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Bernadette Pauly [3]Bernadette M. Pauly [1]
  1. Bernadette M. Pauly, Colleen Varcoe & Jan Storch (2012). Framing the Issues: Moral Distress in Health Care. [REVIEW] HEC Forum 24 (1):1-11.
    Moral 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 (...)
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  2. Colleen Varcoe, Bernadette Pauly, George Webster & Janet Storch (2012). Moral Distress: Tensions as Springboards for Action. [REVIEW] HEC Forum 24 (1):51-62.
    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 (...)
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  3. Bernadette Pauly, Colleen Varcoe, Janet Storch & Lorelei Newton (2009). Registered Nurses' Perceptions of Moral Distress and Ethical Climate. Nursing Ethics 16 (5):561-573.
    Moral distress is a phenomenon of increasing concern in nursing practice, education and research. Previous research has suggested that moral distress is associated with perceptions of ethical climate, which has implications for nursing practice and patient outcomes. In this study, a randomly selected sample of registered nurses was surveyed using Corley’s Moral Distress Scale and Olson’s Hospital Ethical Climate Survey (HECS). The registered nurses reported moderate levels of moral distress intensity. Moral distress intensity and frequency were found to be inversely (...)
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  4. Gweneth Doane, Bernadette Pauly, Helen Brown & Gladys McPherson (2004). Exploring The Heart Ofethical Nursing Practice: Implications for Ethics Education. Nursing Ethics 11 (3):240-253.
    The limitations of rational models of ethical decision making and the importance of nurses’ human involvement as moral agents is increasingly being emphasized in the nursing literature. However, little is known about how nurses involve themselves in ethical decision making and action or about educational processes that support such practice. A recent study that examined the meaning and enactment of ethical nursing practice for three groups of nurses (nurses in direct care positions, student nurses, and nurses in advanced practice positions) (...)
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