{"id":16284,"date":"2009-01-01T09:56:00","date_gmt":"2009-01-01T17:56:00","guid":{"rendered":"https:\/\/library.consciencelaws.org\/?p=16284"},"modified":"2024-11-28T21:55:14","modified_gmt":"2024-11-29T05:55:14","slug":"moral-distress-moral-residue-and-the-crescendo-effect","status":"publish","type":"post","link":"https:\/\/library.consciencelaws.org\/?p=16284","title":{"rendered":"Moral Distress, Moral Residue, and the Crescendo Effect"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\">Elizabeth Gingell Epstein, Ann Baile Hamric<\/h2>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignleft size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"173\" height=\"230\" src=\"https:\/\/library.consciencelaws.org\/wp-content\/uploads\/2023\/02\/jclinicalethics.jpg\" alt=\"Journal of Clinical Ethics\" class=\"wp-image-15932\"\/><figcaption class=\"wp-element-caption\">Journal of Clinical Ethics<\/figcaption><\/figure>\n<\/div>\n\n\n<p><strong>Extract<\/strong><br>It is doubtful that moral distress can ever be eradicated from healthcare settings. As increasing evidence accumulates to support the damaging effects associated with this phenomenon over time, however, interventions to decrease moral distress and moral residue become more urgently -needed. The crescendo effect model focuses attention on moral distress and moral residue and the relationships between them. . . . Both providers and healthcare systems need to acknowledge the repetitive nature of morally distressing events, such as prolonged aggressive treatment at the EOL, that occur in clinical settings. The crescendo effect highlights the crushing blow to professional integrity that nurses, physicians, and other disciplines have to manage on a daily basis in settings where moral distress goes unrecognized and unaddressed. It is not appropriate to expect highly skilled, dedicated, and caring healthcare professionals to be repeatedly exposed to morally distressing situations when they have little power to change the system and little acknowledgment of these experiences as personally damaging or career compromising. As evidence for the crescendo effect and its consequences accumulates, healthcare professionals, insurers, patients, and healthcare systems must not assume that damaged moral integrity is an acceptable, natural consequence that must be borne by healthcare providers.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p>Epstein EG, Hamric AB. <a href=\"https:\/\/www.journals.uchicago.edu\/doi\/abs\/10.1086\/JCE200920406?journalCode=jce\">Moral Distress, Moral Residue, and the Crescendo Effect<\/a>. J. Clin. Ethics. 2009 Winter;20(4):330-342<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Elizabeth Gingell Epstein, Ann Baile Hamric ExtractIt is doubtful that moral distress can ever be eradicated from healthcare settings. As increasing evidence accumulates to support the damaging effects associated with this phenomenon over time, however, interventions to decrease moral distress and moral residue become more urgently -needed. The crescendo effect model focuses attention on moral &hellip; <a href=\"https:\/\/library.consciencelaws.org\/?p=16284\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;Moral Distress, Moral Residue, and the Crescendo Effect&#8221;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[554,2,964],"tags":[2084,2083,626,987],"post_folder":[],"class_list":["post-16284","post","type-post","status-publish","format-standard","hentry","category-ethics","category-journal-article","category-nursing","tag-ann-baile-hamric","tag-elizabeth-gingell-epstein","tag-moral-distress","tag-moral-residue"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\r\n<title>Moral Distress, Moral Residue, and the Crescendo Effect - Protection of Conscience 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