"Golf day 2005 @ federal golf club, red hill." Ethos: Official Publication of the Law Society of the Australian Capital Territory, (196), pp. 7.

Moral distress is a well-documented phenomenon for health care providers (HCPs). Exploring HCPs’ perceptions of participation in moral distress interventions using qualitative and quantitative methods enhances understanding of intervention effectiveness. The purpose of this study was to measure and describe the impact of a two-phased intervention on participants’ moral distress. Using a cross-over design, the project aimed to determine if the intervention would decrease moral distress, enhance moral agency, and improve perceptions about the work environment. We used quantitative instruments and (...) explored participants’ perceptions of the intervention using semi-structured interviews. Participants were from inpatient settings, within three major hospitals of a large, urban healthcare system in the Midwest, United States. Participants included nurses (80.6%) and other clinical care providers. Using generalized linear mixed modeling we assessed the change in each of the outcome variables over time controlling for groups. Interviews were audiotaped and professionally transcribed. The written narratives were coded into themes. The change in scores on study instruments trended in the desired direction however did not meet statistical significance. Qualitative interviews revealed that intervention effectiveness was derived from a combination of learning benefits, psychological benefits, and building community that promoted moral agency. Findings demonstrate a clear link between moral distress and moral agency and suggest that Facilitated Ethics Conversations can enhance the work environment. Findings provide insight for developing evidenced-based approaches to address moral distress of hospital nurses. (shrink)

I am the full-time father of two very curious boys aged 7 and 8 for whom I do the daily school run commute and drop off, before I do my other job of teaching high school philosophy. It is a constant challenge to keep my car companions occupied every day, so I’m indebted to the ‘ABC Short and Curly’ podcast. My boys are big fans of the show, and our daily car journeys have been enlivened with often heated discussions about (...) who we would save in a fire, or should we rob the rich to help the poor? Such questions have transformed my humble family car into a mobile ‘Philosophy in Schools’ classroom for our morning commute. The podcast provides the stimulus, while I facilitate the discussion as I navigate rush-hour traffic—it is a great way to prepare me for my school day. As a result, I was excited to receive a copy of the accompanying series book 'The Short and Curly guide to life. 'The book is written by the Short and Curly’s resident Philosopher and Ethicist Dr Matt Beard and Kyla Slaven. The book approaches ethical issues in the style of a collection of ‘field research reports’ that are completed by characters from the ‘Brains Trust’ who take on the role of research agents. Twelve ethical issues are investigated at length, with a chapter being allocated to each—examples being lying, happiness, fairness, promises, friendship, bravery and integrity. (shrink)

The pre-eminent 19th century British ethicist, Henry Sidgwick once said: "All important ethical notions are also psychological, except perhaps the fundamental antitheses of 'good' and 'bad' and 'wrong', with which psychology, as it treats of what is and not of what ought to be, is not directly concerned" (quoted in T.N. Tice and T.P. Slavens, 1983). Sidgwick's statement can be interpreted to mean that psychology is relevant for ethics or that psychological knowledge contributes to the construction of an ethical reality. (...) This interpretation serves as the basic impetus to this book, but Sidgwick's statement is also analyzed in detail to demonstrate why a current exposition on the relevance of psychology for ethical reality is necessary and germane. (shrink)