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Author: Cynda Hylton Rushton Publisher: Oxford University Press ISBN: 0190619295 Category : Medical Languages : en Pages : 321
Book Description
Suffering is an unavoidable reality in health care. Not only are patients and families suffering but also the clinicians who care for them. Commonly the suffering experienced by clinicians is moral in nature, in part a reflection of the increasing complexity of health care, their roles within it, and the expanding range of available interventions. Moral suffering is the anguish that occurs when the burdens of treatment appear to outweigh the benefits; scarce human and material resources must be allocated; informed consent is incomplete or inadequate; or there are disagreements about goals of treatment among patients, families or clinicians. Each is a source of moral adversity that challenges clinicians' integrity: the inner harmony that arises when their essential values and commitments are aligned with their choices and actions. If moral suffering is unrelieved it can lead to disengagement, burnout, and undermine the quality of clinical care. The most studied response to moral adversity is moral distress. The sources and sequelae of moral distress, one type of moral suffering, have been documented among clinicians across specialties. It is vital to shift the focus to solutions and to expanded individual and system strategies that mitigate the detrimental effects of moral suffering. Moral resilience, the capacity of an individual to restore or sustain integrity in response to moral adversity, offers a path forward. It encompasses capacities aimed at developing self-regulation and self-awareness, buoyancy, moral efficacy, self-stewardship and ultimately personal and relational integrity. Clinicians and healthcare organizations must work together to transform moral suffering by cultivating the individual capacities for moral resilience and designing a new architecture to support ethical practice. Used worldwide for scalable and sustainable change, the Conscious Full Spectrum approach, offers a method to solve problems to support integrity, shift patterns that undermine moral resilience and ethical practice, and source the inner potential of clinicians and leaders to produce meaningful and sustainable results that benefit all.
Author: Cynda Hylton Rushton Publisher: Oxford University Press ISBN: 0190619295 Category : Medical Languages : en Pages : 321
Book Description
Suffering is an unavoidable reality in health care. Not only are patients and families suffering but also the clinicians who care for them. Commonly the suffering experienced by clinicians is moral in nature, in part a reflection of the increasing complexity of health care, their roles within it, and the expanding range of available interventions. Moral suffering is the anguish that occurs when the burdens of treatment appear to outweigh the benefits; scarce human and material resources must be allocated; informed consent is incomplete or inadequate; or there are disagreements about goals of treatment among patients, families or clinicians. Each is a source of moral adversity that challenges clinicians' integrity: the inner harmony that arises when their essential values and commitments are aligned with their choices and actions. If moral suffering is unrelieved it can lead to disengagement, burnout, and undermine the quality of clinical care. The most studied response to moral adversity is moral distress. The sources and sequelae of moral distress, one type of moral suffering, have been documented among clinicians across specialties. It is vital to shift the focus to solutions and to expanded individual and system strategies that mitigate the detrimental effects of moral suffering. Moral resilience, the capacity of an individual to restore or sustain integrity in response to moral adversity, offers a path forward. It encompasses capacities aimed at developing self-regulation and self-awareness, buoyancy, moral efficacy, self-stewardship and ultimately personal and relational integrity. Clinicians and healthcare organizations must work together to transform moral suffering by cultivating the individual capacities for moral resilience and designing a new architecture to support ethical practice. Used worldwide for scalable and sustainable change, the Conscious Full Spectrum approach, offers a method to solve problems to support integrity, shift patterns that undermine moral resilience and ethical practice, and source the inner potential of clinicians and leaders to produce meaningful and sustainable results that benefit all.
Author: Connie M. Ulrich Publisher: Springer ISBN: 3319646265 Category : Medical Languages : en Pages : 173
Book Description
This is the first book on the market or within academia dedicated solely to moral distress among health professionals. It aims to bring conceptual clarity about moral distress and distinguish it from related concepts. Explicit attention is given to the voices and experiences of health care professionals from multiple disciplines and many parts of the world. Contributors explain the evolution of the concept of moral distress, sources of moral distress including those that arise at the unit/team and organization/system level, and possible solutions to address moral distress at every level. A liberal use of case studies will make the phenomenon palpable to readers. This volume provides information not only for academia and educational initiatives, but also for practitioners and the research community, and will serve as a professional resource for courses in health professional schools, bioethics, and business, as well as in the hospital wards, intensive care units, long-term care facilities, hospice, and ambulatory practice sites in which moral distress originates.
