ArticleHealth care analysis : HCA : journal of health philosophy and policy2019
Moral Distress and Austerity: An Avoidable Ethical Challenge in Healthcare.
Article in Health care analysis : HCA : journal of health philosophy and policy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed, 57 citations in OpenAlex.
- Organisational factors associated with healthcare workforce development, recruitment, and retention in the United Kingdom: a systematic review.BMC nursing · 2024Article
- Beyond Empathy to System Change: Four Poems on Health by Bertolt Brecht.The Journal of medical humanities · 2024Article
- Moral Distress in Radiation Oncology: Insights From Residents in Germany.Advances in radiation oncology · 2024Article
- The Psychoneuroimmunological Model of Moral Distress and Health in Healthcare Workers: Toward Individual and System-Level Solutions.Comprehensive psychoneuroendocrinology · 2024Review
- Professional ethical challenges and suggested strategies in nursing: a qualitative study.Journal of medical ethics and history of medicine · 2024Article
- Article
- Moral distress in nurses in developing economies: an integrative literature review.Journal of research in nursing : JRN · 2023Article
- Moral distress and positive experiences of ICU staff during the COVID-19 pandemic: lessons learned.BMC medical ethics · 2023Article
- Moral distress experienced by neonatal intensive and paediatric care nurses in Northern Ghana: a qualitative study.Journal of research in nursing : JRN · 2022Article
- Trauma-informed mental health practice during COVID-19: Reflections from a Community of Practice initiative.International journal of mental health nursing · 2022Review
- Ethical decision-making confidence scale for nurse leaders: Psychometric evaluation.Nursing ethics · 2022Article
- Engaging Tomorrow's Doctors in Clinical Ethics: Implications for Healthcare Organisations.Health care analysis : HCA : journal of health philosophy and policy · 2021Article
- Making the (Business) Case for Clinical Ethics Support in the UK.HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues · 2021Article
- The perceptions and experiences of doctors training in intensive care medicine on their personal resilience and strategies practiced to enhance resilience.Future healthcare journal · 2021Article
- Defining ethical challenge(s) in healthcare research: a rapid review.BMC medical ethics · 2021Review
- Moral Distress and Resilience Associated with Cancer Care Priority Setting in a Resource-Limited Context.The oncologist · 2021Article
- Getting Unstuck: Challenges and Opportunities in Caring for Patients Experiencing Prolonged Hospitalization While Stable for Discharge.The American journal of medicine · 2020Article
- The Frontline Nurse's Experience of Nursing Outlier Patients.International journal of environmental research and public health · 2020Article
- Moral distress among midwives working in the labour ward of a hospital in Ghana.European journal of midwifery · 2020Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 3 institutions in 2 countries.
Funding
Abstract
Austerity, by its very nature, imposes constraints by limiting the options for action available to us because certain courses of action are too costly or insufficiently cost effective. In the context of healthcare, the constraints imposed by austerity come in various forms; ranging from the availability of certain treatments being reduced or withdrawn completely, to reductions in staffing that mean healthcare professionals must ration the time they make available to each patient. As austerity has taken hold, across the United Kingdom and Europe, it is important to consider the wider effects of the constraints that it imposes in healthcare. Within this paper, we focus specifically on one theorised effect-moral distress. We differentiate between avoidable and unavoidable ethical challenges within healthcare and argue that austerity creates additional avoidable ethical problems that exacerbate clinicians' moral distress. We suggest that moral resilience is a suitable response to clinician moral distress caused by unavoidable ethical challenges but additional responses are required to address those that are created due to austerity. We encourage clinicians to engage in critical resilience and activism to address problems created by austerity and we highlight the responsibility of institutions to support healthcare professionals in such challenging times.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.