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if ($a.is_logged_in() && $viewedUser.is_current_user()) { $('body').addClass('profile-viewed-by-owner'); } $socialProfiles = []</script><div id="js-react-on-rails-context" style="display:none" data-rails-context="{"inMailer":false,"i18nLocale":"en","i18nDefaultLocale":"en","href":"https://uwmedicine.academia.edu/DeniseDudzinski","location":"/DeniseDudzinski","scheme":"https","host":"uwmedicine.academia.edu","port":null,"pathname":"/DeniseDudzinski","search":null,"httpAcceptLanguage":null,"serverSide":false}"></div> <div class="js-react-on-rails-component" style="display:none" data-component-name="ProfileCheckPaperUpdate" data-props="{}" data-trace="false" data-dom-id="ProfileCheckPaperUpdate-react-component-12514942-7a7a-4f95-8c9f-f0760513bdc8"></div> <div id="ProfileCheckPaperUpdate-react-component-12514942-7a7a-4f95-8c9f-f0760513bdc8"></div> <div class="DesignSystem"><div class="onsite-ping" id="onsite-ping"></div></div><div class="profile-user-info DesignSystem"><div class="social-profile-container"><div class="left-panel-container"><div class="user-info-component-wrapper"><div class="user-summary-cta-container"><div class="user-summary-container"><div class="social-profile-avatar-container"><img class="profile-avatar u-positionAbsolute" alt="Denise Dudzinski" border="0" onerror="if (this.src != '//a.academia-assets.com/images/s200_no_pic.png') this.src = '//a.academia-assets.com/images/s200_no_pic.png';" width="200" height="200" src="https://0.academia-photos.com/37460822/34206990/30160608/s200_denise.dudzinski.jpg" /></div><div class="title-container"><h1 class="ds2-5-heading-sans-serif-sm">Denise Dudzinski</h1><div class="affiliations-container fake-truncate js-profile-affiliations"><div><a class="u-tcGrayDarker" href="https://uwmedicine.academia.edu/">University of Washington School of Medicine</a>, <a class="u-tcGrayDarker" href="https://uwmedicine.academia.edu/Departments/Department_of_Bioethics_and_Humanities/Documents">Department of Bioethics and Humanities</a>, <span class="u-tcGrayDarker">Faculty Member</span></div><div><a class="u-tcGrayDarker" href="https://washington.academia.edu/">University of Washington</a>, <a class="u-tcGrayDarker" href="https://washington.academia.edu/Departments/School_of_Medicine_Dept_of_Pediatrics/Documents">School of Medicine- Dept. of Pediatrics</a>, <span class="u-tcGrayDarker">Faculty Member</span></div></div></div></div><div class="sidebar-cta-container"><button class="ds2-5-button hidden profile-cta-button grow js-profile-follow-button" data-broccoli-component="user-info.follow-button" data-click-track="profile-user-info-follow-button" data-follow-user-fname="Denise" data-follow-user-id="37460822" data-follow-user-source="profile_button" data-has-google="false"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">add</span>Follow</button><button class="ds2-5-button hidden profile-cta-button grow js-profile-unfollow-button" data-broccoli-component="user-info.unfollow-button" data-click-track="profile-user-info-unfollow-button" data-unfollow-user-id="37460822"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">done</span>Following</button></div></div><div class="user-stats-container"><a><div class="stat-container js-profile-followers"><p class="label">Followers</p><p class="data">74</p></div></a><a><div class="stat-container js-profile-followees" data-broccoli-component="user-info.followees-count" data-click-track="profile-expand-user-info-following"><p class="label">Following</p><p class="data">3</p></div></a><a><div class="stat-container js-profile-coauthors" data-broccoli-component="user-info.coauthors-count" data-click-track="profile-expand-user-info-coauthors"><p class="label">Co-authors</p><p class="data">3</p></div></a><span><div class="stat-container"><p class="label"><span class="js-profile-total-view-text">Public Views</span></p><p class="data"><span class="js-profile-view-count"></span></p></div></span></div><div class="user-bio-container"><div class="profile-bio fake-truncate js-profile-about" style="margin: 0px;">Professor (Joint), Department of Bioethics & Humanities & Pediatrics, Division of Bioethics & Palliative Care at the University of Washington School of Medicine.  She was Chair of the Department of Bioethics & Humanities from 2014-2022. She is a Hastings Center Fellow. She is Chief of UW Medicine's Ethics Consultation Service & Director of Seattle Children's Organizational Ethics Service. She was Associate Editor of the American Journal of Bioethics (AJOB); is on the editorial boards of AJOB and Cambridge Quarterly of Healthcare Ethics. She is adjunct faculty in the departments of Pediatrics, Family Medicine, & School of Law (UW)<br /><div class="js-profile-less-about u-linkUnstyled u-tcGrayDarker u-textDecorationUnderline u-displayNone">less</div></div></div><div class="ri-section"><div class="ri-section-header"><span>Interests</span></div><div class="ri-tags-container"><a data-click-track="profile-user-info-expand-research-interests" data-has-card-for-ri-list="37460822" href="https://www.academia.edu/Documents/in/Nursing_Care"><div id="js-react-on-rails-context" style="display:none" data-rails-context="{"inMailer":false,"i18nLocale":"en","i18nDefaultLocale":"en","href":"https://uwmedicine.academia.edu/DeniseDudzinski","location":"/DeniseDudzinski","scheme":"https","host":"uwmedicine.academia.edu","port":null,"pathname":"/DeniseDudzinski","search":null,"httpAcceptLanguage":null,"serverSide":false}"></div> <div class="js-react-on-rails-component" style="display:none" data-component-name="Pill" 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class="user-content-wrapper"><div class="uploads-container" id="social-redesign-work-container"><div class="upload-header"><h2 class="ds2-5-heading-sans-serif-xs">Uploads</h2></div><div class="documents-container backbone-social-profile-documents" style="width: 100%;"><div class="u-taCenter"></div><div class="profile--tab_content_container js-tab-pane tab-pane active" id="all"><div class="profile--tab_heading_container js-section-heading" data-section="Papers" id="Papers"><h3 class="profile--tab_heading_container">Papers by Denise Dudzinski</h3></div><div class="js-work-strip profile--work_container" data-work-id="122264057"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" rel="nofollow" href="https://www.academia.edu/122264057/_Tanya_the_one_with_Jonathans_kidney_a_living_unrelated_donor_case_of_church_associates"><img alt="Research paper thumbnail of “Tanya, the one with Jonathan's kidney”: a living unrelated donor case of church associates" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" rel="nofollow" href="https://www.academia.edu/122264057/_Tanya_the_one_with_Jonathans_kidney_a_living_unrelated_donor_case_of_church_associates">“Tanya, the one with Jonathan's kidney”: a living unrelated donor case of church associates</a></div><div class="wp-workCard_item"><span>Complex Ethics Consultations</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="122264057"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="122264057"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 122264057; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=122264057]").text(description); $(".js-view-count[data-work-id=122264057]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 122264057; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = 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src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" rel="nofollow" href="https://www.academia.edu/116986192/The_disclosure_dilemma_when_adverse_events_affect_multiple_patients">The disclosure dilemma: when adverse events affect multiple patients</a></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Tuesday, January 13, 2015; noon to 1 p.m.; Room D1.602. &quot;The Disclosure Dilemma: When Advers...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Tuesday, January 13, 2015; noon to 1 p.m.; Room D1.602. &quot;The 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Dudzinski, Ph.D., M.T.S., Acting Chair, Professor \u0026amp; Director of Graduate Studies, Department of Bioethics \u0026amp; Humanities, University of Washington School of Medicine","internal_url":"https://www.academia.edu/116986192/The_disclosure_dilemma_when_adverse_events_affect_multiple_patients","translated_internal_url":"","created_at":"2024-04-02T08:29:35.835-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":37460822,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"The_disclosure_dilemma_when_adverse_events_affect_multiple_patients","translated_slug":"","page_count":null,"language":"en","content_type":"Work","owner":{"id":37460822,"first_name":"Denise","middle_initials":null,"last_name":"Dudzinski","page_name":"DeniseDudzinski","domain_name":"uwmedicine","created_at":"2015-11-02T07:20:48.009-08:00","display_name":"Denise