Skip to main content Accessibility help
×
Hostname: page-component-6bb9c88b65-kfd97 Total loading time: 0 Render date: 2025-07-25T14:52:29.749Z Has data issue: false hasContentIssue false

Commentary 7 - Reflections on Part VII

from Part VII - The Big Picture:

Published online by Cambridge University Press:  17 May 2025

Paul J. Ford
Affiliation:
The Cleveland Clinic Foundation, Cleveland
Denise M. Dudzinski
Affiliation:
University of Washington School of Medicine, Seattle
Get access

Summary

The chapters in this Part VII of Complex Ethics Consultations: Cases that Haunt Us are a powerful reminder that healthcare ethics consultation does not involve clinical ethics consultation alone. Organizational ethics issues can also weigh heavily on healthcare providers causing deep moral distress. The four chapters in this section reinforce enduring themes, but time and experience allow a reexamination. The first theme is the lesson of truth-telling, error disclosure, and organizational responsibility. The second is the importance of transparency in organizational decision making along with the importance of communication and coordination of care. These themes are explored in the part they played in real cases, looking at the lessons they teach; current dilemmas; the role of diversity, equity, and inclusion; and finally, the meanings for future practices. As the field of ethics consultation progresses, so too will moral distress and the need for the profession to protect its practitioners, as well as the ethicists to emotionally protect themselves. The successful future practice of ethics consultation depends on it.

Information

Type
Chapter
Information
Complex Ethics Consultations
Cases that Haunt Us
, pp. 225 - 231
Publisher: Cambridge University Press
Print publication year: 2025

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Book purchase

Temporarily unavailable

References

Joint Commission Online. Requirement for addressing ethical issues. 2023, May 31.Google Scholar
Sheppard, KN, Runk, BG, Maduro, RS, et al. Nursing moral distress and intent to leave employment during the COVID-19 pandemic. J Nurs Care Qual, 2022; 37(1): 2834.CrossRefGoogle ScholarPubMed
Dzeng, E, Wachter, RM. Ethics in conflict: Moral distress as a root cause of burnout. J Gen Intern Med, 2020; 35: 409–11.CrossRefGoogle ScholarPubMed
Epstein, EG, Haizlip, J, Liaschenko, J, et al. Moral distress, mattering, and secondary traumatic stress in provider burnout: A call for moral community. AACN Adv Crit Care, 2020; 31(2): 146–57.CrossRefGoogle Scholar
Yearby, R, Clark, B, Figueroa, JF. Structural racism in historical and modern US health care policy. Health Aff, 2022; 41(2): 187–94.CrossRefGoogle ScholarPubMed
Sharma, AE, Knox, M, Mleczko, VL, Olayiwola, JN. The impact of patient advisors on healthcare outcomes: A systematic review. BMC Health Serv Res, 2017; 17(1): 693.CrossRefGoogle ScholarPubMed
Murthy, V. Together: The Healing Power of Human Connection in a Sometimes Lonely World. New York: Harper Wave, 2020.Google Scholar

Accessibility standard: Unknown

Accessibility compliance for the PDF of this book is currently unknown and may be updated in the future.

Save book to Kindle

To save this book to your Kindle, first ensure no-reply@cambridge-org.demo.remotlog.com is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×