2021
DOI: 10.1136/medethics-2020-106764
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Towards collective moral resilience: the potential of communities of practice during the COVID-19 pandemic and beyond

Abstract: This paper proposes communities of practice (CoP) as a process to build moral resilience in healthcare settings. We introduce the starting point of moral distress that arises from ethical challenges when actions of the healthcare professional are constrained. We examine how situations such as the current COVID-19 pandemic can exponentially increase moral distress in healthcare professionals. Then, we explore how moral resilience can help cope with moral distress. We propose the term collective moral resilience… Show more

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Cited by 69 publications
(67 citation statements)
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“…In this extraordinary crisis environment caused by COVID- 19, almost all sovereign national governments took strict measures to prevent the rapid spread of the virus and reduce the number of casualties in terms of infections and loss of life. The requirement to wear facemasks, hand-hygiene practices, travel restrictions, lockdowns and curfews, and social distancing and social isolation were among the measures widely introduced [12][13][14].…”
Section: Introductionmentioning
confidence: 99%
“…In this extraordinary crisis environment caused by COVID- 19, almost all sovereign national governments took strict measures to prevent the rapid spread of the virus and reduce the number of casualties in terms of infections and loss of life. The requirement to wear facemasks, hand-hygiene practices, travel restrictions, lockdowns and curfews, and social distancing and social isolation were among the measures widely introduced [12][13][14].…”
Section: Introductionmentioning
confidence: 99%
“…Communities of practice have been proposed as a means to generate knowledge and foster “collective moral resilience” in healthcare workers faced with extraordinary (e.g. pandemic) circumstances ( Delgado et al, 2021 ). In Australia, the New South Wales State Government established multidisciplinary clinical groupings called “communities of practice” to support their COVID-19 response.…”
Section: Introductionmentioning
confidence: 99%
“…What we can hope for now is a growth of more peer-reviewed articles that esh out understanding of virtue and care ethics and recognize their differences. That is, virtue ethics has a focus on the individual character of the physician, whereas care ethics highlights interdependence, which may foster communities of practice to support resilience and personal growth (Delgado, et al, 2021). Such medical education curricula may utilize endpoints that bolster the professional growth of future physicians such that they will be the exemplars of humanistic care.…”
Section: Discussionmentioning
confidence: 99%