19 found
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  1.  51
    A Code of Ethics for Health Care Ethics Consultants: Journey to the Present and Implications for the Field.Anita J. Tarzian, Lucia D. Wocial & the Asbh Clinical Ethics Consultation Affairs Committee - 2015 - American Journal of Bioethics 15 (5):38-51.
    For decades a debate has played out in the literature about who bioethicists are, what they do, whether they can be considered professionals qua bioethicists, and, if so, what professional responsibilities they are called to uphold. Health care ethics consultants are bioethicists who work in health care settings. They have been seeking guidance documents that speak to their special relationships/duties toward those they serve. By approving a Code of Ethics and Professional Responsibilities for Health Care Ethics Consultants, the American Society (...)
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  2.  13
    Development and Retrospective Review of a Pediatric Ethics Consultation Service at a Large Academic Center.Brian D. Leland, Lucia D. Wocial, Kurt Drury, Courtney M. Rowan, Paul R. Helft & Alexia M. Torke - 2020 - HEC Forum 32 (3):269-281.
    The primary objective was to review pediatric ethics consultations at a large academic health center over a nine year period, assessing demographics, ethical issues, and consultant intervention. The secondary objective was to describe the evolution of PECs at our institution. This was a retrospective review of Consultation Summary Sheets compiled for PECs at our Academic Health Center between January 2008 and April 2017. There were 165 PECs reviewed during the study period. Most consult requests came from the inpatient setting, with (...)
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  3.  21
    Facilitated Ethics Conversations.Paul R. Helft, Patricia D. Bledsoe, Maureen Hancock & Lucia D. Wocial - 2009 - Jona's Healthcare Law, Ethics, and Regulation 11 (1):27-33.
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  4.  36
    Institutional Ethics Resources: Creating Moral Spaces.Ann B. Hamric & Lucia D. Wocial - 2016 - Hastings Center Report 46 (S1):22-27.
    Since 1992, institutions accredited by The Joint Commission have been required to have a process in place that allows staff members, patients, and families to address ethical issues or issues prone to conflict. While the commission's expectations clearly have made ethics committees more common, simply having a committee in no way demonstrates its effectiveness in terms of the availability of the service to key constituents, the quality of the processes used, or the outcomes achieved. Beyond meeting baseline accreditation standards, effective (...)
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  5.  18
    Mitigating ethical conflict and moral distress in the care of patients on ECMO: impact of an automatic ethics consultation protocol.M. Jeanne Wirpsa, Louanne M. Carabini, Kathy Johnson Neely, Camille Kroll & Lucia D. Wocial - 2021 - Journal of Medical Ethics 47 (12):e63-e63.
    AimsThis study evaluates a protocol for early, routine ethics consultation for patients on extracorporeal membrane oxygenation to support decision-making in the context of clinical uncertainty with the aim of mitigating ethical conflict and moral distress.MethodsWe conducted a single-site qualitative analysis of EC documentation for all patients receiving ECMO support from 15 August 2018 to 15 May 2019. Detailed analysis of 20 ethically complex cases with protracted ethics involvement identifies four key ethical domains: limits of prognostication, bridge to nowhere, burden of (...)
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  6.  17
    An Evaluation of Unit-Based Ethics Conversations.Lucia D. Wocial, Maureen Hancock, Patricia D. Bledsoe, Amy R. Chamness & Paul R. Helft - 2010 - Jona's Healthcare Law, Ethics, and Regulation 12 (2):48-54.
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  7.  11
    Evaluation of Interventions to Address Moral Distress: A Multi-method Approach.Lucia D. Wocial, Genina Miller, Kianna Montz, Michelle LaPradd & James E. Slaven - forthcoming - HEC Forum:1-29.
    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 (...)
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  8.  8
    Operationalizing the role of the nurse ethicist: More than a job.Georgina Morley, Ellen M. Robinson & Lucia D. Wocial - 2023 - Nursing Ethics 30 (5):688-700.
