Joan Liaschenko

Moral Distress in Bioethics and Business Ethics: Knowledge, Action, and Desire in Moral Conditions and Communities

Christopher Wong Michaelson, Andrew L. Jameton, Joan Liaschenko

“Moral distress” was introduced in nursing ethics to describe the experience of having the moral conviction about the right thing to do while having limited agency to enact it. It exists at the intersection of moral philosophy, moral psychology, and moral communities …

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The Relevance of Feminist Ethics for Moral Communities in Healthcare Work

Joan Liaschenko, Elizabeth H. Peter

Abstract This chapter examines the concept of moral community, arguing that the characteristics of a moral community can be well articulated using the theoretical representation of morality in feminist ethics. The authors reflect on the history of the concept in nursing and …

Moral Distress, Mattering, and Secondary Traumatic Stress in Provider Burnout: A Call for Moral Community

Elizabeth Gingell Epstein, Julie A. Haizlip, Joan Liaschenko, David X. Zhao et autres

Burnout incurs significant costs to health care organizations and professionals. Mattering, moral distress, and secondary traumatic stress are personal experiences linked to burnout and are byproducts of the organizations in which we work. This article conceptualizes health care organizations as moral communities-groups …

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An Evolution of Feminist Thought in Nursing Ethics

Elizabeth H. Peter, Joan Liaschenko

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“Can you tell me why you made that choice?”: A qualitative study of the influences on treatment decisions in advance care planning among adolescents and young adults undergoing bone marrow transplant

Jennifer Susan Needle, Cynthia J Peden-McAlpine, Joan Liaschenko, Kara S. Koschmann et autres

BACKGROUND: Adolescent and young adult advance care planning is beneficial in improving communication between patients, surrogates, and clinicians. The influences on treatment decisions among adolescents and young adults are underexplored in the literature. AIM: The aim of this study was to explore …

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Physicians’ Perspectives on Adolescent and Young Adult Advance Care Planning: The Fallacy of Informed Decision Making

Jennifer Susan Needle, Cynthia J Peden-McAlpine, Joan Liaschenko

Advance care planning (ACP) is a process that seeks to elicit patients' goals, values, and preferences for future medical care. While most commonly employed in adult patients, pediatric ACP is becoming a standard of practice for adolescent and young adult patients with …

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Stopping the Momentum of Clinical Cascades in the PICU: Intentional Responses to the Limits of Medicine

Jennifer Susan Needle, Joan Liaschenko, Cynthia J Peden-McAlpine, Renee Denise Boss

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Practitioner perspectives

Elizabeth H. Peter, Joan Liaschenko

This chapter focuses on the history of nursing&s;s contributions to and applications of health geography, which have uncovered the importance of place and space to the delivery and receipt of health-care services. Nurses&s; insights are often the product of their lengthy observations …

“Buying-In” and “Cashing-Out”: Patients’ Experience and the Refusal of Life-Prolonging Treatment

Nathan S. Scheiner, Joan Liaschenko

Surgical "buy-in" is an "informal contract between surgeon and patient in which the patient not only consents to the operative procedure but commits to the post-operative surgical care anticipated by the surgeon." Surgeons routinely assume that patients wish to undergo treatment for …

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Holding Ashley (X): Bestowing Identity Through Caregiving in Profound Intellectual Disability

Lisa C. Freitag, Joan Liaschenko

The controversy over the so-called Ashley Treatment (AT), a series of medical procedures that inhibited both growth and sexual development in the body of a profoundly intellectually impaired girl, usually centers either on Ashley's rights, including a right to an intact, unaltered …

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What Should Physicians Do When They Disagree, Clinically and Ethically, with a Surrogate's Wishes?

Terri Traudt, Joan Liaschenko

When patients' surrogates and physicians disagree about the appropriateness of aggressive treatment in intensive care units (ICUs), physicians can experience surrogates' demands as sources of moral distress. This article addresses the virtues and communication strategies needed to respond appropriately in such situations. …

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Chasing Virtue, Enforcing Virtue

Debra A DeBruin, Anne Drapkin Lyerly, Joan Liaschenko, Mary Faith Marshall

Judgments about risk of harm raise issues of profound moral significance. This chapter criticizes prevailing assumptions about risk management in pregnancy. While bioethicists tend to focus on beneficence when analyzing issues of risk, beneficence does not exhaust the moral significance of risk …