Ethics and Values in Clinical Practice: Whom Do They Help?

Gabel, Stewart

doi:10.4065/mcp.2010.0781

Cited by 28 publications

(25 citation statements)

References 17 publications

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“…Moral distress not only affects individual behavior but also the workplace environment. [52][53][54][55][56][57][58] For example, distressed health care providers can experience decreased job satisfaction, [59][60][61] unsettling physical symptoms such as insomnia and headaches, and disruptive psychological symptoms such as loss of confidence and self-worth. 26 Moreover, nurses' moral distress has been associated with absenteeism, burnout, intentions to quit, and leaving the profession.…”

Section: 50mentioning

confidence: 99%

Screening Situations for Risk of Ethical Conflicts: A Pilot Study

Pavlish¹,

Hellyer²,

Brown-Saltzman³

et al. 2015

American Journal of Critical Care

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A closed-book, multiple-choice examination following this article tests your under standing of the following objectives:1. Describe the impact of ethical conflict in the intensive care unit (ICU) for patients, families, and health care workers. 2. Describe risk factors and early warning signs of potential ethical conflicts with ICU patients. 3. Explain key results of ethical risk factor screening for critical care nurses. Results Older patients with multiple comorbid conditions and aggressive treatments were frequently assessed to be at risk for ethical conflicts. Nurses who witnessed patients' suffering and deterioration were likely to initiate the screening process. The most prominent family risk factors included unrealistic expectations and adamancy about treatment. The most prominent early indicators were signs of patients' suffering, unrealistic expectations, and providers' own moral distress. High-risk situations averaged a greater number of risk factors and early indicators than did medium-and low-risk situations. Certain risk factors featured prominently in high-risk situations. Conclusions A phenomenon of shared suffering emerged from the study and signifies the importance of relational strategies such as routine family conferences and ethics consultation.

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Section: 50mentioning

confidence: 99%

Screening Situations for Risk of Ethical Conflicts: A Pilot Study

Pavlish¹,

Hellyer²,

Brown-Saltzman³

et al. 2015

American Journal of Critical Care

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“…Research indicates that persistent conflicts increase provider burnout 27 and decrease care quality. 28 Conversely, having confidence in positive, responsive management increased nurses' willingness to raise questions about quality.…”

Section: Discussionmentioning

confidence: 98%

Avenues of Action in Ethically Complex Situations

Pavlish

Brown-Saltzman

et al. 2015

JONA: The Journal of Nursing Administration

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“…She writes: "In addition to emotional, mental, and physical exhaustion, burnout causes a loss of concern about patients, cynicism, and negativism" and may result in treatment of patients in a "in a detached or derogatory way." Gabel (2011) notes that burnout occurs when physicians are overworked, exhausted, and when they "sense a lack of alignment between their own values and those they perceive to the values of various health care-related organizations or groups with which they are associated." This lack of alignment creates "stress of conscience," which can lead to "depersonalization" when treating patients, thereby creating the moral dilemma.…”

Section: Stress and Burnoutmentioning

confidence: 99%