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Moral Distress and Austerity: An Avoidable Ethical Challenge in Healthcare

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 availabi... Full description

Journal Title: Health care analysis 2019-07-17, Vol.27 (3), p.185-201
Main Author: Morley, Georgina
Other Authors: Ives, Jonathan , Bradbury-Jones, Caroline
Format: Electronic Article Electronic Article
Language: English
Subjects:
Publisher: New York: Springer US
ID: ISSN: 1065-3058
Link: https://www.ncbi.nlm.nih.gov/pubmed/31317374
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recordid: cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6667688
title: Moral Distress and Austerity: An Avoidable Ethical Challenge in Healthcare
format: Article
creator:
  • Morley, Georgina
  • Ives, Jonathan
  • Bradbury-Jones, Caroline
subjects:
  • atira
  • Austerity
  • Bioethics
  • Cost analysis
  • Critical resilience
  • Delivery of Health Care - ethics
  • Economic Recession
  • Empirical bioethics
  • Ethical dilemmas
  • Ethical Theory
  • Ethics
  • Europe
  • Feminist empirical bioethics
  • Health administration
  • Health care
  • health care economics
  • Health Informatics
  • Health Personnel - ethics
  • Humans
  • Journal Article
  • Medical ethics
  • Medical personnel
  • Medicine
  • Medicine & Public Health
  • Moral distress
  • Moral resilience
  • Morality
  • Morals
  • Nursing
  • organizations
  • Original
  • Original Article
  • Phenomenology
  • Philosophy of Medicine
  • Psychological distress
  • Public Health
  • pubmedpublicationtype
  • pure
  • researchoutput
  • Resilience
  • Staffing
  • United Kingdom
ispartof: Health care analysis, 2019-07-17, Vol.27 (3), p.185-201
description: 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imposed by austerity come in various forms; ranging from the availability of certain treatments being reduced or withdrawn completely, to reductions in staffing that mean healthcare professionals must ration the time they make available to each patient.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.
language: eng
source:
identifier: ISSN: 1065-3058
fulltext: no_fulltext
issn:
  • 1065-3058
  • 1573-3394
url: Link


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descriptionAusterity, 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.
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subjectatira ; Austerity ; Bioethics ; Cost analysis ; Critical resilience ; Delivery of Health Care - ethics ; Economic Recession ; Empirical bioethics ; Ethical dilemmas ; Ethical Theory ; Ethics ; Europe ; Feminist empirical bioethics ; Health administration ; Health care ; health care economics ; Health Informatics ; Health Personnel - ethics ; Humans ; Journal Article ; Medical ethics ; Medical personnel ; Medicine ; Medicine & Public Health ; Moral distress ; Moral resilience ; Morality ; Morals ; Nursing ; organizations ; Original ; Original Article ; Phenomenology ; Philosophy of Medicine ; Psychological distress ; Public Health ; pubmedpublicationtype ; pure ; researchoutput ; Resilience ; Staffing ; United Kingdom
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abstractAusterity, 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.
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