Switch to: Citations

Add references

You must login to add references.
  1. Enhancing Understanding of Moral Distress: The Measure of Moral Distress for Health Care Professionals.Elizabeth G. Epstein, Phyllis B. Whitehead, Chuleeporn Prompahakul, Leroy R. Thacker & Ann B. Hamric - 2019 - AJOB Empirical Bioethics 10 (2):113-124.
    Download  
     
    Export citation  
     
    Bookmark   58 citations  
  • The economics of clinical ethics programs: a quantitative justification.Matthew D. Bacchetta & Joseph J. Fins - 1997 - Cambridge Quarterly of Healthcare Ethics 6 (4):451-.
    The restructuring of the healthcare marketplace has exerted pressure directly and indirectly on clinical ethics programs. The fiscal orientation and emphasis on efficiency, outcome measures, and cost control have made it increasingly difficult to communicate arguments in support of the existence or growth of ethics programs. In the current marketplace, arguments that rely on the claim that ethics programs protect patient rights or assist in the professional formation of practitioners often result in minimal levels of funding and preclude program growth. (...)
    Download  
     
    Export citation  
     
    Bookmark   6 citations  
  • Early Integration of Pediatric Participation in Health Care as Preventive Ethics.Austin Lawrence Dalgo - 2018 - American Journal of Bioethics 18 (3):22-24.
    Olszewski and Goldkind (2018) correctly point out that including children in medical decision making ought to be the default position for clinicians. Recognizing the challenges this position poses,...
    Download  
     
    Export citation  
     
    Bookmark   2 citations  
  • Clinical ethical conflicts of nurses and physicians.Alice Gaudine, Sandra M. LeFort, Marianne Lamb & Linda Thorne - 2011 - Nursing Ethics 18 (1):9-19.
    Much of the literature on clinical ethical conflict has been specific to a specialty area or a particular patient group, as well as to a single profession. This study identifies themes of hospital nurses’ and physicians’ clinical ethical conflicts that cut across the spectrum of clinical specialty areas, and compares the themes identified by nurses with those identified by physicians. We interviewed 34 clinical nurses, 10 nurse managers and 31 physicians working at four different Canadian hospitals as part of a (...)
    Download  
     
    Export citation  
     
    Bookmark   19 citations  
  • Nurses' Responses to Initial Moral Distress in Long-Term Care.Marie P. Edwards, Susan E. McClement & Laurie R. Read - 2013 - Journal of Bioethical Inquiry 10 (3):325-336.
    While researchers have examined the types of ethical issues that arise in long-term care, few studies have explored long-term care nurses’ experiences of moral distress and fewer still have examined responses to initial moral distress. Using an interpretive description approach, 15 nurses working in long-term care settings within one city in Canada were interviewed about their responses to experiences of initial moral distress, resources or supports they identified as helpful or potentially helpful in dealing with these situations, and factors that (...)
    Download  
     
    Export citation  
     
    Bookmark   10 citations  
  • Ethical difficulties in clinical practice: experiences of European doctors.S. A. Hurst, A. Perrier, R. Pegoraro, S. Reiter-Theil, R. Forde, A.-M. Slowther, E. Garrett-Mayer & M. Danis - 2007 - Journal of Medical Ethics 33 (1):51-57.
    Background: Ethics support services are growing in Europe to help doctors in dealing with ethical difficulties. Currently, insufficient attention has been focused on the experiences of doctors who have faced ethical difficulties in these countries to provide an evidence base for the development of these services.Methods: A survey instrument was adapted to explore the types of ethical dilemma faced by European doctors, how they ranked the difficulty of these dilemmas, their satisfaction with the resolution of a recent ethically difficult case (...)
    Download  
     
    Export citation  
     
    Bookmark   70 citations  
  • When Religion and Medicine Clash: Non-beneficial Treatments and Hope for a Miracle.Philip M. Rosoff - 2019 - HEC Forum 31 (2):119-139.
    Patient and family demands for the initiation or continuation of life-sustaining medically non-beneficial treatments continues to be a major issue. This is especially relevant in intensive care units, but is also a challenge in other settings, most notably with cardiopulmonary resuscitation. Differences of opinion between physicians and patients/families about what are appropriate interventions in specific clinical situations are often fraught with highly strained emotions, and perhaps none more so when the family bases their desires on religious belief. In this essay, (...)
    Download  
     