Author: American Nurses Association Publisher: Nursesbooks.org ISBN: 1558101764 Category : Business & Economics Languages : en Pages : 42
Book Description
Pamphlet is a succinct statement of the ethical obligations and duties of individuals who enter the nursing profession, the profession's nonnegotiable ethical standard, and an expression of nursing's own understanding of its commitment to society. Provides a framework for nurses to use in ethical analysis and decision-making.
Author: Jonathan Ives Publisher: Cambridge University Press ISBN: 1316849074 Category : Law Languages : en Pages : 416
Book Description
Bioethics has long been accepted as an interdisciplinary field. The recent 'empirical turn' in bioethics is, however, creating challenges that move beyond those of simple interdisciplinary collaboration, as researchers grapple with the methodological, empirical and meta-ethical challenges of combining the normative and the empirical, as well as navigating the difficulties that can arise from attempts to transcend traditional disciplinary boundaries. Empirical Bioethics: Theoretical and Practical Perspectives brings together contributions from leading experts in the field which speak to these challenges, providing insight into how they can be understood and suggestions for how they might be overcome. Combining discussions of meta-ethical challenges, examples of different methodologies for integrating empirical and normative research, and reflection on the challenges of conducting and publishing such work, this book will both introduce the novice to the field and challenge the expert.
Author: Catherine Robichaux, PhD, RN, CCRN, CNS Publisher: Springer Publishing Company ISBN: 0826126383 Category : Medical Languages : en Pages : 361
Book Description
This is a unique, innovative professional nursing ethics textbook designed specifically for all practicing nurses and to meet the educational needs of all nursing students, including RN to BSN and RN to MSN students. Written by experts in the field, it discusses ethical concepts relevant to the registered nurse who has practiced for several years but is learning higher level concepts and applications. This text addresses different areas of professional practice and is rich with case studies illustrating the need for ethical competence and decision making. The book fulfills the necessary criteria for the AACN Essentials for Baccalaureate Education and the QSEN and IOM competencies. It also integrates relevant provisions and statements from the revised Code for Nurses (ANA, 2015). Clear and concise, the text relates content to the nurse's current practice and introduces a framework for the development of ethical competence, from recognition of an ethical situation to implementation of a justifiable action. A decision-making model that includes elements of care and virtue ethics is also included. Essential communication and conflict skills are addressed, in addition to the role of the ethics committee and ethics consultation. The book discusses common ethical issues likely to be encountered, how to recognize and address moral distress, and ethical practice as it relates to research, quality, and safety. Case studies that incorporate evidence-informed research provide the opportunity to develop ethical skills and apply decisionmaking principles. Relevant QSEN competencies and provisions and statements from the ANA's revised Code for Nurses (2015) are featured in each chapter. Interactive exercises and questions and PowerPoints provide further opportunity for critical thinking. KEY FEATURES: Addresses the specific needs of practicing nurses and students in the RN to BSN and RN to MSN courses Fulfills AACN Essentials, IOM competencies, and QSEN KSAs Integrates relevant provisions and statements from the revised Code for Nurses (ANA, 2015) Builds upon previous practice experience Discusses ethical competence in a variety of practice environments Includes case studies to apply ethical competencies
Author: Marsha Diane Mary Fowler Publisher: ISBN: 9781558106031 Category : Nursing ethics Languages : en Pages : 0
Book Description
"An essential resource for nursing classrooms, in-service training, workshops and conferences, self-study, and wherever nursing professionals use ANA's Code of Ethics for Nurses with Interpretive Statements in Their Daily Practice" -- Page four of cover.
Author: Kristen Jones-Bonofiglio Publisher: Springer Nature ISBN: 3030561569 Category : Philosophy Languages : en Pages : 158
Book Description
This book provides a bridge between the theory to practice gap in contemporary health care ethics. It explores the messiness of everyday ethical issues and validates the potential impacts on health care professionals as wounded healers who regularly experience close proximity to suffering and pain. This book speaks to why ethics matters on a personal level and how moral distress experiences can be leveraged instead of hidden. The book offers contributions to both scholarship and the profession. Nurses, physicians, social workers, allied health care professionals, as well as academics and students will benefit from this book.
Author: Cynda Hylton Rushton
Author: Cynda Hylton Rushton
Author: Cynda H. Rushton
Author: Connie M. Ulrich
Author: American Nurses Association
Author: Jonathan Ives
Author: Vangie Bergum
Author: Catherine Robichaux, PhD, RN, CCRN, CNS
Author: Andrew Jameton
Author: Marsha Diane Mary Fowler
Author: Kristen Jones-Bonofiglio