
Suffering Is An Unavoidable Reality In Health Care. Not Only Are Patients And Families Suffering But Also The Clinicians Who Care For Them. Commonly The Suffering Experienced By Clinicians Is Moral In Nature, In Part A Reflection Of The Increasing Complexity Of Health Care, Their Roles Within It, And The Expanding Range Of Available Interventions. Moral Suffering Is The Anguish That Occurs When The Burdens Of Treatment Appear To Outweigh The Benefits; Scarce Human And Material Resources Must Be Allocated; Informed Consent Is Incomplete Or Inadequate; Or There Are Disagreements About Goals Of Treatment Among Patients, Families Or Clinicians. Each Is A Source Of Moral Adversity That Challenges Clinicians' Integrity: The Inner Harmony That Arises When Their Essential Values And Commitments Are Aligned With Their Choices And Actions. If Moral Suffering Is Unrelieved It Can Lead To Disengagement, Burnout, And Undermine The Quality Of Clinical Care. The Most Studied Response To Moral Adversity Is Moral Distress. The Sources And Sequelae Of Moral Distress, One Type Of Moral Suffering, Have Been Documented Among Clinicians Across Specialties. It Is Vital To Shift The Focus To Solutions And To Expanded Individual And System Strategies That Mitigate The Detrimental Effects Of Moral Suffering. Moral Resilience, The Capacity Of An Individual To Restore Or Sustain Integrity In Response To Moral Adversity, Offers A Path Forward. It Encompasses Capacities Aimed At Developing Self-regulation And Self-awareness, Buoyancy, Moral Efficacy, Self-stewardship And Ultimately Personal And Relational Integrity. Clinicians And Healthcare Organizations Must Work Together To Transform Moral Suffering By Cultivating The Individual Capacities For Moral Resilience And Designing A New Architecture To Support Ethical Practice. Used Worldwide For Scalable And Sustainable Change, The Conscious Full Spectrum Approach, Offers A Method To Solve Problems To Support Integrity, Shift Patterns That Undermin
How can healthcare clinicians cultivate moral resilience to maintain their professional integrity in the face of systemic moral suffering and adversity? Cynda H. Rushton, a professor of clinical ethics and nursing, presents a framework for addressing the psychological and ethical burdens inherent in modern medical practice. The book argues that by developing specific individual capacities and organizational structures, clinicians can mitigate the effects of moral distress and burnout while sustaining their commitment to ethical care.
What You Will Find
Scope Limits
Experts in nursing and bioethics recognize this work as a foundational resource for addressing the systemic causes of clinician burnout. Readers frequently note that the text provides a practical, actionable methodology for navigating complex ethical dilemmas in high-pressure medical settings.
Page Count:
304
Publication Date:
2018-01-01
Publisher:
Oxford University Press
ISBN-10:
0190619287
ISBN-13:
9780190619282
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