HEC Forum 24 (1):27-38 (2012)
Once a term used primarily by moral philosophers, “moral distress” is increasingly used by health professionals to name experiences of frustration and failure in fulfilling moral obligations inherent to their fiduciary relationship with the public. Although such challenges have always been present, as has discord regarding the right thing to do in particular situations, there is a radical change in the degree and intensity of moral distress being expressed. Has the plight of professionals in healthcare practice changed? “Plight” encompasses not only the act of pledging, but that of predicament and peril. The author claims that health professionals are increasingly put in peril by healthcare reform that undermines their efficacy and jeopardizes ethical engagement with those in their care. The re-engineering of healthcare to give precedence to corporate and commercial values and strategies of commodification, service rationing, streamlining, and measuring of “efficiency,” is literally demoralizing health professionals. Healthcare practice needs to be grounded in a capacity for compassion and empathy, as is evident in standards of practice and codes of ethics, and in the understanding of what it means to be a professional. Such grounding allows for humane response to the availability of unprecedented advances in biotechnological treatments, for genuine dialogue and the raising of difficult, necessary ethical questions, and for the mutual support of health professionals themselves. If healthcare environments are not understood as moral communities but rather as simulated marketplaces, then health professionals’ moral agency is diminished and their vulnerability to moral distress is exacerbated. Research in moral distress and relational ethics is used to support this claim
|Keywords||Health ethics Healthcare reform Moral distress Relational ethics|
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References found in this work BETA
Sources of the Self: The Making of the Modern Identity.Charles Taylor - 1989 - Harvard University Press.
The Wounded Storyteller: Body, Illness, and Ethics.Arthur W. Frank - 1995 - University of Chicago Press.
Registered Nurses' Perceptions of Moral Distress and Ethical Climate.Bernadette Pauly, Colleen Varcoe, Janet Storch & Lorelei Newton - 2009 - Nursing Ethics 16 (5):561-573.
Nurse Moral Distress and Ethical Work Environment.Mary C. Corley, Ptlene Minick, R. K. Elswick & Mary Jacobs - 2005 - Nursing Ethics 12 (4):381-390.
Ethics and Finitude: Heideggerian Contributions to Moral Philosophy.Lawrence J. Hatab (ed.) - 2000 - Rowman & Littlefield Publishers.
Citations of this work BETA
Physicians’ Perspectives on Ethically Challenging Situations: Early Identification and Action.Carol Pavlish, Katherine Brown-Saltzman, Kevin M. Dirksen & Alyssa Fine - 2015 - Ajob Empirical Bioethics 6 (3):28-40.
Making the Call: A Proactive Ethics Framework. [REVIEW]Carol Pavlish, Katherine Brown-Saltzman, Alyssa Fine & Patricia Jakel - 2013 - HEC Forum 25 (3):269-283.
Organizational Influences on Health Professionals’ Experiences of Moral Distress in PICUs.Sarah Wall, Wendy J. Austin & Daniel Garros - 2016 - HEC Forum 28 (1):53-67.
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