    Export citation  
     
    Bookmark   3 citations  
  • Consequences of clinical situations that cause critical care nurses to experience moral distress.Debra L. Wiegand & Marjorie Funk - 2012 - Nursing Ethics 19 (4):479-487.
    Little is known about the consequences of moral distress. The purpose of this study was to identify clinical situations that caused nurses to experience moral distress, to understand the consequences of those situations, and to determine whether nurses would change their practice based on their experiences. The investigation used a descriptive approach. Open-ended surveys were distributed to a convenience sample of 204 critical care nurses employed at a university medical center. The analysis of participants’ responses used an inductive approach and (...)
    Download  
     
    Export citation  
     
    Bookmark   50 citations  
  • (1 other version)Ethical challenges in child and adolescent forensic psychiatry. Observational study and screening instrument.Jan Schürmann, Mara Mühleck, Christian Perler, Klaus Schmeck & Stella Reiter-Theil - 2021 - Ethik in der Medizin 33 (1):31-49.
    Background and aim Child and adolescent forensic psychiatry is fraught with complex medical, legal, and social tensions. The ethical challenges this entails for inhospital treatment have hardly been investigated, and specific support for health care professionals is lacking. This study identifies ethical issues and problems in this area and develops a tool for early detection and intervention of ethical problems in clinical practice. Methods A systematic literature search and an observational study in adolescent forensics at the University Psychiatric Clinics Basel (...)
    Download  
     
    Export citation  
     
    Bookmark   1 citation  
  • (1 other version)Ethics consultation in paediatric and adult emergency departments: an assessment of clinical, ethical, learning and resource needs.K. A. Colaco, A. Courtright, S. Andreychuk, A. Frolic, J. Cheng & A. J. Kam - 2017 - Journal of Medical Ethics Recent Issues 44 (1):13-20.
    Objective We sought to understand ethics and education needs of emergency nurses and physicians in paediatric and adult emergency departments in order to build ethics capacity and provide a foundation for the development of an ethics education programme. Methods This was a prospective cross-sectional survey of all staff nurses and physicians in three tertiary care EDs. The survey tool, called Clinical Ethics Needs Assessment Survey, was pilot tested on a similar target audience for question content and clarity. Results Of the (...)
    Download  
     
    Export citation  
     
    Bookmark   6 citations  
  • Initiating and maintaining clinical ethics support in psychiatry. Ten tasks and challenges – And how to meet them.Stella Reiter-Theil - 2016 - Clinical Ethics 11 (2-3):45-53.
    Initiating clinical ethics support in psychiatry and maintaining its continuity appear to be easy. This is contradicted by the observed delay or lack of CESiP, e.g. ethics consultation. On the basis of a published literature search and the discussion of practical experiences over 2.5 years 10 tasks and relating challenges of initiating and maintaining CESiP are formulated and illustrated by examples. Referral to experiences is grounded on the systematic documentation of ca. 100 CESiP activities. The tasks and challenges illustrate how (...)
    Download  
     
    Export citation  
     
    Bookmark   15 citations  
  • Preventive Ethics: Expanding the Horizons of Clinical Ethics.Lachlan Forrow, Robert M. Arnold & Lisa S. Parker - 1993 - Journal of Clinical Ethics 4 (4):287-294.
    Download  
     
    Export citation  
     
    Bookmark   18 citations  
  • Proactive Bioethics Screening: A Prelude to Bioethics Consultation.Leon Morgenstern - 2005 - Journal of Clinical Ethics 16 (2):151-155.
    Download  
     
    Export citation  
     
    Bookmark   2 citations  
  • How to introduce medical ethics at the bedside - Factors influencing the implementation of an ethical decision-making model.Barbara Meyer-Zehnder, Heidi Albisser Schleger, Sabine Tanner, Valentin Schnurrer, Deborah R. Vogt, Stella Reiter-Theil & Hans Pargger - 2017 - BMC Medical Ethics 18 (1):16.
    As the implementation of new approaches and procedures of medical ethics is as complex and resource-consuming as in other fields, strategies and activities must be carefully planned to use the available means and funds responsibly. Which facilitators and barriers influence the implementation of a medical ethics decision-making model in daily routine? Up to now, there has been little examination of these factors in this field. A medical ethics decision-making model called METAP was introduced on three intensive care units and two (...)
    Download  
     
