28 found
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  1.  16
    Moral Agency, Moral Imagination, and Moral Community: Antidotes to Moral Distress.Cynthia Peden-McAlpine, Joan Liaschenko & Terri Traudt - 2016 - Journal of Clinical Ethics 27 (3):201-213.
    Moral distress has been covered extensively in the nursing literature and increasingly in the literature of other health professions. Cases that cause nurses’ moral distress that are mentioned most frequently are those concerned with prolonging the dying process. Given the standard of aggressive treatment that is typical in intensive care units (ICUs), much of the existing moral distress research focuses on the experiences of critical care nurses. However, moral distress does not automatically occur in all end-of-life circumstances, nor does every (...)
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  2.  41
    Fostering Nurses’ Moral Agency and Moral Identity: The Importance of Moral Community.Joan Liaschenko & Elizabeth Peter - 2016 - Hastings Center Report 46 (S1):18-21.
    It may be the case that the most challenging moral problem of the twenty‐first century will be the relationship between the individual moral agent and the practices and institutions in which the moral agent is embedded. In this paper, we continue the efforts that one of us, Joan Liaschenko, first called for in 1993, that of using feminist ethics as a lens for viewing the relationship between individual nurses as moral agents and the highly complex institutions in which they do (...)
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  3.  34
    Perils of proximity: a spatiotemporal analysis of moral distress and moral ambiguity.Elizabeth Peter & Joan Liaschenko - 2004 - Nursing Inquiry 11 (4):218-225.
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  4.  27
    Nurses’ narratives of moral identity: Making a difference and reciprocal holding.Elizabeth Peter, Anne Simmonds & Joan Liaschenko - 2018 - Nursing Ethics 25 (3):324-334.
    Background: Explicating nurses’ moral identities is important given the powerful influence moral identity has on the capacity to exercise moral agency. Research objectives: The purpose of this study was to explore how nurses narrate their moral identity through their understanding of their work. An additional purpose was to understand how these moral identities are held in the social space that nurses occupy. Research design: The Registered Nurse Journal, a bimonthly publication of the Registered Nurses’ Association of Ontario, Canada, features a (...)
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  5.  33
    Problems with the electronic health record.Hans-Peter de Ruiter, Joan Liaschenko & Jan Angus - 2016 - Nursing Philosophy 17 (1):49-58.
    One of the most significant changes in modern healthcare delivery has been the evolution of the paper record to the electronic health record (EHR). In this paper we argue that the primary change has been a shift in the focus of documentation from monitoring individual patient progress to recording data pertinent to Institutional Priorities (IPs). The specific IPs to which we refer include: finance/reimbursement; risk management/legal considerations; quality improvement/safety initiatives; meeting regulatory and accreditation standards; and patient care delivery/evidence based practice. (...)
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  6.  31
    Artificial Personhood: Nursing Ethics in a Medical World.Joan Liaschenko - 1995 - Nursing Ethics 2 (3):185-196.
    Artificial persons are those who speak and act for others. Nurses speak and act for patients as well as for physicians and institutions, or, more aptly, institutionalized medicine. Yet, acting for institutionalized medicine can be harmful to nurses, due to the psychological experience of moral distress and the loss of integrity of their practice. This paper illustrates the harm to nurses as expressed in narratives of their practice, and suggests some initial steps we might take in resisting the artificial personhood (...)
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  7.  42
    Whose morality is it anyway? Thoughts on the work of Margaret Urban Walker.Elizabeth Peter & Joan Liaschenko - 2003 - Nursing Philosophy 4 (3):259-262.
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  8. (1 other version)How Clinical Trials Really Work Rethinking Research Ethics.Debra A. DeBruin, Joan Liaschenko & Anastasia Fisher - 2011 - Kennedy Institute of Ethics Journal 21 (2):121-139.
    Clinical trials are a central mechanism in the production of medical knowledge. They are the gold standard by which such knowledge is evaluated. They are widespread both in the United States and internationally; a National Institute of Health database reports over 106,000 active industry and government-sponsored trials (National Institutes of Health n.d.). They are an engine of the economy. The work of trials is complex; multiple people with diverse interests working across multiple settings simultaneously participate in them, and they are (...)
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  9.  69
    Moral Distress Reexamined: A Feminist Interpretation of Nurses' Identities, Relationships, and Responsibilites. [REVIEW]Elizabeth Peter & Joan Liaschenko - 2013 - Journal of Bioethical Inquiry 10 (3):337-345.
    Moral distress has been written about extensively in nursing and other fields. Often, however, it has not been used with much theoretical depth. This paper focuses on theorizing moral distress using feminist ethics, particularly the work of Margaret Urban Walker and Hilde Lindemann. Incorporating empirical findings, we argue that moral distress is the response to constraints experienced by nurses to their moral identities, responsibilities, and relationships. We recommend that health professionals get assistance in accounting for and communicating their values and (...)