Dudzinski","url":"https://uwmedicine.academia.edu/DeniseDudzinski"},"attachments":[],"research_interests":[{"id":1414,"name":"Bioethics","url":"https://www.academia.edu/Documents/in/Bioethics"},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine"},{"id":896092,"name":"Dilemma","url":"https://www.academia.edu/Documents/in/Dilemma"},{"id":3844087,"name":"Noon","url":"https://www.academia.edu/Documents/in/Noon"}],"urls":[{"id":40794115,"url":"https://utswmed-ir.tdl.org/handle/2152.5/1487"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="102851722"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" rel="nofollow" href="https://www.academia.edu/102851722/Bette_Anton_MLS_is_Head_Librarian_for_the_Pamela_and_Kenneth_Fong_Optometry_and_Health_Sciences_Library_of_the_University_of_California_Berkeley_This_library_serves_the_UC_Berkeley_School_of_Optometry_and_the_UC_Berkeley_UC_San_Francisco_Joint_Medical_Program"><img alt="Research paper thumbnail of Bette Anton, MLS, is Head Librarian for the Pamela & Kenneth Fong Optometry & Health Sciences Library of the University of California, Berkeley. This library serves the UC Berkeley School of Optometry and the UC Berkeley–UC San Francisco Joint Medical Program" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" rel="nofollow" href="https://www.academia.edu/102851722/Bette_Anton_MLS_is_Head_Librarian_for_the_Pamela_and_Kenneth_Fong_Optometry_and_Health_Sciences_Library_of_the_University_of_California_Berkeley_This_library_serves_the_UC_Berkeley_School_of_Optometry_and_the_UC_Berkeley_UC_San_Francisco_Joint_Medical_Program">Bette Anton, MLS, is Head Librarian for the Pamela & Kenneth Fong Optometry & Health Sciences Library of the University of California, Berkeley. This library serves the UC Berkeley School of Optometry and the UC Berkeley–UC San Francisco Joint Medical Program</a></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="102851722"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="102851722"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 102851722; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=102851722]").text(description); $(".js-view-count[data-work-id=102851722]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 102851722; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='102851722']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 102851722, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=102851722]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":102851722,"title":"Bette Anton, MLS, is Head Librarian for the Pamela \u0026 Kenneth Fong Optometry \u0026 Health Sciences Library of the University of California, Berkeley. 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="97466749"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/97466749/Moral_Outrage_Toward_Willfully_Unvaccinated_COVID_19_Patients"><img alt="Research paper thumbnail of Moral Outrage Toward Willfully Unvaccinated COVID-19 Patients" class="work-thumbnail" src="https://attachments.academia-assets.com/99080802/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/97466749/Moral_Outrage_Toward_Willfully_Unvaccinated_COVID_19_Patients">Moral Outrage Toward Willfully Unvaccinated COVID-19 Patients</a></div><div class="wp-workCard_item"><span>Journal of General Internal Medicine</span><span>, 2022</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="372b6f86805901e00bcffa9b44d6671a" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":99080802,"asset_id":97466749,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/99080802/download_file?st=MTczMjkyMjY0OSw4LjIyMi4yMDguMTQ2&s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="97466749"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="97466749"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 97466749; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=97466749]").text(description); $(".js-view-count[data-work-id=97466749]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 97466749; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='97466749']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 97466749, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); 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After almost two years, though, healthcare workers have been pushed to the limit. While accepting personal risks and suffering overwork and exhaustion in order to care for COVID-19 patients, anger, disgust, and frustration toward unvaccinated patients are increasing. 1 Some clinicians are asking whether COVID-19 vaccination status should be considered in triage allocation of ICU beds. 2 Moral outrage, the \"justifiable anger, disgust, or frustration directed toward others who violate ethical values or standards,\" 3 is widespread. While some patients refuse vaccination for political or libertarian reasons, others face barriers to access. Underserved communities (immigrants, the uninsured, people with limited English proficiency, etc.) may have difficulty accessing vaccination sites. Black, Indigenous, People of Color (BIPOC) communities, impacted by the historical trauma of racism, may be wary in their interactions with healthcare, resulting in vaccine hesitancy even though they have suffered disproportionately from COVID-19 with rates of hospitalization 2.8-3.4 times and death 2-2.4 times the rates of white, non-Hispanic patients. 4 Other patients are vaccine receptive but feel less urgency or prefer familiar caregivers to strangers at mass vaccination sites. Some are concerned about the risks of new mRNA vaccines. Notably, at least 25% of healthcare workers remained unvaccinated as late as June 2021. 5 While many clinicians may be sympathetic to the reasons for vaccine hesitancy recounted above, some patients refuse for political or personal liberty reasons alone. Some think the virus is a hoax or are persuaded by false conspiracy theories. I will call this group the willfully unvaccinated. In such cases, moral outrage among clinicians may be more pronounced. 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="97466746"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/97466746/A_Call_to_Action_Ethics_Committee_Roundtable_Recommendations_for_Addressing_Burnout_and_Moral_Distress_in_Oncology"><img alt="Research paper thumbnail of A Call to Action: Ethics Committee Roundtable Recommendations for Addressing Burnout and Moral Distress in Oncology" class="work-thumbnail" src="https://attachments.academia-assets.com/99080800/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/97466746/A_Call_to_Action_Ethics_Committee_Roundtable_Recommendations_for_Addressing_Burnout_and_Moral_Distress_in_Oncology">A Call to Action: Ethics Committee Roundtable Recommendations for Addressing Burnout and Moral Distress in Oncology</a></div><div class="wp-workCard_item"><span>JCO Oncology Practice</span><span>, 2020</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Oncologist well-being is critical to initiating and maintaining the physician-patient relationshi...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Oncologist well-being is critical to initiating and maintaining the physician-patient relationship, yet many oncologists suffer from symptoms of burnout. Burnout has been linked to poor physical and mental health, as well as increased medical errors, patient dissatisfaction, and workforce attrition. In this Call to Action article, we discuss causes of and interventions for burnout and moral distress in oncology, highlight existing interventions, and provide recommendations for addressing burnout and improving well-being at the individual and organizational levels to deliver ethical, quality cancer care.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="846e13aa042169b78c6d7ec3436d49ec" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":99080800,"asset_id":97466746,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/99080800/download_file?st=MTczMjkyMjY0OSw4LjIyMi4yMDguMTQ2&s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="97466746"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="97466746"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 97466746; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=97466746]").text(description); $(".js-view-count[data-work-id=97466746]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 97466746; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='97466746']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 97466746, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "846e13aa042169b78c6d7ec3436d49ec" } } $('.js-work-strip[data-work-id=97466746]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":97466746,"title":"A Call to Action: Ethics Committee Roundtable Recommendations for Addressing Burnout and Moral Distress in Oncology","translated_title":"","metadata":{"abstract":"Oncologist well-being is critical to initiating and maintaining the physician-patient relationship, yet many oncologists suffer from symptoms of burnout. 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="97466745"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/97466745/Creating_a_Blueprint_of_Well_Being_in_Oncology_An_Approach_for_Addressing_Burnout_From_ASCO_s_Clinician_Well_Being_Taskforce"><img alt="Research paper thumbnail of Creating a Blueprint of Well-Being in Oncology: An Approach for Addressing Burnout From ASCO’s Clinician Well-Being Taskforce" class="work-thumbnail" src="https://attachments.academia-assets.com/99080799/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/97466745/Creating_a_Blueprint_of_Well_Being_in_Oncology_An_Approach_for_Addressing_Burnout_From_ASCO_s_Clinician_Well_Being_Taskforce">Creating a Blueprint of Well-Being in Oncology: An Approach for Addressing Burnout From ASCO’s Clinician Well-Being Taskforce</a></div><div class="wp-workCard_item"><span>American Society of Clinical Oncology Educational Book</span><span>, 2021</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Optimizing the well-being of the oncology clinician has never been more important. Well-being is ...