{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T15:25:19Z","timestamp":1787153119347,"version":"build-2736575974"},"reference-count":6,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T00:00:00Z","timestamp":1784505600000},"content-version":"vor","delay-in-days":19,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Hastings Center Report"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    <jats:italic>This commentary responds to Jennifer Blumenthal\u2010Barby and colleagues\u2019 article, \u201cCan I Get a Witness? The Ethical Dimensions of Family Presence in Patient Suffering.\u201d The authors examine clinicians\u2019 moral distress when family members are absent from the bedside of dying patients and assess moral arguments for requiring family presence. We concur with their skepticism toward any strong obligation for family members to be physically present when continued treatment is considered burdensome or futile. We extend the authors\u2019 analysis by arguing that institutional culture shapes expectations of the \u201cgood patient,\u201d the \u201cgood family,\u201d and the \u201cgood death.\u201d Drawing on sociology, anthropology, and philosophy, we suggest that clinicians\u2019 distress may arise not only from family absence but also from tensions between institutional norms and the moral worlds families inhabit. We conclude by calling for epistemic humility and greater critical reflection on the impact of institutional norms on moral judgments<\/jats:italic>\n                    .\n                  <\/jats:p>","DOI":"10.1002\/hast.70074","type":"journal-article","created":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T15:41:31Z","timestamp":1784562091000},"page":"25-26","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Moral Worlds and Institutional Scripts at the End of Life"],"prefix":"10.1002","volume":"56","author":[{"given":"Patrick","family":"McCruden","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachelle","family":"Barina","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,20]]},"reference":[{"key":"e_1_2_4_1_1","first-page":"158","volume-title":"Being Mortal: Medicine and What Matters in the End","author":"Gawande A.","year":"2014"},{"key":"e_1_2_4_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/hast.70037"},{"key":"e_1_2_4_3_1","doi-asserted-by":"publisher","DOI":"10.7551\/mitpress\/12368.001.0001"},{"key":"e_1_2_4_4_1","unstructured":"Lofland The Craft of Dying 86."},{"key":"e_1_2_4_5_1","volume-title":"And a Time to Die: How American Hospitals Shape the End of Life","author":"Kaufman S.","year":"2006"},{"key":"e_1_2_4_6_1","first-page":"387","volume-title":"A Secular Age","author":"Taylor C.","year":"2007"}],"container-title":["Hastings Center Report"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hast.70074","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/hast.70074","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hast.70074","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T14:37:23Z","timestamp":1787150243000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/hast.70074"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":6,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1002\/hast.70074"],"URL":"https:\/\/doi.org\/10.1002\/hast.70074","archive":["Portico"],"relation":{},"ISSN":["0093-0334","1552-146X"],"issn-type":[{"value":"0093-0334","type":"print"},{"value":"1552-146X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"2026-07-20","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}