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In the healthcare literature, moral injury is the accumulation of negative effects by continued exposure to morally distressing situations. [31] In 2000 the concept of moral distress being generated by systemic issues was called "the ethical canary" [32] to draw attention to the sensation of moral distress signaling a need for systemic change.
Nursing ethics is a branch of applied ethics that concerns itself with activities in the field of nursing. Nursing ethics shares many principles with medical ethics, such as beneficence, non-maleficence and respect for autonomy. It can be distinguished by its emphasis on relationships, human dignity and collaborative care.
However, the systemic issues facing physicians often cause deep distress because the patients are suffering despite the physician's best efforts. This concept of moral injury in healthcare [48] is the expansion of the discussion around compassion fatigue and burnout.
“Moral injury is a touchy topic, and for a long time [mental health care] providers have been nervous about addressing it because they felt inexperienced or they felt it was a religious issue,” said Amy Amidon, a staff psychologist at the San Diego Naval Medical Center who oversees its moral injury/moral repair therapy group.
Spiritual distress is a disturbance in a person's belief system. As an approved nursing diagnosis , spiritual distress is defined as "a disruption in the life principle that pervades a person's entire being and that integrates and transcends one's biological and psychological nature."
Such examples are quite common and can include cases from everyday life, stories, or thought experiments, like Sartre's student or Sophie's Choice discussed in the section on examples. [10] The strength of arguments based on examples rests on the intuition that these cases actually are examples of genuine ethical dilemmas.
The second dimension is moral type, which is the agent/patient framework. [13] These components correspond to the moral event, whether helping or harming, and the exemplars involved, which would be the agent or the patient. Each quadrant illustrates how moral events can have distinct moral emotions attached to them based on the exemplar ...
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