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Optimizing the well-being of the oncology clinician has never been more important. Well-being is a critical priority for the cancer organization because burnout adversely impacts the quality of care, patient satisfaction, the workforce, and overall practice success. To date, 45% of U.S. ASCO member medical oncologists report experiencing burnout symptoms of emotional exhaustion and depersonalization. As the COVID-19 pandemic remains widespread with periods of outbreaks, recovery, and response with substantial personal and professional consequences for the clinician, it is imperative that the oncologist, team, and organization gain direct access to resources addressing burnout. In response, the Clinician Well-Being Task Force was created to improve the quality, safety, and value of cancer care by enhancing oncology clinician well-being and practice sustainability. Well-being is an integrative concept that characterizes quality of life and encompasses an individual&#39;s work- and per...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="ac695b49a96fe46723d01d5e3466d2fb" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":99080799,"asset_id":97466745,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/99080799/download_file?st=MTczMjkyMjY0OSw4LjIyMi4yMDguMTQ2&s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="97466745"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="97466745"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 97466745; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=97466745]").text(description); $(".js-view-count[data-work-id=97466745]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 97466745; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='97466745']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 97466745, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "ac695b49a96fe46723d01d5e3466d2fb" } } $('.js-work-strip[data-work-id=97466745]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":97466745,"title":"Creating a Blueprint of Well-Being in Oncology: An Approach for Addressing Burnout From ASCO’s Clinician Well-Being Taskforce","translated_title":"","metadata":{"abstract":"Optimizing the well-being of the oncology clinician has never been more important. 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="97466739"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" rel="nofollow" href="https://www.academia.edu/97466739/_Defining_Patient_Advocacy_for_the_Context_of_Clinical_Ethics_Consultation_A_Review_of_the_Literature_and_Recommendations_for_Consultants"><img alt="Research paper thumbnail of \Defining Patient Advocacy for the Context of Clinical Ethics Consultation: A Review of the Literature and Recommendations for Consultants" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" rel="nofollow" href="https://www.academia.edu/97466739/_Defining_Patient_Advocacy_for_the_Context_of_Clinical_Ethics_Consultation_A_Review_of_the_Literature_and_Recommendations_for_Consultants">\Defining Patient Advocacy for the Context of Clinical Ethics Consultation: A Review of the Literature and Recommendations for Consultants</a></div><div class="wp-workCard_item"><span>The Journal of clinical ethics</span><span>, 2016</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">The idea of patient advocacy as a function of clinical ethics consultation (CEC) has been debated...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">The idea of patient advocacy as a function of clinical ethics consultation (CEC) has been debated in the bioethics literature. In particular, opinion is divided as to whether patient advocacy inherently is in conflict with the other duties of the ethics consultant, especially that of impartial mediator. The debate is complicated, however, because patient advocacy is not uniformly conceptualized. This article examines two literatures that are crucial to understanding patient advocacy in the context of bioethical deliberations: the CEC literature and the literature on advocacy in the social work profession. A review of this literature identifies four distinct approaches to patient advocacy that are relevant to CEC: (1) the best interest approach, (2) the patient rights approach, (3) the representational approach, and (4) the empowerment approach. 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After providing a clearer understanding of the varied meanings of patient advocacy in the context of CEC, we assert that patient advocacy is...","publication_date":{"day":null,"month":null,"year":2016,"errors":{}},"publication_name":"The Journal of clinical ethics"},"translated_abstract":"The idea of patient advocacy as a function of clinical ethics consultation (CEC) has been debated in the bioethics literature. In particular, opinion is divided as to whether patient advocacy inherently is in conflict with the other duties of the ethics consultant, especially that of impartial mediator. The debate is complicated, however, because patient advocacy is not uniformly conceptualized. This article examines two literatures that are crucial to understanding patient advocacy in the context of bioethical deliberations: the CEC literature and the literature on advocacy in the social work profession. A review of this literature identifies four distinct approaches to patient advocacy that are relevant to CEC: (1) the best interest approach, (2) the patient rights approach, (3) the representational approach, and (4) the empowerment approach. 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="97466738"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" rel="nofollow" href="https://www.academia.edu/97466738/Quality_Attestation_From_the_Inside"><img alt="Research paper thumbnail of Quality Attestation From the Inside" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" rel="nofollow" href="https://www.academia.edu/97466738/Quality_Attestation_From_the_Inside">Quality Attestation From the Inside</a></div><div class="wp-workCard_item"><span>The American Journal of Bioethics</span><span>, 2016</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="97466738"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="97466738"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 97466738; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=97466738]").text(description); $(".js-view-count[data-work-id=97466738]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 97466738; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='97466738']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 97466738, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="97466737"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" rel="nofollow" href="https://www.academia.edu/97466737/Calling_Out_Implicit_Racial_Bias_as_a_Harm_in_Pediatric_Care"><img alt="Research paper thumbnail of Calling Out Implicit Racial Bias as a Harm in Pediatric Care" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" rel="nofollow" href="https://www.academia.edu/97466737/Calling_Out_Implicit_Racial_Bias_as_a_Harm_in_Pediatric_Care">Calling Out Implicit Racial Bias as a Harm in Pediatric Care</a></div><div class="wp-workCard_item"><span>Cambridge quarterly of healthcare ethics : CQ : the international journal of healthcare ethics committees</span><span>, Jul 1, 2016</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Disclaimer: The views expressed are solely those of the authors and do not necessarily represent ...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Disclaimer: The views expressed are solely those of the authors and do not necessarily represent the offi cial position of the United States government, Department of Defense, or Department of the Navy. We thank Douglas Opel and Thomas May for their review and helpful comments on this manuscript. This article is based on the workshop “‘Pediatric Care Providers Are Color-Blind’ and Other White Lies: The Impact of Implicit Bias and Unconscious Racism on the Care of Children,” presented by the authors at the American Society for Bioethics and Humanities (ASBH) Annual Meeting in San Diego, California, on October 18, 2014, and on the presentation “Undermining the Delicate Triangle: How Implicit Bias Harms the Children We Serve,” presented by Kellie Lang at the Seattle Children’s Annual Pediatric Bioethics Conference in Seattle, Washington, on July 24, 2015. This section invites submissions on topics that explore conceptual or normative ethical issues in pediatric clinical care and practice, child health policy, and research involving children. Manuscripts should conform to the CQ Guidelines for Contributors. All submissions should include an abstract and should be sent electronically to the Pediatric Ethics section coeditors, Douglas J. Opel ( <a href="mailto:douglas.opel@seattlechildrens" rel="nofollow">douglas.opel@seattlechildrens</a>. org ) and Kellie R. Lang.