04689nam a22005415i 4500 978-3-031-71206-7 DE-He213 20251030113257.0 cr nn 008mamaa 241102s2024 sz | s |||| 0|eng d 9783031712067 978-3-031-71206-7 10.1007/978-3-031-71206-7 doi RC1-1245 MJ bicssc MED045000 bisacsh MJ thema Ochasi, Aloysius. author. aut http://id.loc.gov/vocabulary/relators/aut 86978 The Challenged Resident [electronic resource] : Moral Distress, Moral Disengagement, and Ethical Climate in U.S. Medical Residencies / by Aloysius Ochasi. 1st ed. 2024. Cham : Springer Nature Switzerland : Imprint: Springer, 2024. XXIII, 91 p. 11 illus., 1 illus. in color. online resource. text txt rdacontent computer c rdamedia online resource cr rdacarrier text file PDF rda Foreword.-List of Tables -- List of Figures -- Introduction -- Chapter One: The Issue of Moral Distress -- Chapter Two: Experiencing Moral Disengagement -- Chapter Three: The Effects of Ethical Climate on Moral Distress -- Chapter Four: Carrying out the Quantitative Study -- Chapter Five: Qualitative Results and Themes -- Chapter Six: Discussion of Findings -- Chapter Seven: Residency During COVID-19 -- Chapter Eight: What Individuals Can Do -- Conclusion -- References -- Appendix A: Moral Distress Physician Questionnaire (ADULT)- Appendix B: Moral Disengagement- Appendix C: Ethical Climate Questionnaire -- Appendix D: Interview Questions (Qualitative study). The purpose of this timely and stimulating book is to examine the causes and impacts of moral distress among US medical residents. Based on a comprehensive study conducted by the author, the work not only delves into the causes of moral distress among medical residents but also explores how this distress can lead to moral disengagement, potentially resulting in suboptimal clinical care and adverse patient outcomes. The book begins with an overview of existing scholarship on moral distress experienced by practitioners within the medical establishment and its negative psychological impacts. Chapter two discusses how moral distress can lead to moral disengagement and its subsequent effects on patient care. In chapter three, the author explores residents’ perceptions of the role of the "ethical climate" in contributing to moral distress. Chapter four outlines the impetus behind the study and details its methodology. Chapter five reviews the study’s findings, focusing on the relationship between moral distress and moral disengagement, including the influence of the ethical climate within medical institutions. Chapter six summarizes the quantitative and qualitative findings of the study. Chapter seven addresses how these issues were managed during the recent COVID-19 pandemic, when medical personnel were often stressed, overworked, and apprehensive about contracting the virus themselves. Finally, in chapter eight, the author suggests strategies for preventing moral distress and disengagement and provides recommendations for medical residents on managing the inherent stresses of medical training. The Challenged Resident offers a unique and insightful contribution to the clinical literature on ethics and medical residency, enabling clinicians, trainees, administrators, policymakers, and other stakeholders to better understand the pressures and stressors faced by medical residents and to consider strategies and policies that address moral distress, promote resident self-care, foster a more supportive and ethical training environment, and reduce moral disengagement. Internal medicine. Family medicine. 63339 Diagnosis. 64942 Primary care (Medicine). 64645 Internal Medicine. General Practice and Family Medicine. 73291 Diagnosis. 64942 Primary Care Medicine. 64645 SpringerLink (Online service) Springer Nature eBook Printed edition: 9783031712050 Printed edition: 9783031712074 Printed edition: 9783031712081 https://doi.org/10.1007/978-3-031-71206-7 ZDB-2-SME ZDB-2-SXM 64691 64691