Moral Distress: Tensions as Springboards for Action [Book Review]
David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Ezio Di Nucci
Jack Alan Reynolds
Learn more about PhilPapers
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|
|Categories||categorize this paper)|
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
|Through your library|
References found in this work BETA
Frederick B. Bird (1996). The Muted Conscience: Moral Silence and the Practice of Ethics in Business. Quorum Books.
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.
Elizabeth Gingell Epstein & Ann Baile Hamric (2009). Moral Distress, Moral Residue, and the Crescendo Effect. Journal of Clinical Ethics 20 (4):330.
Jason Read (2009). A Genealogy of Homo-Economicus: Neoliberalism and the Production of Subjectivity. Foucault Studies 6:25-36.
Jennifer Bell & Jonathan M. Breslin (2008). Healthcare Provider Moral Distress as a Leadership Challenge. Jona's Healthcare Law, Ethics, and Regulation 10 (4):94-97.
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.
Tessy A. Thomas & Laurence B. McCullough (2015). A Philosophical Taxonomy of Ethically Significant Moral Distress: Figure 1. 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.
Similar books and articles
Bernadette M. Pauly, Colleen Varcoe & Jan Storch (2012). Framing the Issues: Moral Distress in Health Care. [REVIEW] HEC Forum 24 (1):1-11.
Anita Nivens & Janet Buelow (2013). Moral Distress in Uninsured Health Care. Journal of Bioethical Inquiry 10 (1):123-125.
Kim Lützén & Beatrice Ewalds Kvist (2012). Moral Distress: A Comparative Analysis of Theoretical Understandings and Inter-Related Concepts. [REVIEW] HEC Forum 24 (1):13-25.
Wendy Austin, Marlene Rankel, Leon Kagan, Vangie Bergum & Gillian Lemermeyer (2005). To Stay or to Go, to Speak or Stay Silent, to Act or Not to Act: Moral Distress as Experienced by Psychologists. Ethics and Behavior 15 (3):197 – 212.
Paul Formosa (2011). Discipline and Autonomy: The Kantian Link Between Education and Morality. In Klas Roth & Chris Surprenant (eds.), Kant and Education: Interpretations and Commentary. Routledge
David J. Prottas (2013). Relationships Among Employee Perception of Their Manager's Behavioral Integrity, Moral Distress, and Employee Attitudes and Well-Being. Journal of Business Ethics 113 (1):51-60.
Wendy Austin (2012). Moral Distress and the Contemporary Plight of Health Professionals. HEC Forum 24 (1):27-38.
Eric A. Salzen (2002). The Feeling of Pain and the Emotion of Distress. Behavioral and Brain Sciences 25 (4):471-471.
David Dawson (2009). Conflicting Stories of Virtue in Uk Healthcare: Bringing Together Organisational Studies and Ethics. Business Ethics 18 (2):95-109.
Lisa Kuhmerker (1975). Learning to Care‐‐The Development of Empathy. Journal of Moral Education 5 (1):25-33.
A. Walsh (2010). Pulling the Heartstrings, Arguing the Case: A Narrative Response to the Issue of Moral Agency in Moral Distress. Journal of Medical Ethics 36 (12):746-749.
Ann B. Hamric (2012). Empirical Research on Moral Distress: Issues, Challenges, and Opportunities. [REVIEW] HEC Forum 24 (1):39-49.
Irfan Khawaja (2007). Bioethics and the New Embryology: Springboards for Debate, by Scott F. Gilbert, Anna L. Tyler, and Emily J. Zackin. Teaching Philosophy 30 (2):220-223.
Joshua Knobe (2010). Action Trees and Moral Judgment. Topics in Cognitive Science 2 (3):555-578.
Ariel Sarid (2012). Between Thick and Thin: Responding to the Crisis of Moral Education. Journal of Moral Education 41 (2):245-260.
Added to index2012-04-22
Total downloads10 ( #347,074 of 1,911,478 )
Recent downloads (6 months)5 ( #143,244 of 1,911,478 )
How can I increase my downloads?