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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.
At the San Diego Naval Medical Center, the eight-week moral injury/moral repair program begins with time devoted simply to allowing patients to feel comfortable and safe in a small group. Eventually, each is asked to relate his or her story, often a raw, emotional experience for those reluctant to acknowledge the source of their pain.
Joan Tronto argues that the definition of "ethic of care" is ambiguous due in part to it not playing a central role in moral theory. [25] She argues that considering moral philosophy is engaged with human goodness, then care would appear to assume a significant role in this type of philosophy. [25]
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.
Moral justification is the first of a series of mechanisms suggested by Bandura that can induce people to bypass self-sanction and violate personal standards. [7] For example, torture, in order to obtain information necessary to protect the nation's