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001 978-3-031-71206-7
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020 _a9783031712067
_9978-3-031-71206-7
024 7 _a10.1007/978-3-031-71206-7
_2doi
050 4 _aRC1-1245
072 7 _aMJ
_2bicssc
072 7 _aMED045000
_2bisacsh
072 7 _aMJ
_2thema
100 1 _aOchasi, Aloysius.
_eauthor.
_4aut
_4http://id.loc.gov/vocabulary/relators/aut
_986978
245 1 4 _aThe Challenged Resident
_h[electronic resource] :
_bMoral Distress, Moral Disengagement, and Ethical Climate in U.S. Medical Residencies /
_cby Aloysius Ochasi.
250 _a1st ed. 2024.
264 1 _aCham :
_bSpringer Nature Switzerland :
_bImprint: Springer,
_c2024.
300 _aXXIII, 91 p. 11 illus., 1 illus. in color.
_bonline resource.
336 _atext
_btxt
_2rdacontent
337 _acomputer
_bc
_2rdamedia
338 _aonline resource
_bcr
_2rdacarrier
347 _atext file
_bPDF
_2rda
505 0 _aForeword.-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).
520 _aThe 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.
650 0 _aInternal medicine.
650 0 _aFamily medicine.
_963339
650 0 _aDiagnosis.
_964942
650 0 _aPrimary care (Medicine).
_964645
650 1 4 _aInternal Medicine.
650 2 4 _aGeneral Practice and Family Medicine.
_973291
650 2 4 _aDiagnosis.
_964942
650 2 4 _aPrimary Care Medicine.
_964645
710 2 _aSpringerLink (Online service)
773 0 _tSpringer Nature eBook
776 0 8 _iPrinted edition:
_z9783031712050
776 0 8 _iPrinted edition:
_z9783031712074
776 0 8 _iPrinted edition:
_z9783031712081
856 4 0 _uhttps://doi.org/10.1007/978-3-031-71206-7
912 _aZDB-2-SME
912 _aZDB-2-SXM
999 _c64691
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