Ethical Decision Making, Moral Distress, and Mattering in the Context of Healthy Work Environments and Moral
1University of Virginia School of Nursing, Center for Health Humanities and Ethics, 202 Jeanette Lancaster Way, McLeod Hall 5006, Charlottesville, VA 22908, USA.
Abstract:
This article explores ethical decision making for critical care nurses, noting that ethical decisions occur every day at the patient level and at the systems level. This article emphasizes the impact of the work environment on ethical decision making and also connects moral distress and mattering to ethical decision making. The article also explores the concept of moral community as an obligation of health care organizations to support ethical decision making, mitigate moral distress, reinforce mattering, and sustain a healthy work environment.
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