Deconstructing Structural Injustices in the Clinic, Classroom, and Boardroom

Riaz, Sundus H.; Sankary, Lauren R.; Brown, Timothy; Morley, Georgina

doi:10.1080/15265161.2022.2027564

Cited by 3 publications

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“…This highlights the importance of equipping nurses with the skills required for ethical analysis and to interrogate their own beliefs and moral judgments. If we fail to do this, then we risk perpetuating moral distress among nursing and overlooking potentially paternalistic attitudes that can undermine respect for patient values and therapeutic alliances (Riaz et al, 2022). Ethics education has been identified in systematic reviews as one of the most important tools to mitigate moral distress (Emami Zeydi et al, 2022; Morley et al, 2021b).…”

Section: Moral Distress As a Positive Tool For Moral Deliberationmentioning

confidence: 99%

Re‐examining the relationship between moral distress and moral agency in nursing

Morley

Sankary

2023

Nursing Philosophy

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In recent years, the phenomenon of moral distress has been critically examined—and for a good reason. There have been a number of different definitions suggested, some that claimed to be consistent with the original definition but in fact referred to different epistemological states. In this paper, we re‐examine moral distress by exploring its relationship with moral agency. We critically examine three conceptions of moral agency and argue that two of these conceptions risk placing nurses' values at the center of moral action when it ought to be the patient's values that shape nurses' obligations. We propose that the conception of moral agency advanced by Aimee Milliken which re‐centers patient values, should be more broadly accepted within nursing. We utilize a case example to demonstrate a situation in which the values of a patient's parents (surrogates) justifiably constrained nurses' moral agency, creating moral distress. Through an examination of constraints on nurse agency in this case, we illustrate the problematic nature of ‘narrow' moral distress and the value of re‐considering moral distress. Finally, we provide an action‐oriented proposal identifying mediating steps that we argue have utility for nurses (and other healthcare professionals) to mediate between experiences of narrow moral distress and the exercise of moral agency.

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Section: Moral Distress As a Positive Tool For Moral Deliberationmentioning

confidence: 99%