Publications by authors named "Cristie Cole Horsburgh"
Pre-licensure ethics nursing education does not adequately prepare and instill confidence in nurses to address ethical issues, and yet ethics education provides nurses with greater confidence to take moral action, which can mitigate the negative effects of moral distress. To assess the feasibility and acceptability of a nursing ethics education program that included simulated case-based ethics competencies as a form of evaluation. The program aimed at building nurses' ethical knowledge and confidence to respond to ethical challenges in practice.
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- - The systematic review focused on identifying and evaluating interventions aimed at reducing moral distress among healthcare professionals, a common issue linked to intentions of leaving the profession, particularly in high-stress environments.
- - The researchers conducted a thorough search of various medical databases and applied strict inclusion criteria to select sixteen relevant studies, ensuring the quality of the research methods was analyzed.
- - Findings revealed a range of effective interventions, including educational programs, facilitated discussions, consultation services, and narrative writing, which collectively showed significant reductions in moral distress among participants.
Article Synopsis
- - The COVID-19 crisis presented an ethical dilemma for healthcare organizations on prioritizing access to limited medical resources while maintaining their mission of patient-centered care.
- - The bioethics department employed a deliberative approach, incorporating feedback from healthcare professionals and patients to guide the development of triage policies amidst uncertainty and differing ethical opinions.
- - The article outlines the stakeholder engagement process, the perspectives collected, how they shaped the final policy, and provides recommendations for enhancing stakeholder involvement in ethical decision-making in future public health scenarios.
Article Synopsis
- The paper explores Moral Distress Reflective Debriefs as a method to help healthcare professionals deal with moral distress related to patient cases.
- It reviews existing literature on debriefing methods and emphasizes the importance of reflective discussions facilitated by clinical ethicists to promote ethical understanding and emotional support.
- An example is provided to illustrate how these debriefs can effectively complement ethics consultations and alleviate the negative impacts of moral distress.
Moral distress is the psychological distress that is experienced in relation to a morally challenging situation or event. Although it was first observed within nursing, caregivers across all disciplines-including physicians, respiratory therapists, social workers and chaplains-experience moral distress. In this consult, we discuss 5 types of moral distress using examples of changes to clinical practice that have occurred due to COVID-19.
View Article and Find Full Text PDFA Call for Empirical Research on Uterine Transplantation and Reproductive Autonomy.
Hastings Cent Rep
December 2017
Uterine transplantation could give women who suffer from uterine factor infertility the possibility of experiencing gestation. Much of the ethical discussion about uterine transplantation has focused on whether research on it should even be pursued, but researchers are nevertheless moving forward with several uterine transplant research protocols. Scholars should therefore already be identifying and engaging in an intimate examination of the ethical realities of offering uterine transplantation in a clinical setting.
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