    Export citation  
     
    Bookmark   6 citations  
  • Ethics Consultation in the Emergency Department.Lisa Anderson-Shaw, William Ahrens & Marny Fetzer - 2007 - Jona's Healthcare Law, Ethics, and Regulation 9 (1):32-35.
    Download  
     
    Export citation  
     
    Bookmark   11 citations  
  • Proactive Ethics Consultation in the ICU: A Comparison of Value Perceived by Healthcare Professionals and Recipients.Felicia Cohn, Paula Goodman-Crews, William Rudman, Lawrence J. Schneiderman & Ellen Waldman - 2007 - Journal of Clinical Ethics 18 (2):140-147.
    Download  
     
    Export citation  
     
    Bookmark   7 citations  
  • Registered Nurses' Perceptions of Moral Distress and Ethical Climate.Bernadette Pauly, Colleen Varcoe, Janet Storch & Lorelei Newton - 2009 - 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 (...)
    Download  
     
    Export citation  
     
    Bookmark   97 citations  
  • Nurses' perceptions of and responses to morally distressing situations.Colleen Varcoe, Bernie Pauly, Jan Storch, Lorelei Newton & Kara Makaroff - 2012 - Nursing Ethics 19 (4):488-500.
    Research on moral distress has paid limited attention to nurses’ responses and actions. In a survey of nurses’ perceptions of moral distress and ethical climate, 292 nurses answered three open-ended questions about situations that they considered morally distressing. Participants identified a range of situations as morally distressing, including witnessing unnecessary suffering, being forced to provide care that compromised values, and negative judgments about patients. They linked these situations to contextual constraints such as workload and described responses, including feeling incompetent and (...)
    Download  
     
    Export citation  
     
    Bookmark   48 citations  
  • Ethics rounds: affecting ethics quality at all organisational levels.Dagmar Schmitz, Dominik Groß, Charlotte Frierson, Gerrit A. Schubert, Henna Schulze-Steinen & Alexander Kersten - 2018 - Journal of Medical Ethics 44 (12):805-809.
    Clinical ethics support services are experiencing a phase of flourishing and of growing recognition. At the same time, however, the expectations regarding the acceptance and the integration of traditional CES services into clinical processes are not met. Ethics rounds as an additional instrument or as an alternative to traditional clinical ethics support strategies might have the potential to address both deficits. By implementing ethics rounds, we were able to better address the needs of the clinical sections and to develop a (...)
    Download  
     
    Export citation  
     
    Bookmark   6 citations  
  • What actions promote a positive ethical climate? A critical incident study of nurses' perceptions.Marit Silén, Sofia Kjellström, Lennart Christensson, Birgitta Sidenvall & Mia Svantesson - 2012 - Nursing Ethics 19 (4):501-512.
    Few qualitative studies explore the phenomenon of positive ethical climate and what actions are perceived as promoting it. Therefore, the aim of this study was to explore and describe actions that acute care ward nurses perceive as promoting a positive ethical climate. The critical incident technique was used. Interviews were conducted with 20 nurses at wards where the ethical climate was considered positive, according to a previous study. Meeting the needs of patients and next of kin in a considerate way, (...)
    Download  
     
    Export citation  
     
    Bookmark   17 citations  
  • 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.
    Download  
     
    Export citation  
     
    Bookmark   6 citations  
  • An Embedded Model for Ethics Consultation: Characteristics, Outcomes, and Challenges.Courtenay R. Bruce, Adam Peña, Betsy B. Kusin, Nathan G. Allen, Martin L. Smith & Mary A. Majumder - 2014 - AJOB Empirical Bioethics 5 (3):8-18.
    Download  
     
    Export citation  
     
    Bookmark   14 citations  
  • Parental Moral Distress and Moral Schism in the Neonatal ICU.Gabriella Foe, Jonathan Hellmann & Rebecca A. Greenberg - 2018 - Journal of Bioethical Inquiry 15 (3):319-325.
    Ethical dilemmas in critical care may cause healthcare practitioners to experience moral distress: incoherence between what one believes to be best and what occurs. Given that paediatric decision-making typically involves parents, we propose that parents can also experience moral distress when faced with making value-laden decisions in the neonatal intensive care unit. We propose a new concept—that parents may experience “moral schism”—a genuine uncertainty regarding a value-based decision that is accompanied by emotional distress. Schism, unlike moral distress, is not caused (...)
    Download  
     
