2022
DOI: 10.1080/00981389.2022.2128156
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“The hierarchy is your constraint:” a qualitative investigation of social workers’ moral distress across a U.S. health system

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Cited by 10 publications
(6 citation statements)
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“…Study sites were always indicated, North America and Europe, specifically England/UK were represented more than other regions. Studies were conducted across a number of different healthcare systems from the non-universal insurance system of the USA [ 40 42 , 44 , 48 , 57 , 62 , 63 , 69 , 76 , 78 , 85 , 87 ] to universal government-funded health system (single-payer) of Italy [ 43 , 64 , 65 , 67 , 86 ], UK [ 6 , 46 , 51 , 66 , 68 , 72 , 74 , 77 , 81 ], Sweden [ 45 ], Canada [ 47 , 49 , 52 , 54 56 , 61 , 70 , 71 , 73 , 75 , 79 , 82 , 84 ], Norway [ 58 60 ] and Australia [ 50 ], to the universal private health insurance system of Netherlands [ 39 ], and the universal public insurance system (social insurance) of Romania [ 53 ]. Although clear themes emerged that related to different healthcare systems and funding mechanisms for care (e.g., what is available to the individuals in that system based on resources and guidelines), overall, descriptions of events which could cause moral distress showed some consiste...…”
Section: Resultsmentioning
confidence: 99%
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“…Study sites were always indicated, North America and Europe, specifically England/UK were represented more than other regions. Studies were conducted across a number of different healthcare systems from the non-universal insurance system of the USA [ 40 42 , 44 , 48 , 57 , 62 , 63 , 69 , 76 , 78 , 85 , 87 ] to universal government-funded health system (single-payer) of Italy [ 43 , 64 , 65 , 67 , 86 ], UK [ 6 , 46 , 51 , 66 , 68 , 72 , 74 , 77 , 81 ], Sweden [ 45 ], Canada [ 47 , 49 , 52 , 54 56 , 61 , 70 , 71 , 73 , 75 , 79 , 82 , 84 ], Norway [ 58 60 ] and Australia [ 50 ], to the universal private health insurance system of Netherlands [ 39 ], and the universal public insurance system (social insurance) of Romania [ 53 ]. Although clear themes emerged that related to different healthcare systems and funding mechanisms for care (e.g., what is available to the individuals in that system based on resources and guidelines), overall, descriptions of events which could cause moral distress showed some consiste...…”
Section: Resultsmentioning
confidence: 99%
“…Sixteen articles [ 38 , 46 48 , 51 , 57 , 62 , 63 , 65 , 66 , 71 , 77 79 , 82 , 85 ] specifically explored the role of CoVID-19 in HSCW and contribute to the identification of themes summarised in categories and sub-categories ( Table 3 ). The pandemic appeared to impact the deployment of staff to various roles and clinical contexts.…”
Section: Resultsmentioning
confidence: 99%
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“…Further, a person's level in hospital and ward hierarchies and a team's ethical climate can both contribute to MD perception [41][42][43][44]. This may depend on gender aspects [26,27,35] and a CCP's experience in the ED/ICU [30,33,45,46].…”
Section: Introductionmentioning
confidence: 99%