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Moral distress, moral residue, and the crescendo effect.

作者信息

Epstein Elizabeth Gingell, Hamric Ann Baile

机构信息

University of Virginia School of Nursing, Charlottesville, USA.

出版信息

J Clin Ethics. 2009 Winter;20(4):330-42.

PMID:20120853
Abstract
摘要

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Self-care of physicians caring for patients at the end of life: "Being connected... a key to my survival".临终关怀医生的自我关怀：“保持联系……是我生存的关键”
JAMA. 2009 Mar 18;301(11):1155-64, E1. doi: 10.1001/jama.2009.352.
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Moral distress in the third year of medical school; a descriptive review of student case reflections.医学院校三年级学生的道德困扰；对学生案例反思的描述性综述
Am J Surg. 2009 Jan;197(1):107-12. doi: 10.1016/j.amjsurg.2008.07.048.
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Innovative solutions: the effect of a workshop on reducing the experience of moral distress in an intensive care unit setting.
麻醉医生在器官获取过程中的道德困境：叙事综述
Cureus. 2025 Jul 25;17(7):e88765. doi: 10.7759/cureus.88765. eCollection 2025 Jul.
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Moral Injury in Mental Health Nursing-A Qualitative Descriptive Study in Switzerland.心理健康护理中的道德伤害——瑞士的一项定性描述性研究
Int J Ment Health Nurs. 2025 Aug;34(4):e70099. doi: 10.1111/inm.70099.
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Conscious of Conscience: Moral Distress as a Trigger for Deeper Reflection on Harm.良知的自觉：道德困扰作为引发对伤害进行更深入反思的触发因素。
Linacre Q. 2025 Jul 16:00243639251357450. doi: 10.1177/00243639251357450.
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Analysis of the current situation of ICU nurses' moral disengagement and influencing factors.ICU护士道德脱离现状及影响因素分析
BMC Med Ethics. 2025 Jul 3;26(1):80. doi: 10.1186/s12910-025-01245-x.
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Subordination by Design: Rethinking Power, Policy, and Autonomy in Perioperative Nursing.设计中的从属关系：重新思考围手术期护理中的权力、政策与自主性
Nurs Inq. 2025 Jul;32(3):e70043. doi: 10.1111/nin.70043.
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Moral distress, moral residue, and associations with psychological distress: a cross-sectional study.道德困扰、道德残留及其与心理困扰的关联：一项横断面研究。
Eur J Psychotraumatol. 2025 Dec;16(1):2512677. doi: 10.1080/20008066.2025.2512677. Epub 2025 Jun 19.
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Moral Decision-Making in Healthcare and Medical Professions During the COVID-19 Pandemic.新冠疫情期间医疗保健及医疗行业中的道德决策
Trends Psychol. 2023;31(1):210-230. doi: 10.1007/s43076-021-00118-7. Epub 2021 Nov 17.
10
Coping with moral distress: a qualitative study exploring psychological strategies used by healthcare professionals.应对道德困境：一项探索医护人员所采用心理策略的定性研究
BMC Psychol. 2025 Jun 2;13(1):589. doi: 10.1186/s40359-025-02926-3.
创新解决方案：工作坊对降低重症监护病房道德困扰体验的影响
Dimens Crit Care Nurs. 2008 Nov-Dec;27(6):263-7. doi: 10.1097/01.DCC.0000338871.77658.03.
4
Time for a tool to measure moral distress?
Am J Crit Care. 2008 Sep;17(5):398-401.
5
Conscientious objection: a potential neonatal nursing response to care orders that cause suffering at the end of life? Study of a concept.良心拒斥：新生儿护理对临终时造成痛苦的护理指令的一种潜在应对方式？一个概念的研究
Neonatal Netw. 2008 Mar-Apr;27(2):101-8. doi: 10.1891/0730-0832.27.2.101.
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Moral distress reconsidered.重新审视道德困境。
Nurs Ethics. 2008 Mar;15(2):254-62. doi: 10.1177/0969733007086023.
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Compassion fatigue in pediatric palliative care providers.儿科姑息治疗提供者的同情疲劳
Pediatr Clin North Am. 2007 Oct;54(5):631-44, x. doi: 10.1016/j.pcl.2007.07.004.
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Moral distress and ethical confrontation: problem or progress?道德困扰与伦理对抗：问题还是进步？
J Perinatol. 2007 Apr;27(4):201-2. doi: 10.1038/sj.jp.7211679.
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Nurse-physician perspectives on the care of dying patients in intensive care units: collaboration, moral distress, and ethical climate.护士与医生对重症监护病房临终患者护理的看法：协作、道德困扰与伦理氛围
Crit Care Med. 2007 Feb;35(2):422-9. doi: 10.1097/01.CCM.0000254722.50608.2D.
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The courage to stand up: the cultural politics of nurses' access to ethics consultation.挺身而出的勇气：护士获得伦理咨询的文化政治
J Clin Ethics. 2006 Fall;17(3):231-54.