suggested, some that claimed to be consistent with the original definition but in fact referred to different epistemological states. In this paper, we re‐examine moral distress by exploring its relationship with moral agency. We critically examine three conceptions of moral agency and argue that two of these conceptions risk placing nurses' values at the center of moral (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   2 citations  
  12.  26
    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 (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   1 citation  
  13.  14
    Looking to Other Professions to Advance the Health Care Ethics Consultant Certification Program.Susannah Leigh Rose, Georgina Morley, Sharon L. Feldman & Jane Jankowski - 2020 - American Journal of Bioethics 20 (3):21-24.
    Volume 20, Issue 3, March 2020, Page 21-24.
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   3 citations  
  14.  22
    Moral Distress and Justifiable Constraints on Moral Agency.Georgina Morley & Lauren R. Sankary - 2023 - American Journal of Bioethics 23 (4):77-79.
    While Jameton’s (1984) definition of moral distress has been embraced by researchers and scholars for recognizing the many constraints that nurses experience on their moral agency, it has also been...
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   1 citation  
  15.  8
    Operationalizing the role of the nurse ethicist: More than a job.Georgina Morley, Ellen M. Robinson & Lucia D. Wocial - 2023 - Nursing Ethics 30 (5):688-700.
    The idea of a role in nursing that includes expertise in ethics has been around for more than 30 years. Whether or not one subscribes to the idea that nursing ethics is separate and distinct from bioethics, nursing practice has much to contribute to the ethical practice of healthcare, and with the strong grounding in ethics and aspiration for social justice considerations in nursing, there is no wonder that the specific role of the nurse ethicist has emerged. Nurse ethicists, expert (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   1 citation  
  16.  13
    Clinicians’ Duty to Participate in Pragmatic Clinical Trials: Further Considerations.Georgina Morley & Susannah L. Rose - 2023 - American Journal of Bioethics 23 (8):76-78.
    Well-designed pragmatic clinical trials (PCTs) are critical for improving healthcare delivery and patient outcomes (Haff and Choudhry 2018), and the article written by Garland et al. (2023) advance...
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   1 citation  
  17.  8
    The Ethics Resource Caregiver Program: Equipping Nurses as Ethics Champions.Georgina Morley, Sabahat Hizlan, Elliot Davidson, Julia Gorecki, Gillian Myers & Hilary Mabel - 2023 - Journal of Clinical Ethics 34 (1):27-39.
    Background: Nurses face ethical issues and experience moral distress in their everyday work. A nursing ethics champion program was developed at a hospital in the United States. Methods: As part of a quality improvement project, pre- and post-training surveys were developed to assess whether the program was feasible and sustainable, enhanced nurse confidence in recognizing and addressing ethical issues and moral distress, and increased nurse knowledge of institutional resources for addressing the same. Qualitative and quantitative analyses were performed. Results: Thirteen (...)
    No categories
    Direct download  
     
    Export citation  
     
    Bookmark   1 citation  
  18.  19
    Incorporating Stakeholder Perspectives on Scarce Resource Allocation: Lessons Learned from Policymaking in a Time of Crisis.Bethany Bruno, Heather Mckee Hurwitz, Marybeth Mercer, Hilary Mabel, Lauren Sankary, Georgina Morley, Paul J. Ford, Cristie Cole Horsburgh & Susannah L. Rose - 2021 - Cambridge Quarterly of Healthcare Ethics 30 (2):390-402.
    The coronavirus disease (COVID-19) crisis provoked an organizational ethics dilemma: how to develop ethical pandemic policy while upholding our organizational mission to deliver relationship- and patient-centered care. Tasked with producing a recommendation about whether healthcare workers and essential personnel should receive priority access to limited medical resources during the pandemic, the bioethics department and survey and interview methodologists at our institution implemented a deliberative approach that included the perspectives of healthcare professionals and patient stakeholders in the policy development process. Involving (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   1 citation  
  19.  11
    “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...
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  20.  11
    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, (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  21.  13
    Evaluating Decision-Making Capacity: When a False Belief about Ventilators Is the Reason for Refusal of Life-Sustaining Treatment.Devora Shapiro & Georgina Morley - 2022 - Journal of Clinical Ethics 33 (1):50-57.
    In this article, we discuss the case of Michael Johnson, an African-American man who sought treatment for respiratory distress due to COVID-19, but who was adamant that he did not want to be intubated due to his belief that ventilators directly cause death. This case prompted reflection about the ways in which a false belief can create uncertainty and complexity for clinicians who are responsible for evaluating decision-making capacity (DMC). In our analysis, we consider the extent to which Mr. Johnson (...)
    No categories
    Direct download  
     
    Export citation  
     
    Bookmark  
  22.  2
    John Macquarrie’s Natural Theology: The Grace of Being.Georgina Morley - 2004 - Routledge.
    Title first published in 2003. John Macquarrie has been a major contributor in the theological world for more than forty years, but as yet very little secondary material on his work has appeared. This book offers an insightful introduction to Macquarrie's theology, arguing that at its heart is a systematic theology of gift. Tracing the development of his thought from its early existentialism to the social and world-affirming perspectives of later writings, this book shows how these developments emerge in dialogue (...)
    No categories
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark