Creating and Sustaining Moral Spaces

Lucia D. Wocial, PhD, RN, FAAN, HEC-C

Nurse Ethicist,

Charles Warren Fairbanks Center for Medical Ethics,

Indiana University Health

Learning objectives:

• Explore the concept of moral communities.
• Explore resources and strategies for creating moral spaces.
• Discuss the link between moral distress and work environment.

References:

Acker, G. M. (2018). Self–care practices among social workers: do they predict job satisfaction and turnover intention?. Social Work in Mental Health, 16(6), 713-727.

Caldicott, C.V., Faber-Langendoen, K. Deception, Discrimination, and Fear of Reprisal: Lessons in Ethics from Third-Year Medical Students. Academic Medicine, 80 (2005): 866-873.

Deschenes, S., Tate, K., Scott, S. D., & Kunyk, D. (2021). Recommendations for navigating the experiences of moral distress: A scoping review. International Journal of Nursing Studies, 104035.

Epstein, E. G., Haizlip, J., Liaschenko, J., Zhao, D., Bennett, R., & Marshall, M. F. (2020). Moral distress, mattering, and secondary traumatic stress in provider burnout: A call for moral community. AACN advanced critical care, 31(2), 146-157.

Gordon, E.J., & Hamric, A.B. The courage to stand up: the cultural politics of nurses’ access to ethics consultation. Journal of Clinical Ethics, 17 no. 3 (2006): 231-254.

Olson, L. L. (2018). Building compassionate work environments: The concept of and measurement of ethical climate. In Moral Distress in the Health Professions (pp. 95-101). Springer, Cham.

Ulrich, C., O’Donnell, P., Taylor, C., Farrar, A., Danis, M., & Grady, C. Ethical climate, ethics stress, and the job satisfaction of nurses and social workers in the United States. Social science & Medicine 65 no. 8 (2007): 1708-1719.

Walker, M. U. (1993).  Keeping Moral Space Open: New Images of Ethics Consulting. Hastings Center Report 23, no.2): 33-40.

Walker, M. U. (1993).  Keeping Moral Space Open: New Images of Ethics Consulting. Hastings Center Report 23, no.2): 33-40.

Wocial, L. D. (2018). In search of a moral community. Online J Issues Nurs, 23(1).