Moral Distress as Moral Heuristic Missing the Mark.

IF 1.1 4区 医学 Q3 NURSING Nursing Science Quarterly Pub Date : 2024-07-01 DOI:10.1177/08943184241247003
Pamela G Reed
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Abstract

I propose that moral distress may function as a moral heuristic, and one that misses its mark in signifying a fundamental source for nurses' moral suffering. Epistemic injustice is an insidious workplace wrongdoing that is glossed over or avoided in explicit explanations for nurse moral suffering and is substituted by an emphasis on the nurse's own wrongdoing. I discuss reasons and evidence for considering moral distress as a moral heuristic that obfuscates the role of epistemic injustice as a fundamental constraint on nurses' moral reasoning underlying moral suffering.

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作为道德启发式的道德苦恼失之毫厘,差之千里。
我认为,精神痛苦可能是一种道德启发式,而这种启发式并没有指明护士精神痛苦的根本原因。认识论上的不公正是一种隐蔽的工作场所错误行为,在对护士道德痛苦的明确解释中被掩盖或回避,取而代之的是对护士自身错误行为的强调。我讨论了将精神痛苦视为一种道德启发式的原因和证据,这种启发式掩盖了认识论不公正作为护士道德推理的基本制约因素在精神痛苦中所起的作用。
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来源期刊
Nursing Science Quarterly
Nursing Science Quarterly Nursing-General Nursing
CiteScore
1.60
自引率
16.70%
发文量
61
期刊介绍: Nursing Science Quarterly (NSQ) is a peer-reviewed, quarterly journal devoted to the enhancement of nursing knowledge. The journal publishes original manuscripts focusing on nursing theory development and guided practice, and quantitative and qualitative research related to existing nursing frameworks. NSQ also publishes innovative ideas related to nursing science and person centered models of care. This journal is a member of theCommittee on Publication Ethics (COPE).
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