Moral distress and attitudes toward intramural goal-of-care discussions

Nils Bukowski, Mariya Bukowski, Eva Katharina Masel, Maria Kletečka-Pulker, Stefan Dinges, Eva Schaden, Department of Anaesthesia, Intensive Care Medicine, and Pain Medicine, Clinical Division of General Anaesthesia and Intensive Care Medicine, Medical University of Vienna, Ludwig Boltzmann Institute Digital Health and Patient Safety, Department of Medicine I, Division of Palliative Medicine, Medical University of Vienna, Department for Ethics and Law in Medicine, University of Vienna

Nursing Ethics: An International Journal for Health Care Professionals

Published online on July 18, 2026

Abstract

Nursing Ethics, Ahead of Print.
BackgroundAdvance directives (ADs) document the patient’s preferences regarding future medical care and are used to ensure goal-concordant care and patient autonomy when the patient becomes incapacitated. In a clinical setting, goals of care (GOC) ...