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="97466737"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="97466737"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 97466737; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=97466737]").text(description); $(".js-view-count[data-work-id=97466737]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 97466737; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='97466737']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 97466737, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=97466737]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":97466737,"title":"Calling Out Implicit Racial Bias as a Harm in Pediatric Care","translated_title":"","metadata":{"abstract":"Disclaimer: The views expressed are solely those of the authors and do not necessarily represent the offi cial position of the United States government, Department of Defense, or Department of the Navy. We thank Douglas Opel and Thomas May for their review and helpful comments on this manuscript. This article is based on the workshop “‘Pediatric Care Providers Are Color-Blind’ and Other White Lies: The Impact of Implicit Bias and Unconscious Racism on the Care of Children,” presented by the authors at the American Society for Bioethics and Humanities (ASBH) Annual Meeting in San Diego, California, on October 18, 2014, and on the presentation “Undermining the Delicate Triangle: How Implicit Bias Harms the Children We Serve,” presented by Kellie Lang at the Seattle Children’s Annual Pediatric Bioethics Conference in Seattle, Washington, on July 24, 2015. This section invites submissions on topics that explore conceptual or normative ethical issues in pediatric clinical care and practice, child health policy, and research involving children. Manuscripts should conform to the CQ Guidelines for Contributors. 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Opel ( douglas.opel@seattlechildrens. org ) and Kellie R. Lang.","internal_url":"https://www.academia.edu/97466737/Calling_Out_Implicit_Racial_Bias_as_a_Harm_in_Pediatric_Care","translated_internal_url":"","created_at":"2023-02-24T08:32:29.349-08:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":37460822,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"Calling_Out_Implicit_Racial_Bias_as_a_Harm_in_Pediatric_Care","translated_slug":"","page_count":null,"language":"en","content_type":"Work","owner":{"id":37460822,"first_name":"Denise","middle_initials":null,"last_name":"Dudzinski","page_name":"DeniseDudzinski","domain_name":"uwmedicine","created_at":"2015-11-02T07:20:48.009-08:00","display_name":"Denise Dudzinski","url":"https://uwmedicine.academia.edu/DeniseDudzinski"},"attachments":[],"research_interests":[{"id":221,"name":"Psychology","url":"https://www.academia.edu/Documents/in/Psychology"},{"id":906,"name":"Applied Ethics","url":"https://www.academia.edu/Documents/in/Applied_Ethics"},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine"},{"id":396772,"name":"Harm","url":"https://www.academia.edu/Documents/in/Harm"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="97466736"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/97466736/Navigating_moral_distress_using_the_moral_distress_map"><img alt="Research paper thumbnail of Navigating moral distress using the moral distress map" class="work-thumbnail" src="https://attachments.academia-assets.com/99080824/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/97466736/Navigating_moral_distress_using_the_moral_distress_map">Navigating moral distress using the moral distress map</a></div><div class="wp-workCard_item"><span>Journal of Medical Ethics</span><span>, 2016</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="766b3baed388f08e3a5855f075019c1f" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":99080824,"asset_id":97466736,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/99080824/download_file?st=MTczMjkyMjY0OSw4LjIyMi4yMDguMTQ2&s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="97466736"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="97466736"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 97466736; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=97466736]").text(description); $(".js-view-count[data-work-id=97466736]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 97466736; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='97466736']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 97466736, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); 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Fewer scholars have explored what makes moral distress moral. If we acknowledge that patient care can be distressing in the best of ethical circumstances, then differentiating distress and moral distress may refine the array of actions that are likely to ameliorate it. This article builds upon scholarship exploring the normative and conceptual dimensions of moral distress and introduces a new tool to map moral distress from emotional source to corrective actions. The Moral Distress Map has proven useful in clinical teaching and ethics-related debriefings. 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Bruce, M. Majumder, T. Bibler, L. McCullough, J. Blumenthal-Barby, N. Allen, A. Peña, and A. McGuire,Developing and Sustaining a Clinical Ethics Consultation Service: A Practical Guide1" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" rel="nofollow" href="https://www.academia.edu/97466735/Review_of_C_Bruce_M_Majumder_T_Bibler_L_McCullough_J_Blumenthal_Barby_N_Allen_A_Pe%C3%B1a_and_A_McGuire_Developing_and_Sustaining_a_Clinical_Ethics_Consultation_Service_A_Practical_Guide1">Review of C. Bruce, M. Majumder, T. Bibler, L. McCullough, J. Blumenthal-Barby, N. Allen, A. Peña, and A. McGuire,Developing and Sustaining a Clinical Ethics Consultation Service: A Practical Guide1</a></div><div class="wp-workCard_item"><span>The American Journal of Bioethics</span><span>, 2016</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">To cite this article: Denise M. Dudzinski (2016) Review of C. Bruce, M. Majumder, T. Bibler, L. M...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">To cite this article: Denise M. Dudzinski (2016) Review of C. Bruce, M. Majumder, T. Bibler, L. McCullough, J. Blumenthal-Barby, N. Allen, A. Peña, and A. McGuire, Developing and Sustaining a Clinical Ethics Consultation Service: A Practical Guide, The American Journal of Bioethics, 16:6, W4-W5, DOI: 10.1080/15265161.2016.1160160 To link to this article: <a href="http://dx.doi.org/10.1080/15265161.2016.1160160" rel="nofollow">http://dx.doi.org/10.1080/15265161.2016.1160160</a></span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="97466735"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="97466735"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 97466735; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=97466735]").text(description); $(".js-view-count[data-work-id=97466735]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 97466735; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='97466735']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 97466735, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=97466735]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":97466735,"title":"Review of C. 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McGuire, Developing and Sustaining a Clinical Ethics Consultation Service: A Practical Guide, The American Journal of Bioethics, 16:6, W4-W5, DOI: 10.1080/15265161.2016.1160160 To link to this article: http://dx.doi.org/10.1080/15265161.2016.1160160","internal_url":"https://www.academia.edu/97466735/Review_of_C_Bruce_M_Majumder_T_Bibler_L_McCullough_J_Blumenthal_Barby_N_Allen_A_Pe%C3%B1a_and_A_McGuire_Developing_and_Sustaining_a_Clinical_Ethics_Consultation_Service_A_Practical_Guide1","translated_internal_url":"","created_at":"2023-02-24T08:32:29.108-08:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":37460822,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"Review_of_C_Bruce_M_Majumder_T_Bibler_L_McCullough_J_Blumenthal_Barby_N_Allen_A_Peña_and_A_McGuire_Developing_and_Sustaining_a_Clinical_Ethics_Consultation_Service_A_Practical_Guide1","translated_slug":"","page_count":null,"language":"en","content_type":"Work","owner":{"id":37460822,"first_name":"Denise","middle_initials":null,"last_name":"Dudzinski","page_name":"DeniseDudzinski","domain_name":"uwmedicine","created_at":"2015-11-02T07:20:48.009-08:00","display_name":"Denise Dudzinski","url":"https://uwmedicine.academia.edu/DeniseDudzinski"},"attachments":[],"research_interests":[{"id":221,"name":"Psychology","url":"https://www.academia.edu/Documents/in/Psychology"},{"id":906,"name":"Applied Ethics","url":"https://www.academia.edu/Documents/in/Applied_Ethics"},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine"},{"id":32101,"name":"Clinical Ethics","url":"https://www.academia.edu/Documents/in/Clinical_Ethics"},{"id":410370,"name":"Public health systems and services research","url":"https://www.academia.edu/Documents/in/Public_health_systems_and_services_research-1"},{"id":1222385,"name":"service Business","url":"https://www.academia.edu/Documents/in/service_Business"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="97466734"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" rel="nofollow" href="https://www.academia.edu/97466734/The_principle_of_double_effect_in_palliative_care_euthanasia_by_another_name"><img alt="Research paper thumbnail of The principle of double effect in palliative care: euthanasia by another name?" