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24 HEC F. 1 (2012)

handle is hein.journals/hecforum24 and id is 1 raw text is: HEC Forum (2012) 24:1-11 DOI 10.1007/s10730-012-9176-y Framing the Issues: Moral Distress in Health Care Bernadette M. Pauly - Colleen Varcoe - Jan Storch Published online: 25 March 2012 © The Author(s) 2012. This article is published with open access at Springerlinkcom Abstract Moral distress in health care has been identified as a growing concern and a focus of research in nursing and health care for almost three decades. Researchers and theorists have argued that moral distress has both short and long- term consequences. Moral distress has implications for satisfaction, recruitment and retention of health care providers and implications for the delivery of safe and competent quality patient care. In over a decade of research on ethical practice, registered nurses and other health care practitioners have repeatedly identified moral distress as a concern and called for action. However, research and action on moral distress has been constrained by lack of conceptual clarity and theoretical confusion as to the meaning and underpinnings of moral distress. To further examine these issues and foster action on moral distress, three members of the University of Victoria/University of British Columbia (UVIC/UVIC) nursing ethics research team initiated the development and delivery of a multi-faceted and interdisciplinary symposium on Moral Distress with international experts, researchers, and practi- tioners. The goal of the symposium was to develop an agenda for action on moral distress in health care. We sought to develop a plan of action that would encompass recommendations for education, practice, research and policy. The papers in this special issue of HEC Forum arose from that symposium. In this first paper, we B. M. Pauly (E) School of Nursing, University of Victoria, Box 1700, STN CSC, Victoria, BC, USA e-mail: bpauly@uvic.ca B. M. Pauly Centre for Addictions Research of BC, University of Victoria, Box 1700, STN CSC, Victoria, BC, USA C. Varcoe University of British Columbia, Vancouver, Canada J. Storch University of Victoria, Victoria, BC, USA I Springer

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