Suffering is an unavoidable reality in health care. Not only are patients and families suffering but also the clinicians who care for them. Commonly the suffering experienced by clinicians is moral in nature, in part a reflection of the increasing complexity of health care, their roles within it, and the expanding range of available interventions. Moral suffering is the anguish that occurs when the burdens of treatment appear to outweigh the benefits; scarce human and material resources must be allocated; informed consent is incomplete or inadequate; or there are disagreements about goals of treatment among patients, families or clinicians. Each is a source of moral adversity that challenges clinicians' integrity: the inner harmony that arises when their essential values and commitments are aligned with their choices and actions. If moral suffering is unrelieved it can lead to disengagement, burnout, and undermine the quality of clinical care. The most studied response to moral adversity is moral distress. The sources and sequelae of moral distress, one type of moral suffering, have been documented among clinicians across specialties. It is vital to shift the focus to solutions and to expanded individual and system strategies that mitigate the detrimental effects of moral suffering. Moral resilience, the capacity of an individual to restore or sustain integrity in response to moral adversity, offers a path forward. It encompasses capacities aimed at developing self-regulation and self-awareness, buoyancy, moral efficacy, self-stewardship and ultimately personal and relational integrity. Clinicians and healthcare organizations must work together to transform moral suffering by cultivating the individual capacities for moral resilience and designing a new architecture to support ethical practice. Used worldwide for scalable and sustainable change, the Conscious Full Spectrum approach, offers a method to solve problems to support integrity, shift patterns that undermine moral resilience and ethical practice, and source the inner potential of clinicians and leaders to produce meaningful and sustainable results that benefit all.

Power: Police Officer Wellness, Ethics, and Resilience collectively presents the numerous psychic wounds experienced by peace officers in the line of duty, including compassion fatigue, moral injury, PTSD, operational stress injury, organizational and operational stress, and loss. Authors describe the negative repercussions of these psychic wounds in law enforcement decision-making, job performance, job satisfaction, and families. The book encompasses evidence-based strategies to assist law enforcement agencies in developing policy programs to promote wellness for their personnel. The evidence-based techniques presented allow officers to get a more tangible and better understanding of the techniques so that they apply those techniques when on and off-duty. With forewords authored by Dr. John Violanti (Distinguished Police Research Professor) and Dr. Tracie Keesee, Vice President of the Center of Policing Equity, this book is an excellent resource for police professionals, police wellness coordinators, early career researchers, mental health professionals who provide services to law enforcement officers and their families, and graduate students in psychology, forensic psychology, and criminal justice. - Platinum Award Winner 2019, Homeland Security Awards - American Security Today - Provides reader with evidence-based strategies to promote officer wellness - Covers compassion fatigue, moral injury, PTSD, operational stress, and more - Written by established scholars and professionals from a law enforcement context

Resilience is one of the hottest terms in the modern humanities, social sciences and beyond. The reason for this is the current situation at various levels, from ecological, health, economical to political, which requires the formation of resilience from individuals, communities, countries, institutions and humanity as a whole. The term resilience refers to a new realistic paradigm in tackling the challenges required by the modern world, in which changes are happening faster and faster and are becoming less transparent and predictable. Therefore, the paradigm of stability and protection against disturbances is no longer realistic and has been replaced by the paradigm of resilience. People, natural and social systems can no longer be protected from ruptures, but must become as resilient as possible. This, in turn, raises a number of issues involving ethical questions and challenges for religions. This book addresses these issues in a holistic and interdisciplinary way that fits the multifaceted nature of resilience.

In Resilience: The Science of Adaptation to Climate Change leading experts analyze and question ongoing adaptation interventions. Contributions span different disciplinary perspectives, from law to engineering, and cover different regions from Africa to the Pacific. Chapters assess the need for adaptation, highlighting climate change impacts such as sea level rise, increases in temperature, changing hydrological variability, and threats to food security. The book then discusses the state of global legislation and means of tracking progress. It reviews ways to build resilience in a range of contexts— from the Arctic, to small island states, to urban areas, across food and energy systems. Critical tools for adaptation planning are highlighted - from social capital and ethics, to decision support systems, to innovative finance and risk transfer mechanisms. Controversies related to geoengineering and migration are also discussed. This book is an indispensable resource for scientists, practitioners, and policy makers working in climate change adaptation, sustainable development, ecosystem management, and urban planning. - Provides a summary of tools and methods used in adaptation including recent innovations - Includes chapters from a diverse range of authors from academic institutions, humanitarian organizations, and the United Nations - Evaluates adaptation options, highlighting gaps in knowledge where further research or new tools are needed

“Deftly shows how a seemingly frivolous film genre can guide us in shaping tomorrow’s world.” —Seth Shostak, senior astronomer, SETI Institute Artificial intelligence, gene manipulation, cloning, and interplanetary travel are all ideas that seemed like fairy tales but a few years ago. And now their possibilities are very much here. But are we ready to handle these advances? This book, by a physicist and expert on responsible technology development, reveals how science fiction movies can help us think about and prepare for the social consequences of technologies we don’t yet have, but that are coming faster than we imagine. Films from the Future looks at twelve movies that take us on a journey through the worlds of biological and genetic manipulation, human enhancement, cyber technologies, and nanotechnology. Readers will gain a broader understanding of the complex relationship between science and society. The movies mix old and new, and the familiar and unfamiliar, to provide a unique, entertaining, and ultimately transformative take on the power of emerging technologies, and the responsibilities they come with.

"Suffering is an unavoidable reality in health care. Not only are patients and families suffering but also the clinicians who care for them. Commonly the suffering experienced by clinicians is moral in nature, reflecting the increasing complexity of health care, their roles within it, and the expanding range of available interventions. Moral suffering is the anguish experienced in response to various forms of moral adversity including moral harms, wrongs or failures, or unrelieved moral stress. Confronting moral adversity challenges clinicians' integrity: the inner harmony that arises when their essential values and commitments are aligned with their choices and actions. The most studied response to moral adversity is moral distress. The sources and sequelae of moral distress, one type of moral suffering, have been documented among clinicians across specialties. Recent interest has expanded to include a more corrosive form of moral suffering, moral injury. Moral resilience, the capacity to restore or sustain integrity in response to moral adversity, offers a path designing individual and system solutions to address moral suffering. It encompasses capacities aimed at developing self- regulation and self-awareness, buoyancy, moral efficacy, self-stewardship and ultimately personal and relational integrity. Moral resilience has been shown to be a protective resource that reduces the detrimental impact of moral suffering. Clinicians and healthcare organizations must work together to transform moral suffering by cultivating the individual capacities for moral resilience and designing a new architecture to support ethical practice. Used worldwide for scalable and sustainable change, the Conscious Full Spectrum Response, offers a method to solve problems to support integrity, shift patterns that undermine moral resilience and ethical practice, and source the inner potential of clinicians and leaders to produce meaningful and sustainable results that benefit all"--