A Health Care Chaplain's Pastoral Response to Moral Distress

Purpose: Nondisclosure of terminal prognosis in the context of intercultural interactions can cause moral distress among health care providers guided exclusively by informed consent. However, cultural humility can show that revealing and withholding prognostic information are two equally valid paths to the goal of protecting the patient from harm. Design: Assumptions and history giving rise to the preference for truth telling in the United States(US) are examined. Principles of biomedical ethics are described within the context of US, Chinese, and Latin American cultures. The process of cultural competence in the delivery of health care services is explained and introduces the concept of cultural humility. Implications for Practice: By focusing more on biases and assumptions brought forth from the dominant culture, health care providers may experience less moral distress and convey increased caring in the context of intercultural interactions and nondisclosure of prognosis of a terminal illness.

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Framing the Issues: Moral Distress in Health Care

HEC Forum ◽

10.1007/s10730-012-9176-y ◽

2012 ◽

Vol 24 (1) ◽

pp. 1-11 ◽

Cited By ~ 124

Author(s):

Bernadette M. Pauly ◽

Colleen Varcoe ◽

Jan Storch

Keyword(s):

Health Care ◽

Moral Distress

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Stress, Resilience and Moral Distress among Health Care Providers During COVID-19 Pandemic

Esculapio ◽

10.51273/esc21.2517116 ◽

2021 ◽

Vol 17 (1) ◽

Author(s):

Ahmed Latif ◽

◽

Sobia Yaqub ◽

Qudsia Anwar Dar ◽

Umer Sultan Awan ◽

...

Keyword(s):

Health Care ◽

Health Care Providers ◽

Moral Distress ◽

High Stress ◽

Care Providers ◽

Online Questionnaire ◽

Stress Resilience ◽

Stress Scale ◽

Distress Score ◽

The Mean

Objective: This study aims to determine level of stress, resilience and moral distress among health care providers during covid-19 pandemic. Methods: This is a cross-sectional study performed using an online questionnaire. Data was collected from Health Care Providers, working in various tertiary care hospitals of Lahore, using an online questionnaire. Perceived stress scale (PSS), Connor-Davidson Resilience Scale (CD-RISC 10) and Moral Distress Thermometer were used to determine level of stress, resilience and moral stress respectively among the HCPs. Scores on the PSS can range from 0 to 40 with scores of 0-13, 14-26 and 27-40 being considered as low, moderate and high stress respectively. The Moral Distress Thermometer has scores ranging from 0-10 with value of ≥4 considered high. Data was analyzed using SPSS version.23.Descriptive variables were reported as means and frequencies. Intergroup analysis was done using Chi square test with p<0.05 taken as significant. Results: A total of 278 (n=278) HCPs participated in study. According to the PSS (Perceived Stress Scale) scores, 5.03% (14) reported low, 86.69% (241) moderate and 8.27% (23) high stress levels. The mean stress score is 21.56+/-4.32. Providing patient care (mean = 2.28+/-1.15 SD) and transmitting infection to others (mean = 3.02+/-1.10 SD) were deemed major causes of stress. The mean CD-RISC score was 23.14+/-7.81 SD. Only 10.8% (30) had a score of ≥ 32. The mean Moral Distress score was 4.2+/-2.98 SD, with 53.2% (149) participants reporting high Moral distress (score ≥4). Conclusion: The high level of stress among HCPs during COVID-19 pandemic highlights the need of urgent measures to overcome this psychological issue which if left un-addressed can affect performance of HCPs. Key Words: Stress, Resilience, HCPs How to cite: Latif A., Yaqub S., Dar A.Q., Awan S.U., Farhat Hina., Khokhar A.M., Stress, Resilience and Moral Distress among Health care Providers during COVID-19 pandemic. Esculapio 2021;17 (01):79-82

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Spiritual Care as Part of an Interprofessional Model for Debriefing on an Oncology Unit

Journal of Pastoral Care & Counseling Advancing theory and professional practice through scholarly and reflective publications ◽

10.1177/15423050211021387 ◽

2021 ◽

Vol 75 (3) ◽

pp. 158-162

Author(s):

Kalli (Kalliopi) Stilos ◽

Bill Ford ◽

Anita Chakraborty ◽

Danielle Takahashi

Keyword(s):

Health Care ◽

Social Work ◽

Spiritual Care ◽

Moral Distress ◽

Self Care ◽

Adverse Outcomes ◽

Team Development ◽

Dying Patients ◽

Oncology Unit ◽

Seriously Ill

Health care clinicians who care for seriously ill and dying patients have been known to be at higher risk for burnout and moral distress. When not well supported in their workplace, clinicians may suffer additional adverse outcomes to their overall wellbeing. Self-care is one way to help mitigate these adverse outcomes. The literature has described formalized debriefing not only as a self-care strategy but an intervention to promote healthy team development. The focus of this paper will showcase how social work and spiritual care practitioners in our institution worked collaboratively to support an inpatient oncology unit to address issues related to burnout by providing staff with monthly debriefing sessions intended to enhance self-care and wellness in the workplace.

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Administrative (in)Visibility of Patient Structural Vulnerability and the Hierarchy of Moral Distress among Health Care Staff

Medical Anthropology Quarterly ◽

10.1111/maq.12500 ◽

2019 ◽

Vol 33 (2) ◽

pp. 191-206 ◽

Cited By ~ 5

Author(s):

Julie S. Armin

Keyword(s):

Health Care ◽

Moral Distress ◽

Care Staff ◽

Health Care Staff ◽

Structural Vulnerability

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The ethics of interprofessional collaboration

Nursing Ethics ◽

10.1177/0969733012468466 ◽

2013 ◽

Vol 20 (4) ◽

pp. 426-435 ◽

Cited By ~ 35

Author(s):

Joyce Engel ◽

Dawn Prentice

Keyword(s):

Health Care ◽

Health Care Providers ◽

Moral Distress ◽

Ethical Issues ◽

Interprofessional Collaboration ◽

Care Providers ◽

Quality Health Care ◽

Health Care Outcomes ◽

Quality Health ◽

Interprofessional Competencies

Interprofessional collaboration has become accepted as an important component in today’s health care and has been guided by concerns with patient safety, quality health-care outcomes, and economics. It is widely accepted that interprofessional collaboration improves patient outcomes through enhanced communication among health-care providers and increased accessibility to services. Although there is a paucity of research that provides confirmatory evidence, interprofessional competencies continue to be incorporated into the curricula of health-care students. This article examines the ethics of interprofessional collaboration and ethical issues that arise from the mainstream adoption of interprofessional competencies and the potential for moral distress in nursing.

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