Department of Health Promotion, Social and Behavioral Health, College of Public Health, University of Nebraska Medical Center, Omaha, NE, 68198-4365, USA,
J Bioeth Inq. 2013 Oct;10(3):297-308. doi: 10.1007/s11673-013-9466-3. Epub 2013 Sep 20.
The concept of moral distress can be extended from clinical settings to larger environmental concerns affecting health care. Moral distress-a common experience in complex societies-arises when individuals have clear moral judgments about societal practices, but have difficulty in finding a venue in which to express concerns. Since health care is large in scale and climate change is proving to be a major environmental problem, scaling down health care is inevitably a necessary element for mitigating climate change. Because it is extremely challenging to discuss these concerns in health care settings, those concerned about climate change and health care experience distress. This article outlines some philosophical concepts and perspectives that may be useful in mitigating this distress.
道德困境的概念可以从临床环境扩展到影响医疗保健的更大的环境问题。在复杂的社会中，道德困境是一种常见的现象，当个人对社会习俗有明确的道德判断，但却难以找到表达关注的场所时，就会产生道德困境。由于医疗保健规模庞大，而气候变化被证明是一个主要的环境问题，因此缩小医疗保健规模必然是缓解气候变化的一个必要因素。由于在医疗保健环境中讨论这些问题极具挑战性，因此那些关心气候变化和医疗保健的人会感到痛苦。本文概述了一些可能有助于减轻这种痛苦的哲学概念和观点。
