Abstract
As long as healthcare professionals have experienced constraints to acting ethically in everyday practice, they have experienced high levels of stress. It was not until 1984 that the term moral distress was used to describe the inability to translate moral decision-making and choice into action. While the majority of studies of moral distress are found in the nursing literature, we now know that moral distress is experienced, in varying degrees, by all healthcare professionals and with varying consequences. This entry defines moral distress, moral residue, moral courage, and moral resilience; explores the causes and consequences of moral distress; recommends tools to measure moral distress; and finally suggests strategies and resources for resolving moral distress and promoting resilience.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
American Psychological Association. (2015). The road to resilience. Available at: http://www.apa.org/helpcenter/road-resilience.aspx
Canadian Nurses Association. (2008). Code of ethics for registered nurses. Ottawa: Author.
Chen, P.W. (2009, February 5). When Doctors and Nurses can’t do the right thing. The New York Times.
Corley, M. C. (2002). Nurse moral distress: A proposed theory and research agenda. Nursing Ethics, 9(6), 636–650.
Epstein, E. G., & Hamric, A. B. (2009). Moral distress, moral residue, and the crescendo effect. The Journal of Clinical Ethics, 20(4), 330–342.
Epstein, E.G., & Delgado, S. (2010, September 30). Understanding and addressing moral distress. OJIN: The Online Journal of Issues in Nursing, 15(3), Manuscript 1.
Hamric, A. B., Arras, J. D., & Mohrmann, M. E. (2015). Must we be courageous? Hastings Center Report, 45(3), 33–40.
Helft, P. R., Bledsoe, P. D., Hancock, M., & Wocial, L. D. (2009). Facilitated ethics conversations: A novel program for managing moral distress in bedside nursing staff. JONA’S Healthcare Law, Ethics and Regulation, 11(1), 27–33.
Jameton, A. (1984). Nursing practice, the ethical issues. Englewood Cliffs: Prentice-Hall.
Jameton, A. (2013). A reflection on moral distress in nursing together with a current application of the concept. Journal of Bioethical Inquiry, 10(3), 297–308.
Lachman, V. D. (2010, September 30). Strategies necessary for moral courage. The Online Journal of Nursing, 15(3), Manuscript 3.
Rosenthal, M. S., & Clay, M. C. (2015). The moral distress education project. Retrieved from http://moraldistressproject.med.uky.edu/moral-distress-home. Accessed 17 Sept 2015.
Rushton, C. H. (2006). Defining and addressing moral distress: Tools for critical care nursing leaders. Advanced Critical Care, 17(2), 161–168.
Ulrich, C. M., O’Donnell, P., Taylor, C., Farrar, A., Danis, M., & Grady, C. (2007). Ethical climate, ethics stress, and the job satisfaction of nurses and social workers in the United States. Social Science & Medicine, 65, 1708–1719.
Webster, G., & Bayliss, F. (2000). Moral residue. In S. Rubin & L. Zoloth (Eds.), Margin of error: The ethics of mistakes in the practice of medicine. Hagerstown: University Publishing Group.
Wicks, R. J., & Buck, T. C. (2013). Riding the dragon: Enhancing resilient leadership and sensible self-care in the health care executive. Frontiers of Health Services Management, 30(2), 3–13.
Wiggleton, C., Petrusa, E., Loomis, K., Tarpley, J., Tarpley, M., O’Gorman, M. L., & Miller, B. (2010). Medical students’ experiences of moral distress: Development of a web-based survey. Academic Medicine, 85(1), 111–117.
Further Readings
Edmonson, C. (2010, September 30). Moral courage and the nurse leader. OJIN: The Online Journal of Issues in Nursing, 15(3), Manuscript 5.
Pavlish, C., Brown-Saltzman, K., Hersh, M., Shirk, M., & Nudelman, O. (2011). Early indicators and risk factors for ethical issues in nursing practice. Journal of Nursing Scholarship, 43(1), 13–21.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2016 Springer International Publishing Switzerland
About this entry
Cite this entry
Taylor, C. (2016). Moral Distress. In: ten Have, H. (eds) Encyclopedia of Global Bioethics. Springer, Cham. https://doi.org/10.1007/978-3-319-09483-0_297
Download citation
DOI: https://doi.org/10.1007/978-3-319-09483-0_297
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-09482-3
Online ISBN: 978-3-319-09483-0
eBook Packages: Religion and PhilosophyReference Module Humanities and Social SciencesReference Module Humanities