Search results for: Cynda Hylton Rushton

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article

Burnout and moral resilience in interdisciplinary healthcare professionals

Inga Antonsdottir, Cynda Hylton Rushton, Katie Elizabeth Nelson, Katherine E. Heinze, more

Journal of Clinical Nursing > 31 > 1-2 > 196 - 208

Aims and objectives To examine demographic and work characteristics of interdisciplinary healthcare professionals associated with higher burnout and to examine whether the four domains of moral resilience contribute to burnout over and above work and demographic variables. Background Healthcare professionals experience complex ethical challenges on a daily basis leading to burnout and moral distress...

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A social–ecological framework: A model for addressing ethical practice in nursing

Patricia Davidson, Cynda Hylton Rushton, Melissa Kurtz, Brian Wise, more

Journal of Clinical Nursing > 27 > 5-6 > e1233 - e1241

Aims and objectives To develop a framework to enable discussion, debate and the formulation of interventions to address ethical issues in nursing practice. Background Social, cultural, political and economic drivers are rapidly changing the landscape of health care in our local environments but also in a global context. Increasingly, nurses are faced with a range of ethical dilemmas in their work...

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A concept analysis of moral resilience

Peter D. Young, Cynda Hylton Rushton

Nursing Outlook > 2017 > 65 > 5 > 579-587

Nurses experience moral distress, which has led to emotional distress, frustration, anger, and nurse attrition. Overcoming moral distress has become a significant focus in nursing research.The continued focus on moral distress has not produced sustainable solutions within the nursing profession. Since positive language may alter the outcomes of morally distressing situations, we look to better understand...

article

Creating a Culture of Ethical Practice in Health Care Delivery Systems

Cynda Hylton Rushton

Hastings Center Report > 46 > S1 > S28 - S31

Undisputedly, the United States’ health care system is in the midst of unprecedented complexity and transformation. In 2014 alone there were well over thirty‐five million admissions to hospitals in the nation, indicating that there was an extraordinary number of very sick and frail people requiring highly skilled clinicians to manage and coordinate their complex care across multiple care settings. Medical advances give us the ability to send patients home more efficiently than ever before and simultaneously create ethical questions about the balance of benefits and burdens associated with these advances. Every day on every shift, nurses at the bedside feel an intense array of ethical issues. At the same time, administrators, policy‐makers, and regulators struggle to balance commitments to patients, families, staff members, and governing boards. Ethical responsibilities and the fiduciary, regulatory, and community service goals of health care institutions are not mutually exclusive; they must go hand in hand. If they do not, our health care system will continue to lose valued professionals to moral distress, risk breaking the public's trust, and potentially undermine patient care. At this critical juncture in health care, we must look to new models, tools, and skills to confront contemporary ethical issues that impact clinical practice. The antidote to the current reality is to create a new health care paradigm grounded in compassion and sustained by a culture of ethical practice...

article

Safeguarding the Public's Health: Ethical Nursing

Cynda Hylton Rushton, Marion E. Broome

Hastings Center Report > 45 > 1 > inside back cover - inside back cover

With the landmark 2010 Future of Nursing report by the Institute of Medicine largely silent about the ethical foundation of nursing and with growing concerns about the prominence of ethical issues that arise for individuals across all roles within nursing, it is clearly time for the profession to pause and consider its ethical foundations anew. In August 2014, fifty nursing leaders participated in the national summit Nursing Ethics for the 21st Century, sponsored by The Johns Hopkins University School of Nursing and Berman Institute of Bioethics. Together, we and our colleagues identified priorities and created a blueprint for the future...

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When Integrity is Threatened: Ethical Conflicts at the End-of-life (509)

Cynda Hylton Rushton, Alvin Moss

Journal of Pain and Symptom Management > 2010 > 39 > 2 > 410-411

article

A Framework for Integrated Pediatric Palliative Care: Being with Dying

Cynda Hylton Rushton

Journal of Pediatric Nursing > 2005 > 20 > 5 > 311-325

Recent studies highlight the need for an integrated model for palliative and end-of-life pediatric care. About 55,000 children die each year in the United States and, on any given day, about 8,600 children could benefit from care that acknowledges their limited life expectancy and severity of illness. Two case studies of children illustrate different approaches—one that aggressively applies all possible...

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Critique 2: Collaborative Clinical Research on End-of-Life Care in Pediatric Oncology

Cynda Hylton Rushton

Seminars in Oncology Nursing > 2005 > 21 > 2 > 138-141

article

Consensus Statement: Collaborative Clinical Research on End-of-Life Care in Pediatric Oncology

Cynthia A. Stutzer, Donna Drew, Bruce P. Himelstein, Pamela S. Hinds, more

Seminars in Oncology Nursing > 2005 > 21 > 2 > 142-144

article

The integration of palliative care and critical care: one vision, one voice

Cynda Hylton Rushton, Michael A. Williams, Kathleen Hartman Sabatier

Critical Care Nursing Clinics of North America > 2002 > 14 > 2 > 133-140

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