Moral distress among Norwegian doctors

Journal of Medical Ethics

Volumn 34, Issue 7, 2008, Pages 521-525

  Forde R ^a   Aasland, O G ^a  

^a UNIVERSITY OF OSLO   (Norway)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; CULTURAL ANTHROPOLOGY; ETHICS; FEMALE; HEALTH PERSONNEL ATTITUDE; HUMAN; MALE; MEDICAL ETHICS; MIDDLE AGED; MORALITY; NORWAY; PHYSICIAN; PROFESSIONAL PRACTICE; PSYCHOLOGICAL ASPECT; PUBLIC RELATIONS; QUESTIONNAIRE;

ADULT; ATTITUDE OF HEALTH PERSONNEL; CULTURE; ETHICS, MEDICAL; FEMALE; HUMANS; INTERPROFESSIONAL RELATIONS; MALE; MIDDLE AGED; MORALS; NORWAY; PHYSICIANS; PROFESSIONAL AUTONOMY; QUESTIONNAIRES;

EID: 55249102513     PISSN: 03066800     EISSN: 14734257     Source Type: Journal    
DOI: 10.1136/jme.2007.021246     Document Type: Article

References (26)

1. Aasland OG, Olff M, Falkum E, et al. Health complaints and job stress in Norwegian physicians. The use of an overlapping questionnaire design. Soc Sci Med 1997;4:1615-29.
2. Arnetz B. Psychosocial challenges facing physicians of today. Soc Sci Med 2001;52:203-13.
3. Wynia MK, Latham SR, Kao AC, et al. Medical professionalism in society. N Eng J Med 1999;341:1 612-15.
4. Smith R. Medicine's core values. BMJ 1994;309:1247- 8.
5. Kälvemark S, Höglund AT, Hansson MG, et al. Living with conflicts-ethical dilemmas and moral distress in the health care system. Soc Sci Med 2004;58:1075-84.
6. Hurst SA, Slowther AM, Førde R, et al. Prevalence and determinants of physician bedside rationing. J Gen Intern Med 2006;21:1138-43.
7. Waring JJ. Beyond blame: cultural barriers to medical incident reporting. Soc Sci Med 2005;60:1927-35.
8. Smith R. One Bristol, but there could have been many. BMJ 2001;232:179-80.
9. Hurst SA, Hull SC, DuVal G, et al. How physicians face ethical difficulties: a qualitative analysis. J Med Ethics 2005;31:7-14.
10. Lawton R, Parker D. Barriers to incident reporting in a healthcare system. Qual Saf Health Care 2002;11:15-18.
11. Aasland OG, Førde R. Impact of feeling responsible for adverse events on doctors' personal and professional lives: the importance of being open to criticism from colleagues. Qual Saf in Health Care 2005;11:15-18.
12. Gacki-Smith J, Gordon EJ. Residents' access to ethics consultations: Knowledge, use and perceptions. Academic Med 2005;80:168-75.
13. Corley MC, Elswick RK, Gorman M, et al. Development and evaluation of a moral distress scale. J Adv Nurs 2001;33:250-6.
14. Sundin-Huard D, Fahy K. Moral distress, advocacy and burnout: theorizing the relationships. Int J Nurs Pract 1999;5:8-13.
15. See http://www.legeforeningen.no/index.db2?id=4699 (accessed 5 Apr 2008) for an overview of the more than 150 publications so far.
16. Kristiansen IS, Førde OH, Aasland OG, et al. Threats from patients and their effects on medical decision making: a cross-sectional randomised trial. Lancet 2001;2357:1258-61.
17. Stavem P, Hofoss D, Aasland OG. Work characteristics and morbidity as predictors of self-perceived health status in Norwegian physicians. Scand J Public Health 2003;31:375-81.
18. Førde R, Aasland OG, Steen PA. Medical end-of-life desicions in Norway. Resuscitation 2003;55:235-40.
19. Saarni SI, Halila R, Palmu P, et al. Ethically problematic treatment decisions in different medical specialities. J Med Ethics 2008;34:262-7
20. Bischoff SJ, DeTienne KB, Quick B. Effects of ethics stress on employee burnout and fatigue: An empirical investigation. JHHSA Spring 1999:512-32.
21. Dyer C. Bristol inquiry condemns hospitals' club culture. BMJ 2001;323:181.
22. Førde R, Pedersen R, Nortvedt P, et al. (Care for the elderly still suffers from lack of resources) J Nor Med Assoc 2006;126:193-6. [In Norwegian, abstract in English.]
23. Carlsen B, Norheim OF. "Saying no is no easy matter". A qualitative study of competing concerns in rationing decisions in general practice. BMC Health Serv Res 2005;5:70. http://www.biomedcentral.com/1472-6963/ 5/70 (accessed 5 Apr 2008).
24. Mayor S. Clinicians need better access to ethics advice, report says. BMJ 2005;330:1345.
25. Hurst SA, Perrier A, Pegararo R, et al. Ethical difficulties in clinical practice: experience of European doctors. J Med Ethics 2007;33:51-7.
26. Førde R, Pedersen R. Clinicians' evaluation of clinical ethics consultations in Norway: A qualitative study. Med Health Care Philos 2008;11:17-25.