    Export citation  
     
    Bookmark   8 citations  
  • European physicians' experience with ethical difficulties in clinical practice.S. A. Hurst, A. Perrier, R. Pegoraro, S. Reiter-Theil, R. Forde, A.-M. Slowther, E. Garrett-Mayer & M. Danis - 2006 - Journal of Medical Ethics 33 (1):51-7.
    Download  
     
    Export citation  
     
    Bookmark   47 citations  
  • Structure, Operation, and Experience of Clinical Ethics Consultation 2007-2013: A Report from the Massachusetts General Hospital Optimum Care Committee. [REVIEW]Andrew M. Courtwright, Eric L. Krakauer, M. Cornelia Cremens, Alexandra Cist, Julia Bandini, Sharon Brackett, Kimberly Erler, Wendy Cadge & Ellen M. Robinson - 2017 - Journal of Clinical Ethics 28 (2):137-152.
    We describe the structure, operation, and experience of the Massachusetts General Hospital ethics committee, formally called the Edwin H. Cassem Optimum Care Committee, from January 2007 through December 2013. Founded in 1974 as one of the nation’s first hospital ethics committees, this committee has primarily focused on the optimum use of life-sustaining treatments. We outline specific sociodemographic and clinical characteristics of consult patients during this period, demographic differences between the adult inpatient population and patients for whom the ethics committee was (...)
    Download  
     
    Export citation  
     
    Bookmark   12 citations  
  • (1 other version)Ethics consultation in paediatric and adult emergency departments: an assessment of clinical, ethical, learning and resource needs.Keith A. Colaco, Alanna Courtright, Sandra Andreychuk, Andrea Frolic, Ji Cheng & April Jacqueline Kam - 2018 - Journal of Medical Ethics 44 (1):13-20.
    Objective We sought to understand ethics and education needs of emergency nurses and physicians in paediatric and adult emergency departments in order to build ethics capacity and provide a foundation for the development of an ethics education programme. Methods This was a prospective cross-sectional survey of all staff nurses and physicians in three tertiary care EDs. The survey tool, called Clinical Ethics Needs Assessment Survey, was pilot tested on a similar target audience for question content and clarity. Results Of the (...)
    Download  
     
    Export citation  
     
    Bookmark   6 citations  
  • Moral distress in nurses at an acute care hospital in Switzerland.Michael Kleinknecht-Dolf, Irena Anna Frei, Elisabeth Spichiger, Marianne Müller, Jacqueline S. Martin & Rebecca Spirig - 2015 - Nursing Ethics 22 (1):77-90.
    Background: In the context of new reimbursement systems like diagnosis-related groups, moral distress is becoming a growing problem for healthcare providers. Moral distress can trigger emotional and physical reactions in nurses and can cause them to withdraw emotionally from patients or can cause them to change their work place. Objective: The aim of this pilot study was to develop an instrument to measure moral distress among acute care nurses in the German-speaking context, to test its applicability, and to obtain initial (...)
    Download  
     
    Export citation  
     
    Bookmark   13 citations  
  • (1 other version)Ethische Herausforderungen in der forensischen Kinder- und Jugendpsychiatrie. Eine qualitative Beobachtungsstudie und ein Instrument zur Früherkennung und FrühinterventionEthical challenges in child and adolescent forensic psychiatry. Observational study and screening instrument.Jan Schürmann, Mara Mühleck, Christian Perler, Klaus Schmeck & Stella Reiter-Theil - 2021 - Ethik in der Medizin 33 (1):31-49.
    Die forensische Kinder- und Jugendpsychiatrie steht in einem komplexen Spannungsfeld medizinischer, rechtlicher und sozialer Anforderungen. Die ethischen Herausforderungen, die sich daraus für den stationären Maßnahmenvollzug ergeben, sind bisher kaum untersucht, spezifische Hilfestellungen für Behandelnde fehlen. Diese Studie hat zum Ziel, ethische Themenfelder und Probleme in diesem Bereich zu identifizieren und ein Instrument zur Früherkennung und -intervention ethischer Probleme im Klinikalltag zu entwickeln. Methode: Eine systematische Literaturrecherche sowie eine Beobachtungstudie in der Jugendforensik der Universitären Psychiatrischen Kliniken Basel werden durchgeführt. Die Beobachtungsdaten (...)
    Download  
     
    Export citation  
     
    Bookmark   1 citation