| 1. |
- Hyllengren, Peder, et al.
(författare)
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Contextual factors affecting moral stress : a study of military and police officers
- 2016
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Ingår i: International journal of public leadership. - 2056-4929. ; 12:4, s. 275-288
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Tidskriftsartikel (refereegranskat)abstract
- PurposeThe purpose of this paper is to identify and gain a deeper understanding of environmental, organizational, and group conditions, and leadership-related issues in particular, in severely stressful situations involving a moral stressor faced by military and police officers.Design/methodology/approachA combined deductive and inductive approach was used, and in total 23 military and police officers, all having experience of morally difficult decisions during severely stressful conditions, were interviewed.FindingsA hierarchical conceptual framework of contextual characteristics was developed. The environmental, organizational, leadership-related, and group aspects identified in this study on morally stressful situations resemble findings from general research on work and stress. However, a stronger emphasis was put on leaders’ handling of values and his or her ability to confront senior management when needed.Practical implicationsThe results suggest that well-documented methods aimed at the prevention of, and recovery from, work-related stress, also can be used in the case of extreme situations involving moral stressors.Originality/valueThe interplay between leadership and extreme situations involving moral stressors is, to the best of the knowledge, understudied.
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| 2. |
- Kallenberg, Kjell, et al.
(författare)
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Moralisk stress och ledarskap
- 2016
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Bok (refereegranskat)abstract
- I alla tider har människor plågats av svåra moraliska val, ibland till synes omöjliga. Men det är först på senare år som man har börjat uppmärksamma moralisk stress. Den kan uppkomma i arbetslivet. Den påverkar och påverkas av ledarskap.Ledarskap utövas i ett socialt och kulturellt sammanhang med mer eller mindre tydliga normer och värderingar. Men hur ser de ut och i vilken utsträckning delar vi dem? Och vad gör vi när våra egna och den omgivande organisationens värderingar inte stämmer överens?Boken belyser olika aspekter av ledarskap, organisationers värderingar och den enskildes val och beslut.Framställningen bygger delvis på författarnas egen forskning men behandlar även utförligt hur man förebygger, hanterar och bemästrar moralisk stress på såväl individ- som organisationsnivå.
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| 3. |
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| 4. |
- Larsson, Gerry, Professor, 1952-, et al.
(författare)
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Stress reactions following acute situations involving moral challenges among health care professionals
- 2018
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Ingår i: Scandinavian Journal of Psychology. - : Wiley. - 0036-5564 .- 1467-9450. ; 59:2, s. 177-185
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Tidskriftsartikel (refereegranskat)abstract
- Many health care professionals have to make morally difficult decisions during acute, stressful situations. The aim was to explore the applicability of an existing qualitatively developed model of individual reactions among professional first responders following such situations using a quantitative approach. According to the model, the interaction of antecedent individual and contextual characteristics affect the immediate emotional reactions to acute, stressful events involving a moral dilemma. Continuous coping efforts and the quality of social support will also affect the long‐term positive and negative reactions to the event. The participants (n = 204, about 50% response rate) represented three Swedish health care professions stationed at a university hospital and a regional hospital: Physicians (n = 50), nurses (n = 94) and “others” (n =60, mainly social welfare officers and assistant nurses). Except for the personality dimension emotional stability which was measured using an established instrument, all measurement scales were operationalizations of codes and categories from the qualitative study (ten scales altogether). Four multiple regression analyses were performed with long‐term positive and negative reactions in everyday acute and morally extremely taxing situations respectively as dependent variables. The outcome showed that long‐term positive reactions covaried with much use of the coping strategies Emotional distancing and Constructive emotional confrontation and a perception of a well‐functioning Formal social support. Regarding long‐term negative reactions, higher age and little use of Emotional distancing accounted for much of the variance. Immediate emotional reactions also contributed significantly. Conclusion: the results largely supported the model concepts and their assumed relationships.
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| 5. |
- Nilsson, Sofia, 1975-, et al.
(författare)
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Leadership and Moral Stress : Individual reaction patterns among first responders in acute situations that involve moral stressors
- 2015
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Ingår i: Journal of Trauma & Treatment. - 2167-1222. ; 4, s. 261-270
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Tidskriftsartikel (refereegranskat)abstract
- The aim was to gain a deeper understanding of individual reaction patterns among professional first responders (emergency treatment, military officers, and police officers) during and after acute situations that involve moral stressors in combination with cumulative stress. Swedish and Norwegian informants within these professional groups were interviewed (n=37). Data were analyzed according to a grounded theory approach. A model was developed according to which long-term effects following such stress exposure depends on the character of the continued everyday living. In particular, the frequency and intensity of perceived daily hassles and uplifts is important. Cognitivebehavioral aspects are discussed to prevent and/or reduce negative long-term reactions.
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| 6. |
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| 7. |
- Nilsson, Sofia, 1975-, et al.
(författare)
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Moral Stress in International Humanitarian Aid and Rescue Operations : A Grounded Theory Study
- 2011
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Ingår i: Ethics and behavior. - : Routledge. - 1050-8422 .- 1532-7019. ; 21:1, s. 49-68
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Tidskriftsartikel (refereegranskat)abstract
- Humanitarian aid professionals frequently encounter situations in which one is conscious of themorally appropriate action but cannot take it because of institutional obstacles. Dilemmas like this are likely to result in a specific kind of stress reaction at the individual level, labeled as moral stress.In our study, 16 individuals working with international humanitarian aid and rescue operations participatedin semistructured interviews, analyzed in accordance with a grounded theory approach. Atheoretical model of ethical decision making from a moral stress perspective was developed. Thepractical implications of the study are discussed.
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| 8. |
- Nilsson, Sofia, et al.
(författare)
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Moralisk stress vid internationella militära insatser : En enkätstudie
- 2011
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- Militär etik innefattar ett dualistiskt dilemma då officerare och soldater förväntas respektera mänsklig värdighet och rättfärdiga dödande på en och samma gång.Syftet med rapporten var att kartlägga förekomsten av moraliska dilemman vid internationella militära insatser, hur de hanteras och hur de påverkar den enskilde individen. Data bearbetades med faktoranalys. Samband mellan dessa faktorer beräknades och jämförelser mellan olika undergrupper av respondenterna utfördes.Sju typer av moraliska dilemman, fyra hanteringsstrategier och tre olika typer av påverkan på individen identifierades. Studiens resultat visar att det finns ett svagt samband mellan typ av moraliskt dilemma och hanteringsstrategi. Likaså finns det bara ett svagt samband mellan hantering av moraliska dilemman och negativ påverkan på individen. Det finns dock ett starkt samband mellan hanteringsstrategin ”Följer egen moral även vid risk att bli bestraffad/avskedad” och positiv påverkan på individen. Resultaten visar också på ett starkt samband mellan moraliska dilemman och negativ påverkan på individen. Undergruppsskillnader har främst identifierats på basis av kön och ålder/grad.Kombinationen av en tidigare intervjustudie och denna enkätstudie har bidragit till framtagandet av ett separat utbildningsmaterial som riktar sig till officerare.
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