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" rel="nofollow" href="https://www.academia.edu/97466734/The_principle_of_double_effect_in_palliative_care_euthanasia_by_another_name">The principle of double effect in palliative care: euthanasia by another name?</a></div><div class="wp-workCard_item"><span>Clinical Ethics in Anesthesiology</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Do not resuscitate (DNR) orders developed in response to the realization that cardiopulmonary res...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Do not resuscitate (DNR) orders developed in response to the realization that cardiopulmonary resuscitation (CPR) is not appropriate for all patients, particularly those with terminal illness and otherwise dismal prognosis. Pediatric patients may or may not have the capacity to participate in medical decision making. Parents function as surrogate decision-makers, acting in the overall best interest of the child. This chapter explains CPR, citing the case study of a 4-year-old boy with metastatic neuroblastoma undergoing stem cell transplantation following intensive chemotherapy and radiation. CPR became a nearly ubiquitous final procedure for all hospitalized patients experiencing cardiopulmonary arrest, regardless of circumstances. Automatic suspension of DNR orders in the setting of anesthesia and surgery does not sufficiently recognize patients&#39; rights to self-determination. When patients or their surrogate decision-makers, such as parents, do not wish to suspend DNR orders in the setting of surgery, few ethical arguments support ignoring their wishes.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="97466734"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="97466734"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 97466734; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=97466734]").text(description); $(".js-view-count[data-work-id=97466734]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 97466734; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='97466734']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 97466734, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=97466734]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":97466734,"title":"The principle of double effect in palliative care: euthanasia by another name?","translated_title":"","metadata":{"abstract":"Do not resuscitate (DNR) orders developed in response to the realization that cardiopulmonary resuscitation (CPR) is not appropriate for all patients, particularly those with terminal illness and otherwise dismal prognosis. Pediatric patients may or may not have the capacity to participate in medical decision making. Parents function as surrogate decision-makers, acting in the overall best interest of the child. This chapter explains CPR, citing the case study of a 4-year-old boy with metastatic neuroblastoma undergoing stem cell transplantation following intensive chemotherapy and radiation. CPR became a nearly ubiquitous final procedure for all hospitalized patients experiencing cardiopulmonary arrest, regardless of circumstances. Automatic suspension of DNR orders in the setting of anesthesia and surgery does not sufficiently recognize patients\u0026#39; rights to self-determination. When patients or their surrogate decision-makers, such as parents, do not wish to suspend DNR orders in the setting of surgery, few ethical arguments support ignoring their wishes.","publisher":"Cambridge University Press","publication_name":"Clinical Ethics in Anesthesiology"},"translated_abstract":"Do not resuscitate (DNR) orders developed in response to the realization that cardiopulmonary resuscitation (CPR) is not appropriate for all patients, particularly those with terminal illness and otherwise dismal prognosis. Pediatric patients may or may not have the capacity to participate in medical decision making. Parents function as surrogate decision-makers, acting in the overall best interest of the child. This chapter explains CPR, citing the case study of a 4-year-old boy with metastatic neuroblastoma undergoing stem cell transplantation following intensive chemotherapy and radiation. CPR became a nearly ubiquitous final procedure for all hospitalized patients experiencing cardiopulmonary arrest, regardless of circumstances. Automatic suspension of DNR orders in the setting of anesthesia and surgery does not sufficiently recognize patients\u0026#39; rights to self-determination. 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This library serves the UC Berkeley School of Optometry and the UC Berkeley–UC San Francisco Joint Medical Program</a></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="102851722"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="102851722"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 102851722; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=102851722]").text(description); $(".js-view-count[data-work-id=102851722]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 102851722; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='102851722']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 102851722, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=102851722]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":102851722,"title":"Bette Anton, MLS, is Head Librarian for the Pamela \u0026 Kenneth Fong Optometry \u0026 Health Sciences Library of the University of California, Berkeley. 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="97466749"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/97466749/Moral_Outrage_Toward_Willfully_Unvaccinated_COVID_19_Patients"><img alt="Research paper thumbnail of Moral Outrage Toward Willfully Unvaccinated COVID-19 Patients" class="work-thumbnail" src="https://attachments.academia-assets.com/99080802/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/97466749/Moral_Outrage_Toward_Willfully_Unvaccinated_COVID_19_Patients">Moral Outrage Toward Willfully Unvaccinated COVID-19 Patients</a></div><div class="wp-workCard_item"><span>Journal of General Internal Medicine</span><span>, 2022</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="372b6f86805901e00bcffa9b44d6671a" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":99080802,"asset_id":97466749,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/99080802/download_file?st=MTczMjkyMjY0OSw4LjIyMi4yMDguMTQ2&s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="97466749"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="97466749"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 97466749; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=97466749]").text(description); $(".js-view-count[data-work-id=97466749]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 97466749; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='97466749']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 97466749, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "372b6f86805901e00bcffa9b44d6671a" } } $('.js-work-strip[data-work-id=97466749]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":97466749,"title":"Moral Outrage Toward Willfully Unvaccinated COVID-19 Patients","translated_title":"","metadata":{"publisher":"Springer Science and Business Media LLC","grobid_abstract":"T he protracted COVID-19 pandemic has required bravery and sacrifice from clinicians worldwide. After almost two years, though, healthcare workers have been pushed to the limit. While accepting personal risks and suffering overwork and exhaustion in order to care for COVID-19 patients, anger, disgust, and frustration toward unvaccinated patients are increasing. 1 Some clinicians are asking whether COVID-19 vaccination status should be considered in triage allocation of ICU beds. 2 Moral outrage, the \"justifiable anger, disgust, or frustration directed toward others who violate ethical values or standards,\" 3 is widespread. While some patients refuse vaccination for political or libertarian reasons, others face barriers to access. Underserved communities (immigrants, the uninsured, people with limited English proficiency, etc.) may have difficulty accessing vaccination sites. Black, Indigenous, People of Color (BIPOC) communities, impacted by the historical trauma of racism, may be wary in their interactions with healthcare, resulting in vaccine hesitancy even though they have suffered disproportionately from COVID-19 with rates of hospitalization 2.8-3.4 times and death 2-2.4 times the rates of white, non-Hispanic patients. 4 Other patients are vaccine receptive but feel less urgency or prefer familiar caregivers to strangers at mass vaccination sites. Some are concerned about the risks of new mRNA vaccines. Notably, at least 25% of healthcare workers remained unvaccinated as late as June 2021. 