Moral Resilience

Moral Resilience
Author: Cynda Hylton Rushton
Publisher: Oxford University Press
Total Pages: 304
Release: 2018-10-02
Genre: Medical
ISBN: 0190619295

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Suffering is an unavoidable reality in health care. Not only are patients and families suffering but also the clinicians who care for them. Commonly the suffering experienced by clinicians is moral in nature, in part a reflection of the increasing complexity of health care, their roles within it, and the expanding range of available interventions. Moral suffering is the anguish that occurs when the burdens of treatment appear to outweigh the benefits; scarce human and material resources must be allocated; informed consent is incomplete or inadequate; or there are disagreements about goals of treatment among patients, families or clinicians. Each is a source of moral adversity that challenges clinicians' integrity: the inner harmony that arises when their essential values and commitments are aligned with their choices and actions. If moral suffering is unrelieved it can lead to disengagement, burnout, and undermine the quality of clinical care. The most studied response to moral adversity is moral distress. The sources and sequelae of moral distress, one type of moral suffering, have been documented among clinicians across specialties. It is vital to shift the focus to solutions and to expanded individual and system strategies that mitigate the detrimental effects of moral suffering. Moral resilience, the capacity of an individual to restore or sustain integrity in response to moral adversity, offers a path forward. It encompasses capacities aimed at developing self-regulation and self-awareness, buoyancy, moral efficacy, self-stewardship and ultimately personal and relational integrity. Clinicians and healthcare organizations must work together to transform moral suffering by cultivating the individual capacities for moral resilience and designing a new architecture to support ethical practice. Used worldwide for scalable and sustainable change, the Conscious Full Spectrum approach, offers a method to solve problems to support integrity, shift patterns that undermine moral resilience and ethical practice, and source the inner potential of clinicians and leaders to produce meaningful and sustainable results that benefit all.

Moral Resilience

Moral Resilience
Author: Cynda Hylton Rushton
Publisher: Oxford University Press, USA
Total Pages: 321
Release: 2018-11
Genre: Medical
ISBN: 0190619260

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Suffering is an unavoidable reality in healthcare. Not only are patients and families suffering, but more and more the clinicians who care for them are also experiencing distress. The omnipresent, daily presence of moral adversity is, in part, a reflection of the burgeoning complexity of healthcare, clinicians' role within it, and the expanding range of available interventions that must be balanced with competing demands. There is an urgent need to design solutions that address the myriad factors that create the conditions for imperiled integrity within the healthcare system. Moral resilience is a pathway to transform the effects of moral suffering in healthcare. Dr. Rushton and colleagues offer a novel approach to addressing moral suffering that engages transformative strategies for individuals and systems alike and leverages practical skills and tools for a sustainable workforce that practices with integrity, competence, and wholeheartedness, and dismantles the systemic patterns that impede ethical practice. This is a must-read for clinicians - front line nurses to physicians to system leaders and policymakers - because it will require collective collaboration, aligned values, shared language and intentional design to make our healthcare organizations and their clinicians healthy again.

Moral Resilience, Second Edition

Moral Resilience, Second Edition
Author: Cynda H. Rushton
Publisher: Oxford University Press
Total Pages: 393
Release: 2024
Genre: Medical
ISBN: 0197667147

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"Suffering is an unavoidable reality in health care. Not only are patients and families suffering but also the clinicians who care for them. Commonly the suffering experienced by clinicians is moral in nature, reflecting the increasing complexity of health care, their roles within it, and the expanding range of available interventions. Moral suffering is the anguish experienced in response to various forms of moral adversity including moral harms, wrongs or failures, or unrelieved moral stress. Confronting moral adversity challenges clinicians' integrity: the inner harmony that arises when their essential values and commitments are aligned with their choices and actions. The most studied response to moral adversity is moral distress. The sources and sequelae of moral distress, one type of moral suffering, have been documented among clinicians across specialties. Recent interest has expanded to include a more corrosive form of moral suffering, moral injury. Moral resilience, the capacity to restore or sustain integrity in response to moral adversity, offers a path designing individual and system solutions to address moral suffering. It encompasses capacities aimed at developing self- regulation and self-awareness, buoyancy, moral efficacy, self-stewardship and ultimately personal and relational integrity. Moral resilience has been shown to be a protective resource that reduces the detrimental impact of moral suffering. Clinicians and healthcare organizations must work together to transform moral suffering by cultivating the individual capacities for moral resilience and designing a new architecture to support ethical practice. Used worldwide for scalable and sustainable change, the Conscious Full Spectrum Response, offers a method to solve problems to support integrity, shift patterns that undermine moral resilience and ethical practice, and source the inner potential of clinicians and leaders to produce meaningful and sustainable results that benefit all"--

