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  1. Developing the Concept of Moral Sensitivity in Health Care Practice.Kim Lützén, Vera Dahlqvist, Sture Eriksson & Astrid Norberg - 2006 - Nursing Ethics 13 (2):187-196.
    The aim of this Swedish study was to develop the concept of moral sensitivity in health care practice. This process began with an overview of relevant theories and perspectives on ethics with a focus on moral sensitivity and related concepts, in order to generate a theoretical framework. The second step was to construct a questionnaire based on this framework by generating a list of items from the theoretical framework. Nine items were finally selected as most appropriate and consistent with the (...)
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  • Nurses' Moral Sensitivity and Hospital Ethical Climate: a Literature Review.Jessica Schluter, Sarah Winch, Kerri Holzhauser & Amanda Henderson - 2008 - Nursing Ethics 15 (3):304-321.
    Increased technological and pharmacological interventions in patient care when patient outcomes are uncertain have been linked to the escalation in moral and ethical dilemmas experienced by health care providers in acute care settings. Health care research has shown that facilities that are able to attract and retain nursing staff in a competitive environment and provide high quality care have the capacity for nurses to process and resolve moral and ethical dilemmas. This article reports on the findings of a systematic review (...)
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  • Moral Distress: A Growing Problem in the Health Professions?Connie M. Ulrich, Ann B. Hamric & Christine Grady - 2010 - Hastings Center Report 40 (1):20-22.
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  • Moral distress related to ethical dilemmas among Spanish podiatrists.M. E. Losa Iglesias, R. Becerro de Bengoa Vallejo & P. Salvadores Fuentes - 2010 - Journal of Medical Ethics 36 (5):310-314.
    Objectives To describe the distress experienced by Spanish podiatrists related to ethical dilemmas, organisational matters, and lack of resources. Design A 2008 email survey of a representative sample of 485 Spanish podiatrists presenting statements about different ethical dilemmas, values and goals at the workplace. Results The response rate was 44.8%. Of all the respondents, 57% described sometimes having to act against their own conscience as distressing. Time constraints is the main cause of moral distress (67%) and 58% of respondents said (...)
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  • Moral distress related to ethical dilemmas among Spanish podiatrists.Marta Iglesias, Ricard Vallejo & Paloma Fuentes - 2010 - Journal of Medical Ethics 36 (5):310-314.
    Objectives To describe the distress experienced by Spanish podiatrists related to ethical dilemmas, organisational matters, and lack of resources. Design A 2008 email survey of a representative sample of 485 Spanish podiatrists presenting statements about different ethical dilemmas, values and goals at the workplace. Results The response rate was 44.8%. Of all the respondents, 57% described sometimes having to act against their own conscience as distressing. Time constraints is the main cause of moral distress and 58% of respondents said that (...)
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  • Moral Distress, Moral Residue, and the Crescendo Effect.Elizabeth Gingell Epstein & Ann Baile Hamric - 2009 - Journal of Clinical Ethics 20 (4):330-342.
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  • Nurse Moral Distress: a proposed theory and research agenda.Mary C. Corley - 2002 - Nursing Ethics 9 (6):636-650.
    As professionals, nurses are engaged in a moral endeavour, and thus confront many challenges in making the right decision and taking the right action. When nurses cannot do what they think is right, they experience moral distress that leaves a moral residue. This article proposes a theory of moral distress and a research agenda to develop a better understanding of moral distress, how to prevent it, and, when it cannot be prevented, how to manage it.
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  • Moral distress in nursing: contributing factors, outcomes and interventions.Adam S. Burston & Anthony G. Tuckett - 2013 - Nursing Ethics 20 (3):312-324.
    Moral distress has been widely reviewed across many care contexts and among a range of disciplines. Interest in this area has produced a plethora of studies, commentary and critique. An overview of the literature around moral distress reveals a commonality about factors contributing to moral distress, the attendant outcomes of this distress and a core set of interventions recommended to address these. Interventions at both personal and organizational levels have been proposed. The relevance of this overview resides in the implications (...)
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  • Consequences of clinical situations that cause critical care nurses to experience moral distress.D. L. Wiegand & M. 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 (...)
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  • Exploring the Moral Distress of Registered Nurses.Patti Rager Zuzelo - 2007 - Nursing Ethics 14 (3):344-359.
    Registered nurses (RNs) employed in an urban medical center in the USA identified moral distress as a practice concern. This study describes RNs' moral distress and the frequency of morally distressing events. Data were collected using the Moral Distress Scale and an open-ended questionnaire. The instruments were distributed to direct-care-providing RNs; 100 responses were returned. Morally distressing events included: working with staffing levels perceived as `unsafe', following families' wishes for patient care even though the nurse disagreed with the plan, and (...)
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  • Measuring Moral Distress in Pharmacy and Clinical Practice.Sofia Kälvemark Sporrong, Anna T. Höglund & Bengt Arnetz - 2006 - Nursing Ethics 13 (4):416-427.
    This article presents the development, validation and application of an instrument to measure everyday moral distress in different health care settings. The concept of moral distress has been discussed and developed over 20 years. A few instruments have been developed to measure it, predominantly in nursing. The instrument presented here consists of two factors: level of moral distress, and tolerance/openness towards moral dilemmas. It was tested in four medical departments and three pharmacies, where 259 staff members completed a questionnaire. The (...)
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  • Nurses’ Ethical Conflicts: what is really known about them?Barbara K. Redman & Sara T. Fry - 2000 - Nursing Ethics 7 (4):360-366.
    The purpose of this article is to report what can be learned about nurses’ ethical conflicts by the systematic analysis of methodologically similar studies. Five studies were identified and analysed for: (1) the character of ethical conflicts experienced; (2) similarities and differences in how the conflicts were experienced and how they were resolved; and (3) ethical conflict themes underlying four specialty areas of nursing practice (diabetes education, paediatric nurse practitioner, rehabilitation and nephrology). The predominant character of the ethical conflicts was (...)
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  • Ethical issues in nursing.R. A. Schrock - 1995 - Journal of Medical Ethics 21 (5):316-317.
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