title: Epistemic Injustice and Nurse Moral Distress: Perspective for Policy Development.
abstract: The focus of this article is epistemic injustice as an underlying explanation for the lack of communication associated with moral distress in frontline nurses who provide end-of-life care. Improvements in interprofessional collaboration and communication in this challenging area of practice are needed, as supported by research on moral distress and related studies. Policy development that addresses interprofessional practice inclusive of all healthcare providers, particularly frontline nurses, in deliberations about end-of-life treatment deliberations and decisions is proposed.
authors.affiliation: Professor, The University of Arizona preed@arizona.edu.
authors.forename: Pamela G
authors.initials: PG
authors.lastname: Reed
authors.affiliation: Clinical Associate Professor, The University of Arizona.
authors.forename: Cindy J
authors.initials: CJ
authors.lastname: Rishel
mesh_terms: D006291:Health Policy; D006801:Humans; D009013:Morale; D009740:Nursing Staff / Q000523:psychology*; D013315:Stress, Psychological; D013727:Terminal Care
keywords: end-of-life; epistemic injustice; frontline nurses; interprofessional communication; moral distress