    The idea of a role in nursing that includes expertise in ethics has been around for more than 30 years. Whether or not one subscribes to the idea that nursing ethics is separate and distinct from bioethics, nursing practice has much to contribute to the ethical practice of healthcare, and with the strong grounding in ethics and aspiration for social justice considerations in nursing, there is no wonder that the specific role of the nurse ethicist has emerged. Nurse ethicists, expert (...)
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  9.  62
    Values, quality, and evaluation in ethics consultation.Lucia D. Wocial, Elizabeth Molnar & Mary A. Ott - 2016 - AJOB Empirical Bioethics 7 (4):227-234.
  10.  9
    Correction to: Evaluation of Interventions to Address Moral Distress: A Multi-method Approach.Lucia D. Wocial, Genina Miller, Kianna Montz, Michelle LaPradd & James E. Slaven - forthcoming - HEC Forum:1-2.
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  11.  16
    A Misunderstanding of Moral Distress.Lucia D. Wocial - 2016 - American Journal of Bioethics 16 (12):21-23.
    Campbell, Ulrich, and Grady (2016) should be commended for attempting to contribute to the discussion of what many believe is currently a messy concept. They propose that a broader definition of mo...
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  12.  75
    Professional responsibility, nurses, and conscientious objection: A framework for ethical evaluation.Pamela J. Grace, Elizabeth Peter, Vicki D. Lachman, Norah L. Johnson, Deborah J. Kenny & Lucia D. Wocial - forthcoming - Nursing Ethics.
    Conscientious objections (CO) can be disruptive in a variety of ways and may disadvantage patients and colleagues who must step-in to assume care. Nevertheless, nurses have a right and responsibility to object to participation in interventions that would seriously harm their sense of integrity. This is an ethical problem of balancing risks and responsibilities related to patient care. Here we explore the problem and propose a nonlinear framework for exploring the authenticity of a claim of CO from the perspective of (...)
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  13.  21
    An urgent call for ethics education.Lucia D. Wocial - 2008 - American Journal of Bioethics 8 (4):21 – 23.
    The target article by Grady and colleagues (2008) is a valuable and exciting contribution to the debate about the importance of ethics education for nurses. The findings indicated that ethics educa...
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  14. Nurturing the moral imagination: a reflection on bioethics education for nurses.Lucia D. Wocial - 2010 - Diametros 25:92-102.
    A recent Carnegie Report on Nursing Education – Educating Nurses: A Call for Radical Transformation challenges the nursing profession to embrace an education model that integrates knowledge, skilled know how and ethical comportment. Placing ethics in such a prominent position in nursing education is a radical transformation. Teaching ethics must be intentional and it is integral to the development of individual nurses and the profession as a whole. The development of moral imagination has a prominent place in this new education (...)
     
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  15.  15
    Moral Hazard Analysis: Illuminating the Moral Contribution of Important Stakeholders.Lucia D. Wocial - 2016 - American Journal of Bioethics 16 (7):48-50.
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  16.  14
    Evolving Measures of Moral Distress: Imperfect Does Not Mean Irrelevant.Lucia D. Wocial - 2023 - American Journal of Bioethics 23 (4):68-71.
    The article “Moral distress: What are we measuring?” by Kolbe and de Melo-Martin (2023) is an important contribution both to the literature and research agenda for the complicated construct of mora...
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  17. Ethics conversations may help lower nurses' moral distress.Paul R. Helft, Patricia D. Bledsoe, Maureen Hancock, M. S. N. Rn, Steve S. Ivy & Lucia D. Wocial - unknown
     
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  18.  6
    Nurses Matter.Lucia D. Wocial - 1997 - Hastings Center Report 27 (4):4.
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  19.  12
    You Can’t Always Get What You Want… We Will Help You Get What You Need.Lucia D. Wocial - 2020 - American Journal of Bioethics 20 (1):65-67.
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