ABSTRACT Neoliberalism has ushered in a rise in managerialism, technocracy and bureaucratisation in residential child care where economy, efficiency, and effectiveness have been prioritised over the moral imperative to care. One implication has been the commodification of children who are traded in a culture of procurement and commissioning compounded by a climate of austerity, and where moral regulation has been replaced by contractual regulation. The impact of this upon the care that children receive has raised concern. The impact upon frontline carers of intractable moral challenges which this climate presents in their role of caring each day is less well understood. The naming of an experience can provide an important starting place to understanding and challenging it. This article draws upon the phenomenon of ‘moral distress’, which is well documented in the medical field, and considers the transferability of this phenomenon from nursing to residential child care. It proposes that moral distress discourse may provide a language to residential child care workers through which their experience of the betrayal of the moral fabric of their work may be articulated.

中文翻译：

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托儿服务中的道德困境

摘要新自由主义在寄托儿童保育中引入了管理主义，技术官僚主义和官僚主义，在这种情况下，经济，效率和效力已被优先于照料的道德要求。其中的一个含义是，在紧缩的氛围下，在采购和委托文化中交易的儿童被商品化，而道德规范已被合同规范所取代。这对儿童获得照料的影响引起了关注。人们很难理解这种气候对日常护理的影响对一线护理人员的影响。体验的命名可以为理解和挑战体验提供重要的起点。本文借鉴了“道德困扰”现象，在医学领域有充分的​​文献记载，并考虑了这种现象从护理到家庭托儿服务的可转移性。它建议，道德苦恼话语可以为托儿所的工作人员提供一种语言，借以表达他们背叛其工作道德结构的经验。