5 While many clinicians may be sympathetic to the reasons for vaccine hesitancy recounted above, some patients refuse for political or personal liberty reasons alone. Some think the virus is a hoax or are persuaded by false conspiracy theories. I will call this group the willfully unvaccinated. In such cases, moral outrage among clinicians may be more pronounced. Moral outrage occurs when an ethical standard","publication_date":{"day":null,"month":null,"year":2022,"errors":{}},"publication_name":"Journal of General Internal Medicine","grobid_abstract_attachment_id":99080802},"translated_abstract":null,"internal_url":"https://www.academia.edu/97466749/Moral_Outrage_Toward_Willfully_Unvaccinated_COVID_19_Patients","translated_internal_url":"","created_at":"2023-02-24T08:32:32.031-08:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":37460822,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[{"id":99080802,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/99080802/thumbnails/1.jpg","file_name":"s11606-022-07496-3.pdf","download_url":"https://www.academia.edu/attachments/99080802/download_file?st=MTczMjkyMjY0OSw4LjIyMi4yMDguMTQ2&","bulk_download_file_name":"Moral_Outrage_Toward_Willfully_Unvaccina.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/99080802/s11606-022-07496-3-libre.pdf?1677257507=\u0026response-content-disposition=attachment%3B+filename%3DMoral_Outrage_Toward_Willfully_Unvaccina.pdf\u0026Expires=1732923353\u0026Signature=MP79VjfrQuEX00~si8~ku5pImG-Lz2n7PX2ancq5qPHy5~iwAuRzF2f1GLmcLQE8kHgoygF~e0SHg1Gj7vQJSbEzsSGTPSJaEpKF1~lJKZeFXlr-GksZHOpoO5Pvm~e2cwmWrsu92F~OuWl5O4EJti-iMEnHQjLn4hUi2fSP3VF90QfTN1HNEhK5Gky14fxBQkz38klYNF7jhq0oxovyN8c9vBy-QevYfh1s6Yg9ForkR6NrYLKGtCBdLw~8Hyno1bKmfvrqvkis4KKoDq-VsKkcpWaBFQCbgUNE277MEKIsy7EYi1m7vAGSAsIMqi-EG1JYtpGbKedHz6dVu3bMrw__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"Moral_Outrage_Toward_Willfully_Unvaccinated_COVID_19_Patients","translated_slug":"","page_count":2,"language":"en","content_type":"Work","owner":{"id":37460822,"first_name":"Denise","middle_initials":null,"last_name":"Dudzinski","page_name":"DeniseDudzinski","domain_name":"uwmedicine","created_at":"2015-11-02T07:20:48.009-08:00","display_name":"Denise Dudzinski","url":"https://uwmedicine.academia.edu/DeniseDudzinski"},"attachments":[{"id":99080802,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/99080802/thumbnails/1.jpg","file_name":"s11606-022-07496-3.pdf","download_url":"https://www.academia.edu/attachments/99080802/download_file?st=MTczMjkyMjY0OSw4LjIyMi4yMDguMTQ2&","bulk_download_file_name":"Moral_Outrage_Toward_Willfully_Unvaccina.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/99080802/s11606-022-07496-3-libre.pdf?1677257507=\u0026response-content-disposition=attachment%3B+filename%3DMoral_Outrage_Toward_Willfully_Unvaccina.pdf\u0026Expires=1732923353\u0026Signature=MP79VjfrQuEX00~si8~ku5pImG-Lz2n7PX2ancq5qPHy5~iwAuRzF2f1GLmcLQE8kHgoygF~e0SHg1Gj7vQJSbEzsSGTPSJaEpKF1~lJKZeFXlr-GksZHOpoO5Pvm~e2cwmWrsu92F~OuWl5O4EJti-iMEnHQjLn4hUi2fSP3VF90QfTN1HNEhK5Gky14fxBQkz38klYNF7jhq0oxovyN8c9vBy-QevYfh1s6Yg9ForkR6NrYLKGtCBdLw~8Hyno1bKmfvrqvkis4KKoDq-VsKkcpWaBFQCbgUNE277MEKIsy7EYi1m7vAGSAsIMqi-EG1JYtpGbKedHz6dVu3bMrw__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"},{"id":99080801,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/99080801/thumbnails/1.jpg","file_name":"s11606-022-07496-3.pdf","download_url":"https://www.academia.edu/attachments/99080801/download_file","bulk_download_file_name":"Moral_Outrage_Toward_Willfully_Unvaccina.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/99080801/s11606-022-07496-3-libre.pdf?1677257508=\u0026response-content-disposition=attachment%3B+filename%3DMoral_Outrage_Toward_Willfully_Unvaccina.pdf\u0026Expires=1732923353\u0026Signature=Ta73QvINA2iXBiW4LYJErCFcnCmiWMSZ~fAXgw3O1Ni3CA-YHCzoK07fr4itBAamqQE-8r7mVd3mOuHfomQoEdMmT~l8vrYPJ1~2hkRXDzTfTETg3cAMJ-fq1Z3BCSMU0qMvQF9X6RCBOJLBRve5UVcaK5f~TbuHXgJBHcBYgA8yStuhDiTyvX8bw4JO90ghOwAajvVpfIkquoxKrtGF9PG045Ga4ioDEfl70VZVKTomk6cUrfYXGVmFXywvzScivj3PjvB2Q6R4dOu0~JhzG2qUBfvmNON2migBugc2r08-0gtZk2tj1ezWRApuKuop1XmG~HsPxBX8ONbyVi-eNw__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[{"id":10572,"name":"General Internal Medicine","url":"https://www.academia.edu/Documents/in/General_Internal_Medicine"},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine"},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences"},{"id":2737006,"name":"Outrage","url":"https://www.academia.edu/Documents/in/Outrage"},{"id":3686510,"name":"Coronavirus Disease 2019 (COVID-19)","url":"https://www.academia.edu/Documents/in/Coronavirus_Disease_2019_COVID-19_"}],"urls":[{"id":29256906,"url":"https://link.springer.com/content/pdf/10.1007/s11606-022-07496-3.pdf"}]}, dispatcherData: dispatcherData }); 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="97466746"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/97466746/A_Call_to_Action_Ethics_Committee_Roundtable_Recommendations_for_Addressing_Burnout_and_Moral_Distress_in_Oncology"><img alt="Research paper thumbnail of A Call to Action: Ethics Committee Roundtable Recommendations for Addressing Burnout and Moral Distress in Oncology" class="work-thumbnail" src="https://attachments.academia-assets.com/99080800/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/97466746/A_Call_to_Action_Ethics_Committee_Roundtable_Recommendations_for_Addressing_Burnout_and_Moral_Distress_in_Oncology">A Call to Action: Ethics Committee Roundtable Recommendations for Addressing Burnout and Moral Distress in Oncology</a></div><div class="wp-workCard_item"><span>JCO Oncology Practice</span><span>, 2020</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Oncologist well-being is critical to initiating and maintaining the physician-patient relationshi...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Oncologist well-being is critical to initiating and maintaining the physician-patient relationship, yet many oncologists suffer from symptoms of burnout. Burnout has been linked to poor physical and mental health, as well as increased medical errors, patient dissatisfaction, and workforce attrition. 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Burnout has been linked to poor physical and mental health, as well as increased medical errors, patient dissatisfaction, and workforce attrition. In this Call to Action article, we discuss causes of and interventions for burnout and moral distress in oncology, highlight existing interventions, and provide recommendations for addressing burnout and improving well-being at the individual and organizational levels to deliver ethical, quality cancer care.","publisher":"American Society of Clinical Oncology (ASCO)","publication_date":{"day":null,"month":null,"year":2020,"errors":{}},"publication_name":"JCO Oncology Practice"},"translated_abstract":"Oncologist well-being is critical to initiating and maintaining the physician-patient relationship, yet many oncologists suffer from symptoms of burnout. Burnout has been linked to poor physical and mental health, as well as increased medical errors, patient dissatisfaction, and workforce attrition. 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="97466745"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/97466745/Creating_a_Blueprint_of_Well_Being_in_Oncology_An_Approach_for_Addressing_Burnout_From_ASCO_s_Clinician_Well_Being_Taskforce"><img alt="Research paper thumbnail of Creating a Blueprint of Well-Being in Oncology: An Approach for Addressing Burnout From ASCO’s Clinician Well-Being Taskforce" class="work-thumbnail" src="https://attachments.academia-assets.com/99080799/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/97466745/Creating_a_Blueprint_of_Well_Being_in_Oncology_An_Approach_for_Addressing_Burnout_From_ASCO_s_Clinician_Well_Being_Taskforce">Creating a Blueprint of Well-Being in Oncology: An Approach for Addressing Burnout From ASCO’s Clinician Well-Being Taskforce</a></div><div class="wp-workCard_item"><span>American Society of Clinical Oncology Educational Book</span><span>, 2021</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Optimizing the well-being of the oncology clinician has never been more important. Well-being is ...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Optimizing the well-being of the oncology clinician has never been more important. Well-being is a critical priority for the cancer organization because burnout adversely impacts the quality of care, patient satisfaction, the workforce, and overall practice success. To date, 45% of U.S. ASCO member medical oncologists report experiencing burnout symptoms of emotional exhaustion and depersonalization. As the COVID-19 pandemic remains widespread with periods of outbreaks, recovery, and response with substantial personal and professional consequences for the clinician, it is imperative that the oncologist, team, and organization gain direct access to resources addressing burnout. In response, the Clinician Well-Being Task Force was created to improve the quality, safety, and value of cancer care by enhancing oncology clinician well-being and practice sustainability. 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Well-being is a critical priority for the cancer organization because burnout adversely impacts the quality of care, patient satisfaction, the workforce, and overall practice success. To date, 45% of U.S. ASCO member medical oncologists report experiencing burnout symptoms of emotional exhaustion and depersonalization. As the COVID-19 pandemic remains widespread with periods of outbreaks, recovery, and response with substantial personal and professional consequences for the clinician, it is imperative that the oncologist, team, and organization gain direct access to resources addressing burnout. In response, the Clinician Well-Being Task Force was created to improve the quality, safety, and value of cancer care by enhancing oncology clinician well-being and practice sustainability. 