PM&R
Volume 1, Issue 5 , Pages 450-458 , May 2009

Moral Distress in Rehabilitation Professionals: Results From a Hospital Ethics Survey

  • Debjani Mukherjee, PhD

      Affiliations

    • Donnelley Family Disability Ethics Program, Rehabilitation Institute of Chicago, 345 E. Superior Street, South Mezzanine, Chicago, IL 60611, and Northwestern University Feinberg School of Medicine, Chicago, IL†
    • Corresponding Author InformationAddress correspondence to: D.M.
    • ,
  • Rebecca Brashler, LCSW

      Affiliations

    • Care Management & Family Support, Rehabilitation Institute of Chicago and Northwestern University Feinberg School of Medicine, Chicago, IL‡
    • ,
  • Teresa A. Savage, PhD, RN

      Affiliations

    • Donnelley Family Disability Ethics Program, Rehabilitation Institute of Chicago and Northwestern University Feinberg School of Medicine, Chicago, Illinois§
    • ,
  • Kristi L. Kirschner, MD

      Affiliations

    • Director, Donnelley Family Disability Ethics Program, Rehabilitation Institute of Chicago and Northwestern University Feinberg School of Medicine, Chicago, Illinois

Received 4 December 2008 ,Accepted 8 March 2009.

References 

  1. In:  Albrecht GA,  Seelman KD,  Bury M editor. Handbook of Disability Studies. Thousand Oaks, CA: Sage Publications; 2001;
  2. Charlton J. Nothing About Us Without Us. Berkeley, CA: University of California Press; 1998;
  3. Blustein DL. The role of work in psychological health and well-being: A conceptual, historical and public policy perspective. Am Psychol. 2008;63:228–240
  4. Moos RH. Social contexts: Transcending their power and their fragility. Am J Community Psychol. 2003;31:1–13
  5. Moos RH. The mystery of human context and coping: An unraveling of clues. Am J Community Psychol. 2002;30:67–88
  6. Beauchamp TL, Childress JF. Principles of Biomedical Ethics. 6th ed.. New York: Oxford University Press; 2009;
  7. WordNet Search 3.0. http://wordnetweb.princeton.edu/perl/webwn?s=valueaccessed February 11, 2009
  8. WordNet Search 3.0. “Belief.”. http://wordnetweb.princeton.edu/perl/webwn?s=belief&sub=Search+WordNet&o2=&o0=1&o7=&o5=&o1=1&o6=&o4=&o3=&h=00accessed February 11, 2009
  9. McCarthy J, Deady R. Moral distress reconsidered. Nurs Ethics. 2008;15:254–262
  10. Zuzelo PR. Exploring the moral distress of registered nurses. Nurs Ethics. 2007;14:344–359
  11. Kalvemark S, Hoglund AT, Hansson MG, Westerholm P, Arnetz B. Living with conflicts-ethical dilemmas and moral distress in the health care system. Soc Sci Med. 2004;54:1075–1084
  12. Silva DS, Gibson JL, Sibbald R, Connolly E, Singer PA. Clinical ethicists' perspectives on organisational ethics in healthcare organisations. J Med Ethics. 2008;34:320–323
  13. Kirschner KL, Stocking C, Wagner LB, Foye SJ, SieglerM . Ethical issues identified by rehabilitation clinicians. Arch Phys Med Rehabil. 2001;82(12 Suppl 2):S2–S8
  14. Dubler NN, Kalkut GE. Caring for VIPs in the hospital: The ethical thicket. Israel Med Assoc J. 2006;8:746–750
  15. Martin A, Bostic JQ, Pruet K. The V.I.P.: Hazard and promise in treating “special” patients. J Am Acad Child Adol Psychiat. 2004;43:366–369
  16. The Prescription Project. http://www.prescriptionproject.org/about?id=0001accessed October 6, 2008
  17. Wazana A. Physicians and the pharmaceutical industry: Is a gift ever just a gift?. JAMA. 2000;283:373–380
  18. Ehringhaus SH, Weissman JS, Sears JL, Goold SD, Feibelmann S, Campbell EG. Responses of medical schools to institutional conflicts of interest. JAMA. 2008;299:665–671
  19. Irvine D. The performance of doctors: The new professionalism. Lancet. 1999;353:1174–1177
  20. Parker M, Luke H, Zhang J, Wilkinson D, Peterson R, Ozolins I. The “Pyramid of Professionalism”: Seven years of experience with an integrated program of teaching, developing, and assessing professionalism among medical students. Acad Med. 2008;83:731–741
  21. Brown KH. Information disclosure: I (Attitudes toward truth-telling). In:  Reich WT editors. Encyclopedia of Bioethics. Revised Edition. New York, NY: Simon and Schuster Macmillan; 1995;p. 1221–1225
  22. Applebaum PS, Lidz CW, Grisso T. Therapeutic misconception in clinical research: Frequency and risk factors. IRB. 2004;26:1–8
  23. Lantos JD. Moral distress and ethical confrontation: problem or progress. J Perinatol. 2007;27:201–202

 Disclosure Key can be found on the Table of Contents and at www.pmrjournal.org

PII: S1934-1482(09)00257-3

doi: 10.1016/j.pmrj.2009.03.004

PM&R
Volume 1, Issue 5 , Pages 450-458 , May 2009

Article Tools