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  10.  7
    “Buying-In” and “Cashing-Out”: Patients’ Experience and the Refusal of Life-Prolonging Treatment.Joan Liaschenko & Nathan Scheiner - 2018 - Journal of Clinical Ethics 29 (1):15-19.
    Surgical “buy-in” is an “informal contract between surgeon and patient in which the patient not only consents to the operative procedure but commits to the post-operative surgical care anticipated by the surgeon.”1 Surgeons routinely assume that patients wish to undergo treatment for operative complications so that the overall treatment course is “successful,” as in the treatment of a post-operative infection. This article examines occasions when patients buy-in to a treatment course that carries risk of complication, yet refuse treatment when complications (...)
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  11.  32
    On the Quest for a theory of nursing.Steven Edwards & Joan Liaschenko - 2003 - Nursing Philosophy 4 (1):1–3.
  12. Implementing policy to the wider community.Mary Faith Marshall & Joan Liaschenko - 2012 - In D. Micah Hester & Toby Schonfeld (eds.), Guidance for healthcare ethics committees. Cambridge, UK: Cambridge University Press.
     
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  13.  14
    Physicians’ Perspectives on Adolescent and Young Adult Advance Care Planning: The Fallacy of Informed Decision Making.Joan Liaschenko, Cynthia Peden-McAlpine & Jennifer S. Needle - 2019 - Journal of Clinical Ethics 30 (2):131-142.
    Advance care planning (ACP) is a process that seeks to elicit patients’ goals, values, and preferences for future medical care. While most commonly employed in adult patients, pediatric ACP is becoming a standard of practice for adolescent and young adult patients with potentially life-limiting illnesses. The majority of research has focused on patients and their families; little attention has been paid to the perspectives of healthcare providers (HCPs) regarding their perspectives on the process and its potential benefits and limitations. Focus (...)
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  14.  30
    To the Editor.Debra DeBruin, Joan Liaschenko & Mary Faith Marshall - 2010 - Hastings Center Report 40 (4):5-6.
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  15.  20
    Editorial.Steven Edwards & Joan Liaschenko - 2000 - Nursing Philosophy 1 (2):87–88.
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  16.  23
    Editorial.Steven Edwards & Joan Liaschenko - 2001 - Nursing Philosophy 2 (2):99–100.
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  17.  30
    Editorial.Steven Edwards & Joan Liaschenko - 2002 - Nursing Philosophy 3 (1):1–3.
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  18.  27
    Editorial.Steven Edwards & Joan Liaschenko - 2005 - Nursing Philosophy 6 (1):1–1.
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  19.  18
    Launch of the International Philosophy of Nursing Society (IPONS).Steven Edwards & Joan Liaschenko - 2004 - Nursing Philosophy 5 (1):91-92.
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  20.  29
    Moral theory.Steven Edwards & Joan Liaschenko - 2004 - Nursing Philosophy 5 (3):187–187.
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  21.  39
    Death: Can monty python do what philosophers can not?Joan Liaschenko - 2005 - Nursing Philosophy 6 (3):159–160.
  22.  19
    Farewell . .Joan Liaschenko - 2006 - Nursing Philosophy 7 (1):1–2.
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  23.  13
    Holding Ashley (X): Bestowing Identity Through Caregiving in Profound Intellectual Disability.Joan Liaschenko & Lisa Freitag - 2017 - Journal of Clinical Ethics 28 (3):189-196.
    The controversy over the so-called Ashley Treatment (AT), a series of medical procedures that inhibited both growth and sexual development in the body of a profoundly intellectually impaired girl, usually centers either on Ashley’s rights, including a right to an intact, unaltered body, or on Ashley’s parents’ rights to make decisions for her. The claim made by her parents, that the procedure would improve their ability to care for her, is often dismissed as inappropriate or, at best, irrelevant. We argue, (...)
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  24.  37
    The voice of home care workers in clinical ethics.Joan Liaschenko & Elizabeth Peter - 2002 - HEC Forum 14 (3):217-223.
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  25.  27
    The Two-Patient Framework for Research During Pregnancy: A Critique and a Better Way Forward.Mary Faith Marshall, Debra DeBruin & Joan Liaschenko - 2011 - American Journal of Bioethics 11 (5):66-68.
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  26.  9
    Book Review: Ethics and evidence-based medicine: fallibility and responsibility in clinical science. [REVIEW]Joan Liaschenko - 2003 - Nursing Ethics 10 (5):569-569.
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  27.  12
    Book Review: Life and death: grappling with the moral dilemmas of our time. [REVIEW]Joan Liaschenko - 1997 - Nursing Ethics 4 (5):426-427.
  28.  19
    Book Review: Rethinking life and death: the collapse of our traditional ethics. [REVIEW]Joan Liaschenko - 1997 - Nursing Ethics 4 (3):258-259.