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="97466742"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/97466742/The_Ethical_Conundrum_Conflicting_Advocacy_Positions_in_Advanced_Heart_Failure_Therapy"><img alt="Research paper thumbnail of The Ethical Conundrum: Conflicting Advocacy Positions in Advanced Heart Failure Therapy" class="work-thumbnail" src="https://attachments.academia-assets.com/99080826/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/97466742/The_Ethical_Conundrum_Conflicting_Advocacy_Positions_in_Advanced_Heart_Failure_Therapy">The Ethical Conundrum: Conflicting Advocacy Positions in Advanced Heart Failure Therapy</a></div><div class="wp-workCard_item"><span>Clinical Transplantation</span><span>, 2019</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="dfddcaa1cc2f395829ebd914f5119de5" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":99080826,"asset_id":97466742,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/99080826/download_file?st=MTczMjkyMjY0OSw4LjIyMi4yMDguMTQ2&s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="97466742"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="97466742"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 97466742; 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="97466739"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" rel="nofollow" href="https://www.academia.edu/97466739/_Defining_Patient_Advocacy_for_the_Context_of_Clinical_Ethics_Consultation_A_Review_of_the_Literature_and_Recommendations_for_Consultants"><img alt="Research paper thumbnail of \Defining Patient Advocacy for the Context of Clinical Ethics Consultation: A Review of the Literature and Recommendations for Consultants" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" rel="nofollow" href="https://www.academia.edu/97466739/_Defining_Patient_Advocacy_for_the_Context_of_Clinical_Ethics_Consultation_A_Review_of_the_Literature_and_Recommendations_for_Consultants">\Defining Patient Advocacy for the Context of Clinical Ethics Consultation: A Review of the Literature and Recommendations for Consultants</a></div><div class="wp-workCard_item"><span>The Journal of clinical ethics</span><span>, 2016</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">The idea of patient advocacy as a function of clinical ethics consultation (CEC) has been debated...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">The idea of patient advocacy as a function of clinical ethics consultation (CEC) has been debated in the bioethics literature. In particular, opinion is divided as to whether patient advocacy inherently is in conflict with the other duties of the ethics consultant, especially that of impartial mediator. The debate is complicated, however, because patient advocacy is not uniformly conceptualized. This article examines two literatures that are crucial to understanding patient advocacy in the context of bioethical deliberations: the CEC literature and the literature on advocacy in the social work profession. A review of this literature identifies four distinct approaches to patient advocacy that are relevant to CEC: (1) the best interest approach, (2) the patient rights approach, (3) the representational approach, and (4) the empowerment approach. 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="97466737"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" rel="nofollow" href="https://www.academia.edu/97466737/Calling_Out_Implicit_Racial_Bias_as_a_Harm_in_Pediatric_Care"><img alt="Research paper thumbnail of Calling Out Implicit Racial Bias as a Harm in Pediatric Care" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" rel="nofollow" href="https://www.academia.edu/97466737/Calling_Out_Implicit_Racial_Bias_as_a_Harm_in_Pediatric_Care">Calling Out Implicit Racial Bias as a Harm in Pediatric Care</a></div><div class="wp-workCard_item"><span>Cambridge quarterly of healthcare ethics : CQ : the international journal of healthcare ethics committees</span><span>, Jul 1, 2016</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Disclaimer: The views expressed are solely those of the authors and do not necessarily represent ...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Disclaimer: The views expressed are solely those of the authors and do not necessarily represent the offi cial position of the United States government, Department of Defense, or Department of the Navy. We thank Douglas Opel and Thomas May for their review and helpful comments on this manuscript. This article is based on the workshop “‘Pediatric Care Providers Are Color-Blind’ and Other White Lies: The Impact of Implicit Bias and Unconscious Racism on the Care of Children,” presented by the authors at the American Society for Bioethics and Humanities (ASBH) Annual Meeting in San Diego, California, on October 18, 2014, and on the presentation “Undermining the Delicate Triangle: How Implicit Bias Harms the Children We Serve,” presented by Kellie Lang at the Seattle Children’s Annual Pediatric Bioethics Conference in Seattle, Washington, on July 24, 2015. This section invites submissions on topics that explore conceptual or normative ethical issues in pediatric clinical care and practice, child health policy, and research involving children. Manuscripts should conform to the CQ Guidelines for Contributors. All submissions should include an abstract and should be sent electronically to the Pediatric Ethics section coeditors, Douglas J. Opel ( <a href="mailto:douglas.opel@seattlechildrens" rel="nofollow">douglas.opel@seattlechildrens</a>. org ) and Kellie R. Lang.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="97466737"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="97466737"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 97466737; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=97466737]").text(description); $(".js-view-count[data-work-id=97466737]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 97466737; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='97466737']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 97466737, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=97466737]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":97466737,"title":"Calling Out Implicit Racial Bias as a Harm in Pediatric Care","translated_title":"","metadata":{"abstract":"Disclaimer: The views expressed are solely those of the authors and do not necessarily represent the offi cial position of the United States government, Department of Defense, or Department of the Navy. We thank Douglas Opel and Thomas May for their review and helpful comments on this manuscript. This article is based on the workshop “‘Pediatric Care Providers Are Color-Blind’ and Other White Lies: The Impact of Implicit Bias and Unconscious Racism on the Care of Children,” presented by the authors at the American Society for Bioethics and Humanities (ASBH) Annual Meeting in San Diego, California, on October 18, 2014, and on the presentation “Undermining the Delicate Triangle: How Implicit Bias Harms the Children We Serve,” presented by Kellie Lang at the Seattle Children’s Annual Pediatric Bioethics Conference in Seattle, Washington, on July 24, 2015. This section invites submissions on topics that explore conceptual or normative ethical issues in pediatric clinical care and practice, child health policy, and research involving children. Manuscripts should conform to the CQ Guidelines for Contributors. 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This article is based on the workshop “‘Pediatric Care Providers Are Color-Blind’ and Other White Lies: The Impact of Implicit Bias and Unconscious Racism on the Care of Children,” presented by the authors at the American Society for Bioethics and Humanities (ASBH) Annual Meeting in San Diego, California, on October 18, 2014, and on the presentation “Undermining the Delicate Triangle: How Implicit Bias Harms the Children We Serve,” presented by Kellie Lang at the Seattle Children’s Annual Pediatric Bioethics Conference in Seattle, Washington, on July 24, 2015. This section invites submissions on topics that explore conceptual or normative ethical issues in pediatric clinical care and practice, child health policy, and research involving children. Manuscripts should conform to the CQ Guidelines for Contributors. All submissions should include an abstract and should be sent electronically to the Pediatric Ethics section coeditors, Douglas J. Opel ( douglas.opel@seattlechildrens. org ) and Kellie R. 