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Institutional Ethics Resources

Creating Moral Spaces

Bibliographic Data

ID20336293
AuthorsAnn B Hamric, Lucia D Wocial (0000-0003-4701-0794)
Year2016
Volume46
IssueS1
PagesS22-7
Publication date2016-09-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueThe Hastings Center Report (JOURNAL)
Journal identifiersISSN: 0093-0334 • E-ISSN: 1552-146X
PublisherWiley (PUBLISHER • GB)
DOI10.1002/hast.627
PMID27649915
OpenAlexW2522091437
LanguageEN
Citations received4
References cited12

Since 1992, institutions accredited by The Joint Commission have been required to have a process in place that allows staff members, patients, and families to address ethical issues or issues prone to conflict. While the commission's expectations clearly have made ethics committees more common, simply having a committee in no way demonstrates its effectiveness in terms of the availability of the service to key constituents, the quality of the processes used, or the outcomes achieved. Beyond meeting baseline accreditation standards, effective ethics resources are requisite for quality care for another reason. The provision of care to the sick is a practice with profound moral dimensions. Clinicians need what Margaret Urban Walker has called “moral spaces,” reflective spaces within institutions in which to explore and communicate values and ethical obligations as they undergird goals of care. Walker proposed that ethicists needed to be concerned with the design and maintenance of these moral spaces. Clearly, that concern needs to extend beyond ethicists to institutional leaders. This essay uses Walker's idea of moral space to describe individuals and groups who are actual and potential ethics resources in health care institutions. We focus on four requisite characteristics of effective resources and the challenges to achieving them, and we identify strategies to build them. In our view, such moral spaces are particularly important for nurses and their colleagues on interprofessional teams and need to be expanded and strengthened in most settings

Accreditation · Commission · Engineering ethics · Epistemology · Health care · Political science · Public relations · Quality (philosophy) · Sociology · Space (punctuation) · Computer Science · Ethics in medical practice · Law · Palliative Care and End-of-Life Issues · Patient Dignity and Privacy

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    Open Access•Lenora Marcellus, Bernie Pauly et al.•BMC Public Health•2022

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    Open Access•Lulia Kana, Andrew G Shuman et al.•Journal of Medical Ethics•2022

  • Ethical climate in contemporary paediatric intensive care

    Katie M Moynihan, Lisa Taylor et al.•Journal of Medical Ethics•2021

  • Ethics Education for Nurses

    Catherine Robichaux, Pamela Grace et al.•Journal of Nursing Education•2022

  • Quality Attestation for Clinical Ethics Consultants

    Open Access•Eric Kodish, Joseph J Fins et al.•The Hastings Center Report•2013

  • Meeting at Maastricht

    T M G van Berkestijn, E Borst-Eilers et al.•The Hastings Center Report•1993

  • Keeping Moral Space Open New Images of Ethics Consulting

    Margaret Urban Walker•The Hastings Center Report•1993

  • Ethical climate, ethics stress, and the job satisfaction of nurses and social workers in the United States

    Open Access•Connie M Ulrich, Connie Ulrich et al.•Social Science & Medicine•2007

Unique citing works4
Citations per year0,8
Citation span2021 - 2022 (2)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 4

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