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Culture and Moral Distress: What’s the Connection and Why Does It Matter?

Overview of attention for article published in The AMA Journal of Ethic, June 2017
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About this Attention Score

  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (89th percentile)

Mentioned by

1 blog
25 X users
1 Facebook page


18 Dimensions

Readers on

59 Mendeley
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Culture and Moral Distress: What’s the Connection and Why Does It Matter?
Published in
The AMA Journal of Ethic, June 2017
DOI 10.1001/journalofethics.2017.19.6.msoc1-1706
Pubmed ID

Nancy Berlinger, Annalise Berlinger


Culture is learned behavior shared among members of a group and from generation to generation within that group. In health care work, references to "culture" may also function as code for ethical uncertainty or moral distress concerning patients, families, or populations. This paper analyzes how culture can be a factor in patient-care situations that produce moral distress. It discusses three common, problematic situations in which assumptions about culture may mask more complex problems concerning family dynamics, structural barriers to health care access, or implicit bias. We offer sets of practical recommendations to encourage learning, critical thinking, and professional reflection among students, clinicians, and clinical educators.

X Demographics

X Demographics

The data shown below were collected from the profiles of 25 X users who shared this research output. Click here to find out more about how the information was compiled.
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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 59 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 59 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 11 19%
Student > Bachelor 7 12%
Professor > Associate Professor 4 7%
Lecturer 3 5%
Researcher 3 5%
Other 12 20%
Unknown 19 32%
Readers by discipline Count As %
Nursing and Health Professions 20 34%
Medicine and Dentistry 6 10%
Biochemistry, Genetics and Molecular Biology 2 3%
Engineering 2 3%
Social Sciences 2 3%
Other 5 8%
Unknown 22 37%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 20. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 25 August 2017.
All research outputs
of 25,992,468 outputs
Outputs from The AMA Journal of Ethic
of 1 outputs
Outputs of similar age
of 334,733 outputs
Outputs of similar age from The AMA Journal of Ethic
of 2 outputs
Altmetric has tracked 25,992,468 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 92nd percentile: it's in the top 10% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 1 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 20.0. This one scored the same or higher as 0 of them.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 334,733 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 89% of its contemporaries.
We're also able to compare this research output to 2 others from the same source and published within six weeks on either side of this one. This one has scored higher than all of them