The Double-Edged Sword of Moral Distress and Burnout Among Health Science Clinical Educators

2021 ◽  
Vol 75 (Supplement_2) ◽  
pp. 7512510259p1
Author(s):  
Patricia Higgins ◽  
Allison Kellish ◽  
Dana Fleming ◽  
Sarah Gotthold ◽  
Marvelyn Tiziani
Keyword(s):  
Moral Distress ◽  
Health Science ◽  
Clinical Educators

Midwifery students’ reactions to ethical dilemmas encountered in outpatient clinics

2020 ◽  
Vol 27 (7) ◽  
pp. 1542-1555
Author(s):  
Serap Ejder Apay ◽  
Ayşe Gürol ◽  
Elif Yağmur Gür ◽  
Sarah Church
Keyword(s):  
Decision Making ◽  
Focus Groups ◽  
Professional Ethics ◽  
Ethics Education ◽  
Moral Distress ◽  
Ethical Dilemmas ◽  
Empirical Studies ◽  
Intrauterine Device ◽  
Health Science ◽  
Written Information

Background: Midwives are required to make ethical decisions with the support of respective codes of professional ethics which provide a framework for decision making in clinical practice. While each midwife should be ethically aware and sensitive to the ever-changing issues within reproduction, few empirical studies have examined the views of student midwives in relation to reproductive ethical dilemmas. Objective: The aim of this study was to explore midwifery students’ reactions to a number of ethical dilemmas relating to women’s experiences of reproductive decision making. Design: A series of focus groups were conducted with midwifery students who were asked to discuss five culturally significant scenarios including issues of knowledge acquisition regarding methods of family planning, removal or insertion of an intrauterine device, and abortion. Setting: A University in Turkey was the setting for this study. Participants: Purposeful sampling was adopted which resulted in five focus groups with a total of 57 midwifery students. Ethical considerations: The study was reviewed and granted formal ethical approval by an ethical committee at the Faculty of Health Science in Atatürk University. The head of the Faculty of Health Science approved the investigation. The participants received both oral and written information about the study and they gave their consent. Results: Five themes were identified from the analysis of the focus group data related to all five scenarios. These themes were ‘the right to information’, ‘choice and protection’, ‘parental rights and welfare of the women’, ‘make a decision’ and ‘women rights and sexual abuse’. Conclusion: This study has shown that while students respected women’s choice, they also expressed great ambivalence in some situations when personal values conflict with dominant societal beliefs and professional ethics. A focus on ethics education to include human rights is suggested as a means to enable students to explore their own social-value judgements, and as a means to limit the possible development of ethical confusion and moral distress.

Development and evaluation of a moral distress scale

2001 ◽  
Vol 33 (2) ◽  
pp. 250-256 ◽  
Author(s):  
Mary C. Corley ◽  
R. K. Elswick ◽  
Martha Gorman ◽  
Theresa Clor
Keyword(s):  
Moral Distress ◽  
Distress Scale

Moral Distress and the Australian Aged Care Worker

2014 ◽  
Author(s):  
Robert Eley ◽  
Adam Burston ◽  
Anthony Tuckett ◽  
Deborah Parker
Keyword(s):  
Moral Distress ◽  
Aged Care ◽  
Care Worker

Individual moral disengagement and bystander behavior in bullying: The role of moral distress and collective moral disengagement.

2020 ◽  
Vol 10 (1) ◽  
pp. 38-47 ◽  
Author(s):  
Gianluca Gini ◽  
Robert Thornberg ◽  
Tiziana Pozzoli
Keyword(s):  
Moral Disengagement ◽  
Moral Distress ◽  
Bystander Behavior

Interactive Computer-Video Modules for Health Sciences Education

1989 ◽  
Vol 28 (04) ◽  
pp. 360-363 ◽  
Author(s):  
J. McArthur ◽  
J. Bolles ◽  
J. Fine ◽  
P. Kidd ◽  
M. Bessis
Keyword(s):  
Medical Informatics ◽  
Computer Control ◽  
Health Science ◽  
Knowledge Structures ◽  
Image Recording ◽  
Central Computer ◽  
Key Word ◽  
The University ◽  
Development Group ◽  
Basic Medical

Abstract:Advances in electronic image recording and computer technologyhave resulted in a remarkable increase in the power and flexibility of interactive computer-video teaching systems. The University of Washington Health Science Videodisc Development Group first demonstrated a laser videodisc controlled by a remote central computer in 1980. Even this rudimentary unit highlighted basic medical informatics principles including: rapid accessibility; a “generic” or multi-purposed format; ease of computer control; and large collections of valid, rigorously reviewed images. Advances in medical informatics have led to the development of the following previously undescribed series of teaching units:1. The hypertext programs Hypercard, Linkway, and Guide have been used with videodiscs to develop easy-to-use instructional and reference materials. These materials demonstrate the ease with which a computer-naive instructor may develop new programs and the advantage that the intuitive nature of these programs brings to student users.2. Patient simulations using single and double screens plus pre-defined knowledge structures;3. Interactive single topic tutorials using preset knowledge structures;4. A key-word-based disc searching system;5. Electronic video microscopy;6. A series of programs developed independently by health science faculty who have purchased multi-purpose videodiscs that demonstrate the flexibility of the multi-purpose or “generic”: collection concept.

Anticoagulant therapy in practice

2012 ◽  
Vol 153 (19) ◽  
pp. 732-736
Author(s):  
Gergely Hofgárt ◽  
Csilla Vér ◽  
László Csiba
Keyword(s):  
Atrial Fibrillation ◽  
Risk Factor ◽  
Ischemic Stroke ◽  
Acute Stroke ◽  
Anticoagulant Therapy ◽  
Oral Anticoagulants ◽  
Health Science ◽  
Science Centre ◽  
Improper Use ◽  
Current Guidelines

Atrial fibrillation is a risk factor for ischemic stroke. To prevent stroke oral anticoagulants can be administered. Old and new types of anticoagulants are available. Nowadays, old type, acenocumarol based anticoagulants are used preferentially in Hungary. Aim: The advantages and the disadvantages of anticoagulants are well known, but anticoagulants are underused in many cases. Method: The authors retrospectively examined how frequent atrial fibrillation was and whether the usage of anticoagulants in practice was in accordance with current guidelines among acute stroke cases admitted to the Department of Neurology, Medical and Health Science Centre of Debrecen University in 2009. Results: Of the 461 acute stroke cases, 96 patients had known and 22 patients had newly discovered atrial fibrillation. Half of the patients did not receive proper anticoagulation. Only 8.4% of them had their INR levels within the therapeutic range. Conclusions: The findings are similar to those reported in other studies. Many factors may contribute to the high proportion of improper use of anticoagulants, and further investigations are needed to determine these factors. In any case, elimination of these factors leading to a failure of anticoagulation may decrease the incidence of stroke. Orv. Hetil., 2012, 153, 732–736.

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