Moral Resilience: Transforming Moral Suffering in Health Care

Front Cover
Cynda Hylton Rushton
Oxford University Press, 2018 - Medical - 320 pages
Suffering is an unavoidable reality in healthcare. Not only are patients and families suffering, but more and more the clinicians who care for them are also experiencing distress. The omnipresent, daily presence of moral adversity is, in part, a reflection of the burgeoning complexity of healthcare, clinicians' role within it, and the expanding range of available interventions that must be balanced with competing demands. There is an urgent need to design solutions that address the myriad factors that create the conditions for imperiled integrity within the healthcare system.

Moral resilience is a pathway to transform the effects of moral suffering in healthcare. Dr. Rushton and colleagues offer a novel approach to addressing moral suffering that engages transformative strategies for individuals and systems alike and leverages practical skills and tools for a sustainable workforce that practices with integrity, competence, and wholeheartedness, and dismantles the systemic patterns that impede ethical practice. This is a must-read for clinicians - front line nurses to physicians to system leaders and policymakers - because it will require collective collaboration, aligned values, shared language and intentional design to make our healthcare organizations and their clinicians healthy again.

 

Contents

Introduction
1
A Reality of Clinical Practice
10
Context Sources and Consequences
24
3 Mapping the Path of Moral Adversity
52
The Anchor for Moral Resilience
77
5 The Many Faces of Resilience
104
6 Conceptualizing Moral Resilience
125
7 Cultivating Essential Capacities for Moral Resilience
150
8 Strategies to Restore Integrity
183
9 Designing Sustainable Systems for Ethical Practice
206
10 Creating a Culture of Moral Resilience and Ethical Practice
243
A Vision for the Future
281
Index
287
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About the author (2018)


Cynda Hylton Rushton, PhD, RN, FAAN, is the Anne and George L. Bunting Professor of Clinical Ethics in the Johns Hopkins Berman Institute of Bioethics and the School of Nursing, with a joint appointment in the School of Medicine's Department of Pediatrics. A founding member of the Berman Institute of Bioethics, Dr. Rushton co-chairs the Johns Hopkins Hospital's Ethics Committee and Consultation Service. She is a Fellow of the American Academy of Nursing, a Hasting's Center Fellow and author of over 175 journal articles and scholarly book chapters.

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