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="97466736"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/97466736/Navigating_moral_distress_using_the_moral_distress_map"><img alt="Research paper thumbnail of Navigating moral distress using the moral distress map" class="work-thumbnail" src="https://attachments.academia-assets.com/99080824/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/97466736/Navigating_moral_distress_using_the_moral_distress_map">Navigating moral distress using the moral distress map</a></div><div class="wp-workCard_item"><span>Journal of Medical Ethics</span><span>, 2016</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="766b3baed388f08e3a5855f075019c1f" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":99080824,"asset_id":97466736,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/99080824/download_file?st=MTczMjkyMjY0OSw4LjIyMi4yMDguMTQ2&s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="97466736"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="97466736"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 97466736; 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Fewer scholars have explored what makes moral distress moral. If we acknowledge that patient care can be distressing in the best of ethical circumstances, then differentiating distress and moral distress may refine the array of actions that are likely to ameliorate it. This article builds upon scholarship exploring the normative and conceptual dimensions of moral distress and introduces a new tool to map moral distress from emotional source to corrective actions. The Moral Distress Map has proven useful in clinical teaching and ethics-related debriefings. 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="97466735"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" rel="nofollow" href="https://www.academia.edu/97466735/Review_of_C_Bruce_M_Majumder_T_Bibler_L_McCullough_J_Blumenthal_Barby_N_Allen_A_Pe%C3%B1a_and_A_McGuire_Developing_and_Sustaining_a_Clinical_Ethics_Consultation_Service_A_Practical_Guide1"><img alt="Research paper thumbnail of Review of C. Bruce, M. Majumder, T. Bibler, L. McCullough, J. Blumenthal-Barby, N. Allen, A. Peña, and A. McGuire,Developing and Sustaining a Clinical Ethics Consultation Service: A Practical Guide1" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" rel="nofollow" href="https://www.academia.edu/97466735/Review_of_C_Bruce_M_Majumder_T_Bibler_L_McCullough_J_Blumenthal_Barby_N_Allen_A_Pe%C3%B1a_and_A_McGuire_Developing_and_Sustaining_a_Clinical_Ethics_Consultation_Service_A_Practical_Guide1">Review of C. Bruce, M. Majumder, T. Bibler, L. McCullough, J. Blumenthal-Barby, N. Allen, A. Peña, and A. McGuire,Developing and Sustaining a Clinical Ethics Consultation Service: A Practical Guide1</a></div><div class="wp-workCard_item"><span>The American Journal of Bioethics</span><span>, 2016</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">To cite this article: Denise M. Dudzinski (2016) Review of C. Bruce, M. Majumder, T. Bibler, L. M...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">To cite this article: Denise M. Dudzinski (2016) Review of C. Bruce, M. Majumder, T. Bibler, L. McCullough, J. Blumenthal-Barby, N. Allen, A. Peña, and A. McGuire, Developing and Sustaining a Clinical Ethics Consultation Service: A Practical Guide, The American Journal of Bioethics, 16:6, W4-W5, DOI: 10.1080/15265161.2016.1160160 To link to this article: <a href="http://dx.doi.org/10.1080/15265161.2016.1160160" rel="nofollow">http://dx.doi.org/10.1080/15265161.2016.1160160</a></span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="97466735"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="97466735"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 97466735; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=97466735]").text(description); $(".js-view-count[data-work-id=97466735]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 97466735; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='97466735']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 97466735, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=97466735]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":97466735,"title":"Review of C. Bruce, M. Majumder, T. Bibler, L. McCullough, J. Blumenthal-Barby, N. Allen, A. Peña, and A. McGuire,Developing and Sustaining a Clinical Ethics Consultation Service: A Practical Guide1","translated_title":"","metadata":{"abstract":"To cite this article: Denise M. Dudzinski (2016) Review of C. Bruce, M. Majumder, T. Bibler, L. McCullough, J. Blumenthal-Barby, N. Allen, A. Peña, and A. McGuire, Developing and Sustaining a Clinical Ethics Consultation Service: A Practical Guide, The American Journal of Bioethics, 16:6, W4-W5, DOI: 10.1080/15265161.2016.1160160 To link to this article: http://dx.doi.org/10.1080/15265161.2016.1160160","publisher":"Informa UK Limited","publication_date":{"day":null,"month":null,"year":2016,"errors":{}},"publication_name":"The American Journal of Bioethics"},"translated_abstract":"To cite this article: Denise M. Dudzinski (2016) Review of C. Bruce, M. Majumder, T. Bibler, L. McCullough, J. Blumenthal-Barby, N. Allen, A. Peña, and A. McGuire, Developing and Sustaining a Clinical Ethics Consultation Service: A Practical Guide, The American Journal of Bioethics, 16:6, W4-W5, DOI: 10.1080/15265161.2016.1160160 To link to this article: http://dx.doi.org/10.1080/15265161.2016.1160160","internal_url":"https://www.academia.edu/97466735/Review_of_C_Bruce_M_Majumder_T_Bibler_L_McCullough_J_Blumenthal_Barby_N_Allen_A_Pe%C3%B1a_and_A_McGuire_Developing_and_Sustaining_a_Clinical_Ethics_Consultation_Service_A_Practical_Guide1","translated_internal_url":"","created_at":"2023-02-24T08:32:29.108-08:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":37460822,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"Review_of_C_Bruce_M_Majumder_T_Bibler_L_McCullough_J_Blumenthal_Barby_N_Allen_A_Peña_and_A_McGuire_Developing_and_Sustaining_a_Clinical_Ethics_Consultation_Service_A_Practical_Guide1","translated_slug":"","page_count":null,"language":"en","content_type":"Work","owner":{"id":37460822,"first_name":"Denise","middle_initials":null,"last_name":"Dudzinski","page_name":"DeniseDudzinski","domain_name":"uwmedicine","created_at":"2015-11-02T07:20:48.009-08:00","display_name":"Denise Dudzinski","url":"https://uwmedicine.academia.edu/DeniseDudzinski"},"attachments":[],"research_interests":[{"id":221,"name":"Psychology","url":"https://www.academia.edu/Documents/in/Psychology"},{"id":906,"name":"Applied Ethics","url":"https://www.academia.edu/Documents/in/Applied_Ethics"},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine"},{"id":32101,"name":"Clinical Ethics","url":"https://www.academia.edu/Documents/in/Clinical_Ethics"},{"id":410370,"name":"Public health systems and services research","url":"https://www.academia.edu/Documents/in/Public_health_systems_and_services_research-1"},{"id":1222385,"name":"service Business","url":"https://www.academia.edu/Documents/in/service_Business"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="97466734"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" rel="nofollow" href="https://www.academia.edu/97466734/The_principle_of_double_effect_in_palliative_care_euthanasia_by_another_name"><img alt="Research paper thumbnail of The principle of double effect in palliative care: euthanasia by another name?" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" rel="nofollow" href="https://www.academia.edu/97466734/The_principle_of_double_effect_in_palliative_care_euthanasia_by_another_name">The principle of double effect in palliative care: euthanasia by another name?</a></div><div class="wp-workCard_item"><span>Clinical Ethics in Anesthesiology</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Do not resuscitate (DNR) orders developed in response to the realization that cardiopulmonary res...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Do not resuscitate (DNR) orders developed in response to the realization that cardiopulmonary resuscitation (CPR) is not appropriate for all patients, particularly those with terminal illness and otherwise dismal prognosis. Pediatric patients may or may not have the capacity to participate in medical decision making. Parents function as surrogate decision-makers, acting in the overall best interest of the child. This chapter explains CPR, citing the case study of a 4-year-old boy with metastatic neuroblastoma undergoing stem cell transplantation following intensive chemotherapy and radiation. CPR became a nearly ubiquitous final procedure for all hospitalized patients experiencing cardiopulmonary arrest, regardless of circumstances. Automatic suspension of DNR orders in the setting of anesthesia and surgery does not sufficiently recognize patients&#39; rights to self-determination. When patients or their surrogate decision-makers, such as parents, do not wish to suspend DNR orders in the setting of surgery, few ethical arguments support ignoring their wishes.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="97466734"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="97466734"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 97466734; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=97466734]").text(description); $(".js-view-count[data-work-id=97466734]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 97466734; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='97466734']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 97466734, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=97466734]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":97466734,"title":"The principle of double effect in palliative care: euthanasia by another name?","translated_title":"","metadata":{"abstract":"Do not resuscitate (DNR) orders developed in response to the realization that cardiopulmonary resuscitation (CPR) is not appropriate for all patients, particularly those with terminal illness and otherwise dismal prognosis. 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