| Moral distress in rehabilitation professionals: results from a hospital ethics survey. | |
| | |
MedLine Citation:
|
PMID: 19627932 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: Moral distress in the rehabilitation setting was examined in a follow-up survey. The survey had 3 goals: (1) to systematically and anonymously gather data about the ethical issues that employees struggle with in their daily work; (2) to raise the visibility of the hospital-based ethics program and resources available to employees; and (3) to prioritize and focus the direction of the program's educational seminars, quality improvement projects, and ethics consultation. DESIGN: Online survey of employees. SETTING: Urban rehabilitation system of care. PARTICIPANTS: The survey was open to all employees; 207 completed the survey. INTERVENTIONS: N/A MAIN OUTCOME MEASUREMENTS: N/A CONCLUSIONS: Three broad categories of moral distress were identified: institutional ethics, professional practice, and clinical decision-making. Institutional ethics issues related to the health care environment, such as health care reimbursement pressures and corporate culture. Professional practice issues involved codes of behavior and concepts of professionalism, including patient confidentiality/privacy. Clinical decision-making included such practical dilemmas as conflicts around goal-setting, discharge planning, and assessment of decision-making capacity. An anonymous survey of staff members allowed the hospital ethics program to identify sources of moral distress and prioritize strategies to address them. |
| | |
Authors:
|
Debjani Mukherjee; Rebecca Brashler; Teresa A Savage; Kristi L Kirschner |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: PM & R : the journal of injury, function, and rehabilitation Volume: 1 ISSN: 1934-1482 ISO Abbreviation: PM R Publication Date: 2009 May |
Date Detail:
|
Created Date: 2009-07-24 Completed Date: 2009-10-08 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 101491319 Medline TA: PM R Country: United States |
Other Details:
|
Languages: eng Pagination: 450-8 Citation Subset: IM |
Affiliation:
|
Donnelley Family Disability Ethics Program, Rehabilitation Institute of Chicago, 345 E. Superior Street, South Mezzanine, Chicago, IL 60611, USA. dmukherjee@ric.org |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult Aged Decision Making / ethics Ethics, Clinical Ethics, Institutional* Female Health Surveys Humans Male Medical Staff, Hospital / psychology* Middle Aged Morals* Rehabilitation / ethics* Rehabilitation Centers / ethics* Stress, Psychological / diagnosis, epidemiology*, prevention & control Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Fatigue in Post-poliomyelitis Syndrome: Association With Disease-Related, Behavioral, and Psychosoci...
Next Document: Knee extensor strength does not protect against incident knee symptoms at 30 months in the multicent...