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35 HEC F. 1 (2023)

handle is hein.journals/hecforum35 and id is 1 raw text is: H-Et Forum (2023) 35:1 20 https'//doiorg/i 0.1007/si 0730--021 -09441-7 Reflective Debriefs as a Response to Moral Distress: Two Case Study Examples Georgina Morley - Cristie Cole Horsburgh2 Accepted: 7 January 2021 / Published online: 26 Januar y 2021 ,The Author(s), under excusive hmnce to Springer Naure B V. part of Springer Nature 2021 Abstract Within this paper, we discuss Moral Distress Refective Debriefs as a promising approach to address and mitigate moral distress experienced by healthcare profes- sionals. We briefly review the empirical and theoreti<.al literature on critical incident stress debriefing and psychological debriefing to highlight the potential benetits of this modality. We then describe the approach that we take to facilitating reflective group discussions in response to morally distressing patient cases (Moral Distress Reflective Debriefs)''. We discuss how the debriefing literature and other clinical ethics activities influenced the development of our approach. In particular we focus on the role of the clinical ethicist as a facilitator with partcular emphasis on encour- aging perspective-taking and nurturing ethical attunement in a supportive man- ner. We suggest that this apprioach reduces the nariwing effects of frustration and anger that are often reported when individuals experience moral-constraint distress. F:inally, we provide an example of Moral Distress Reflective Debriefs, elucidating how this supportive process complements ethics consultation and can mitigate the negative effects of moral distress. Keywords Moral distress > Clinical ethics Debriefing - Bioethics - Ethics consultation Introduction he held of moral distress has recently progressed from evidencing prevalence and effects to developing interventions focused on addressing and mitigating it. T he lit- erature is peppered with various efforts, though there still remains a lack of robust evidence-based approaches. One emeiging intervention though is group Refective SGeorgina Morley niorleyg @ ccfiorg Center for Bioethics. Nursing Institute. Heart, Vascular & Thoracic Intitut e, Cleveland Cinic, Cleveland, OH, SA 2 Center for Bioethics, Clinical Transformation, Cleveland Clinic, Cleveland, OH, USA Springer