Moral Distress: Tensions as Springboards for Action [Book Review]
David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
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HEC Forum 24 (1):51-62 (2012)
In the previous four papers in this series, individual versus structural or contextual factors have informed various understandings of moral distress. In this final paper, we summarize some of the key tensions raised in previous papers and use these tensions as springboards to identify directions for action among practitioners, educators, researchers, policymakers and others. In particular, we recognize the need to more explicitly politicize the concept of moral distress in order to understand how such distress arises from competing values within power dynamics across multiple interrelated contexts from interpersonal to international. We propose that the same socio-political values that tend to individualize and blame people for poor health without regard for social conditions in which health inequities proliferate, hold responsible, individualize and even blame health care providers for the problem of moral distress. Grounded in a critical theoretical perspective of context, definitions of moral distress are re-examined and refined. Finally, recommendations for action that emerge from a re-conceptualized understanding of moral distress are provided
|Keywords||Moral distress Power Critical theory Neoliberalism|
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References found in this work BETA
C. Varcoe, B. Pauly, J. Storch, L. Newton & K. Makaroff (2012). Nurses' Perceptions of and Responses to Morally Distressing Situations. Nursing Ethics 19 (4):488-500.
Frederick B. Bird (1996). The Muted Conscience: Moral Silence and the Practice of Ethics in Business. Quorum Books.
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Citations of this work BETA
Elizabeth Peter & Joan Liaschenko (2013). Moral Distress Reexamined: A Feminist Interpretation of Nurses' Identities, Relationships, and Responsibilites. [REVIEW] Journal of Bioethical Inquiry 10 (3):337-345.
Elizabeth Peter (2013). Advancing the Concept of Moral Distress. Journal of Bioethical Inquiry 10 (3):293-295.
T. A. Thomas & L. B. McCullough (2015). A Philosophical Taxonomy of Ethically Significant Moral Distress. Journal of Medicine and Philosophy 40 (1):102-120.
Patricia A. Rodney (2013). Seeing Ourselves as Moral Agents in Relation to Our Organizational and Sociopolitical Contexts. Journal of Bioethical Inquiry 10 (3):313-315.
Carol Pavlish, Katherine Brown-Saltzman, Alyssa Fine & Patricia Jakel (2013). Making the Call: A Proactive Ethics Framework. [REVIEW] HEC Forum 25 (3):269-283.
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