The ethics of environmentally responsible health care

Pierce, Jessica; Jameton, Andrew

doi:10.1016/j.scitotenv.2004.03.034

Cited by 30 publications

(25 citation statements)

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“…In the next decades, US per capita material and energy consumption needs to be scaled down to a terrestrial scale [66,68,[69][70][71]. Since US health care already comprises a significant proportion of GDP, if the economy is to be scaled down, so must health care [72,73]. It needs to be materially less ambitious, more modest, simpler, and more manageable [74].…”

Section: Looking Ahead: Larger Problems and Possible Solutionsmentioning

confidence: 99%

“…And many health care organizations have begun to include clean energy, energy efficiency, and other climate change mitigation methods in their greening programs and building designs [84,85]. Some health professionals are beginning to realize that in order for health care to adapt to environmentally driven shifts in long-term health risks, health services need to adapt to a potential global decline in population health status, climate refugees, disasters, and disruptions to the supply chain [73,86].…”

Section: Looking Ahead: Larger Problems and Possible Solutionsmentioning

confidence: 99%

“…A dominant message of environmental philosophy is that all humans are biologically interconnected in the great web of life [94][95][96][97]. This sense of interconnection is beginning to challenge the strong commitment to individual autonomy seen in traditional bioethics [3,73,98]. Technologically extensive and intensive care of the dying, as I observed above, is emotionally challenging to clinicians.…”

Section: Looking Ahead: Larger Problems and Possible Solutionsmentioning

confidence: 99%

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What Moral Distress in Nursing History Could Suggest about the Future of Health Care

2017

AMA Journal of Ethics

132

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The concept of moral distress was defined in 1984 as (a) the psychological distress of (b) being in a situation in which one is constrained from acting (c) on what one knows to be right. A substantial literature on the subject has developed, primarily in nursing ethics. The aforementioned elements of distress are applied here to areas of clinical and organizational significance: (a) distress from causing intimate pain during care of the dying, (b) constraints stemming from proximate and background challenges of health care organizations, and (c) changing perspectives on therapeutic technologies derived from global environmental perspectives. Although moral distress may be increasing in clinical settings, nursing advocates are developing positive ways to cope with it that can help clinicians in general. IntroductionAfter its first use in nursing over 30 years ago, the concept of moral distress has proven applicable to a growing range of problematic situations. This essay outlines a few motifs in the development of the concept in nursing ethics and then considers some current applications of the concept. Starting with the bedside care of the dying, it sets moral distress in successively wider contexts, concluding with some morally problematic global environmental challenges that health care services will need to address during the next decades.

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Section: Looking Ahead: Larger Problems and Possible Solutionsmentioning

confidence: 99%

Section: Looking Ahead: Larger Problems and Possible Solutionsmentioning

confidence: 99%

Section: Looking Ahead: Larger Problems and Possible Solutionsmentioning

confidence: 99%

See 1 more Smart Citation

What Moral Distress in Nursing History Could Suggest about the Future of Health Care

2017

AMA Journal of Ethics

132

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“…29 The questions raised by bioethicists who are dependent upon medical schools serve at once to legitimize and highlight current medical research, and to ignore and minimize issues not in the interests of medical progress as defined by current medical practitioners. 30 Omitted are the views of those in outside disciplines, who may well have a more comprehensive and less interested understanding of these matters.…”

Section: Social and Ethical Consequencesmentioning

confidence: 99%

Involuntary Emotional Expressive Disorder: A Case for a Deeper Neuroethics

Whitehouse

Waller

2007

Neurotherapeutics

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Summary: Understanding why we produce labels for neuropsychiatric conditions, such as Alzheimer's disease (AD), and how we use those words to tell stories about our brain, as well as which groups control such diagnostic discourse, is important to a wise understanding of our cognitive abilities, their limitations, and even our very human nature. Here, we explore the history and current focus of a newly emerging field called neuroethics and explore its relationship (or lack thereof) to a newly created clinical syndrome called involuntary emotional expressive disorder (IEED). The main argument concerns the lack of neuroethical discussion of issues pertinent to social influences on disease and the construction of professional specialization. We are critical of the processes associated with the creation of both the field and the syndrome, and express concern about their eventual outcomes. The interaction of social, political, and business institutions, the inherent interests of the advancement of larger research projects (and the individuals that compose them), their potential for profit, and other incentives to enhance marketability and public attention toward certain research programs will be examined as we discuss the development of the field of neuroethics. Similarly, we argue that these social factors and forces are instrumental in the development of IEED as a recognizable category and condition. Our critique is guided by the hope that through such analyses we can improve our understanding of how we go about our academic activities in cognitive neuroscience and also improve our efforts to help people suffering from neuropsychiatric conditions, such as dementia.

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“…Western medical practice and its ethics are challenged to address the large and clumsy ecologic footprint and resulting disruption to the environment produced by their own health care organizations. 7 Medical waste is a threat to our health. How many "green" hospital buildings exist?…”

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confidence: 99%

Commentary: Integrative Narrative Evolutionary Health: Toward a Wiser View of Alzheimer's Disease

Whitehouse

2007

The Journal of Alternative and Complementary Medicine

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The ethics of environmentally responsible health care

Cited by 30 publications

References 0 publications

What Moral Distress in Nursing History Could Suggest about the Future of Health Care

What Moral Distress in Nursing History Could Suggest about the Future of Health Care

Involuntary Emotional Expressive Disorder: A Case for a Deeper Neuroethics

Commentary: Integrative Narrative Evolutionary Health: Toward a Wiser View of Alzheimer's Disease

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