Morality in Context

Morality in Context
Author: Wolfgang Edelstein
Publisher: Elsevier
Total Pages: 419
Release: 2005-07-25
Genre: Philosophy
ISBN: 0080456979

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Morality in context is a timely topic. A debate between philosophers and social scientists is a good way to approach it. Why is there such a booming interest in morality and why does it focus on context? One starting point is the change in the sociostructural and sociocultural conditions of modern societies. This involves change in the empirical conditions of moral action and in the social demand on morality. As these changes are accounted for and analyzed in the social sciences, new perspectives emerge that give rise to new ways of framing issues and problems. These problems are best addressed by way of cooperation between philosophers and social scientists. As Habermas (1990) has pointed out in a much cited paper, philosophers depend on social science to fill in the data they require to answer the questions raised by philosophy in its "placeholder" function. The reverse also holds true: Social science needs the conceptual clarifications that philosophy can provide. With respect to morality, such mutual interchanges are of particular importance the contributions to this book show convincingly.

POWER

POWER
Author: Konstantinos Papazoglou
Publisher: Academic Press
Total Pages: 280
Release: 2019-11-14
Genre: Law
ISBN: 0128178736

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Power: Police Officer Wellness, Ethics, and Resilience collectively presents the numerous psychic wounds experienced by peace officers in the line of duty, including compassion fatigue, moral injury, PTSD, operational stress injury, organizational and operational stress, and loss. Authors describe the negative repercussions of these psychic wounds in law enforcement decision-making, job performance, job satisfaction, and families. The book encompasses evidence-based strategies to assist law enforcement agencies in developing policy programs to promote wellness for their personnel. The evidence-based techniques presented allow officers to get a more tangible and better understanding of the techniques so that they apply those techniques when on and off-duty. With forewords authored by Dr. John Violanti (Distinguished Police Research Professor) and Dr. Tracie Keesee, Vice President of the Center of Policing Equity, this book is an excellent resource for police professionals, police wellness coordinators, early career researchers, mental health professionals who provide services to law enforcement officers and their families, and graduate students in psychology, forensic psychology, and criminal justice. Platinum Award Winner 2019, Homeland Security Awards - American Security Today Provides reader with evidence-based strategies to promote officer wellness Covers compassion fatigue, moral injury, PTSD, operational stress, and more Written by established scholars and professionals from a law enforcement context

Critical Resilience for Nurses

Critical Resilience for Nurses
Author: Michael Traynor
Publisher: Routledge
Total Pages: 203
Release: 2017-03-27
Genre: Medical
ISBN: 131727248X

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The nursing profession is under pressure. Financial demands, student debt, the target culture, political scrutiny in the wake of major care scandals and increasing workloads are all taking their toll on professional morale and performance. This timely book considers the meaning of resilience in this adverse context and explains why measures to preserve individual nurses’ and students’ well-being are flawed if they don’t take into account wider political and organizational perspectives. Arguing that healthcare can be thought about and experienced differently, this book: provides a summary of the latest research on resilience, explaining its relevance and also limitations for nurses; considers debates about compassion and highlights the effects of policy agendas on nurse education and nursing work; re-evaluates nursing’s professional identity, including where nursing has come from and the effects of class, gender and race on its powerbase; assesses the role of politics and social media, both in driving change and feeding resistance; and introduces the idea of critical resilience as a complete framework for resisting bullying and fostering survival and change in the nursing workforce. Direct, upbeat, at times provocative and witty, this agenda-setting book enables nurses to understand why they feel the way they do. It also lists what opportunities are available to them to change, resist and survive in what has become a complex, challenging – if still deeply rewarding – line of work.

Making Money Moral

Making Money Moral
Author: Judith Rodin
Publisher: University of Pennsylvania Press
Total Pages: 183
Release: 2021-02-09
Genre: Business & Economics
ISBN: 161363109X

