Moral distress and ethical confrontation: problem or progress?
Lantos, J. D. (2007). Moral distress and ethical confrontation: problem or progress? Journal of Perinatology, 27 (4): 201-2.
This article discusses ethical confrontations in a medical setting.
"Janvier and co-workers studied pediatrics residents,
obstetrics residents and nurses who work in various perinatal settings
in four university-based tertiary care centers in Quebec. Although the
characteristics of the babies admitted to these NICUs are not reported
in the study, we assume that the NICUs served a relatively similar
population of patients (with the exception of the nurses working in an
"The main outcome measure of the
study was self-reported rates of 'ethical confrontation.' The reported
rates of 'ethical confrontation' differed among the different NICUs.
Overall, 35% of nurses and 19% of residents reported that they
frequently experienced ethical confrontations in their workplace. The
most significant predictor of the likelihood of experiencing ethical
confrontations was the place of work. Some NICUs are, apparently, more
full of confrontation than others. In one center, none of the residents
reported frequent ethical confrontation. In another center, 36% of
residents experienced such confrontation."
(My publication)Posted: Thursday, January 15, 2009