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"As we look ahead to the recovery from the COVID-19 crisis, Making Money Moral could not come at a better time." —Jamie Dimon, Chairman and Chief Executive Officer, JPMorgan Chase The math doesn't add up: Global financial markets can no longer ignore the world's most critical problems. The risks are too high and the costs too great. In Making Money Moral: How a New Wave of Visionaries Is Linking Purpose and Profit, authors Judith Rodin and Saadia Madsbjerg explore a burgeoning movement of bold and ambitious innovators. These trailblazers are unlocking private-sector investments in new ways to solve global problems, from environmental challenges to social issues such as poverty and inequality. They are earning great returns and reimagining capitalism in the process. Pioneers in the field of sustainable and impact investing, Rodin and Madsbjerg offer first-hand stories of how investors of every type and in every asset class are investing in world-changing solutions—with great success. Meet the visionaries who are leading this movement:The investment managers putting trillions of dollars to work, like TPG, Wellington Management, State Street Global Advisors, Nuveen, Amundi, APG and Natixis;The asset owners driving the transition, like GPIF and PensionDanmark;A new generation of entrepreneurs benefiting from the investments, like DreamBox Learning, an innovative educational technology platform, and Goodlife Pharmacies, which is disrupting the traditional notion of a pharmacy; The corporations that are repurposing their business models to meet demand for sustainable products and services, like Ørsted; andThe nonprofits that are reimagining how to raise money for their work while creating significant value for investors, like The Nature Conservancy. In their book, Rodin and Madsbjerg offer a deep look at the most powerful tools available today—and how they can be unlocked. They reveal:Who the investors are and what they want;How innovative products and investment strategies can deliver long-term value for investors while improving lives and protecting ecosystems;How leaders can build strategies and prepare their organizations to enter and expand this dynamic market; andHow to measure impact, understand critical regulations, and avoid potential pitfalls.A roadmap to making the financial market a force for good, Making Money Moral is a must-read for those seeking private-sector capital to address a big problem, as well as those seeking both to mitigate risk and to invest in big solutions. "Judith Rodin and Saadia Madsbjerg identify an important new way of looking at money: from the root of all evil to the fount of all solutions. Their timely, important book on impact investing is full of powerful insights and compelling examples they've seen firsthand. Their work will be sure to accelerate momentum toward a more sustainable world." —Rosabeth Moss Kanter, Harvard Business School Professor and Author of Think Outside the Building: How Advanced Leaders Can Change the World One Smart Innovation at a Time

Stress Resilience

Stress Resilience
Author: Alon Chen
Publisher: Academic Press
Total Pages: 390
Release: 2019-11
Genre: Medical
ISBN: 0128139838

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Stress Resilience: Molecular and Behavioral Aspects presents the first reference available on the full-breadth of cutting-edge research being carried out in this field. It includes a wide range of basic molecular knowledge on the potential associations between resilience phenomenon and biochemical balance, but also focuses on the molecular and cellular mechanisms underlying stress resilience. World-renowned experts provide chapters that cover everything from the neural circuits of resilience, the effects of early-life adversity, and the transgenerational inheritance of resilience. This unique and timely book will be a go-to resource for neuroscientists and biological psychiatrists who want to improve their understanding of the consequences of stress and on how some people are able to avoid it. Approaches resilience as a process rather than as a static trait Provides basic molecular knowledge on the potential associations between resilience phenomenon and biochemical balance Presents thorough coverage of both the genetic and environmental factors that contribute to resilience

Moral Distress and You

Moral Distress and You
Author: Cynda H. Rushton
Publisher:
Total Pages:
Release: 2015
Genre:
ISBN: 9781558105874

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Stress and Resilience

Stress and Resilience
Author: Leith Mullings
Publisher: Springer Science & Business Media
Total Pages: 236
Release: 2012-12-06
Genre: Medical
ISBN: 1461513693

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Documenting the daily efforts of African Americans to protect their community against highly oppressive conditions, this ground-breaking volume chronicles the unique experiences of black women that place them at higher risk for morbidity and mortality - especially during pregnancy. Stress and Resilience: The Social Context of Reproduction in Central Harlem examines the processes through which economic circumstances, environmental issues, and social conditions create situations that expose African American women to stress and chronic strain. Detailing the individual and community assets and strategies used to address these conditions, this volume provides a model methodology for translating research into public health and social action. Based on interactive community partnered research, Stress and Resilience: The Social Context of Reproduction in Central Harlem Facilitates more exact hypotheses about the relationship between risk factors, protective factors and reproductive health; Furnishes a better understanding of chronic disease patterns and suggests more effective interventions to reduce rates of infant mortality; Incorporates the voices of the community and of women themselves through their own words and actions; Sheds light on epidemiologic research and intervention protocols; Examines the social context in which reproductive behaviors are practiced; Provides a holistic framework in which to understand infant mortality; And more. Filling a large gap in the literature on the social context of reproduction this important monograph offers indispensable information for public health researchers, program planners, anthropologists, sociologists, urban planners, medical providers, policy makers, and private funders.