Natalie J Henrich1, Peter M Dodek2, Lynn Alden3, Sean P Keenan4, Steven Reynolds4, Patricia Rodney5. 1. Center for Health Evaluation and Outcome Sciences, St Paul's Hospital, Vancouver, BC, Canada. 2. Center for Health Evaluation and Outcome Sciences, St Paul's Hospital, Vancouver, BC, Canada; Division of Critical Care Medicine, University of British Columbia, Vancouver, BC, Canada. Electronic address: peter.dodek@ubc.ca. 3. Department of Psychology, University of British Columbia, Vancouver, BC, Canada. 4. Division of Critical Care Medicine, University of British Columbia, Vancouver, BC, Canada. 5. School of Nursing, University of British Columbia, Vancouver, BC, Canada.
Abstract
PURPOSE: The purpose of the study is to examine the causes of moral distress in diverse members of the intensive care unit (ICU) team in both community and tertiary ICUs. MATERIALS AND METHODS: We used focus groups and coding of transcripts into themes and subthemes in 2 tertiary care ICUs and 1 community ICU. RESULTS: Based on input from 19 staff nurses (3 focus groups), 4 clinical nurse leaders (1 focus group), 13 physicians (3 focus groups), and 20 other health professionals (3 focus groups), the most commonly reported causes of moral distress were concerns about the care provided by other health care workers, the amount of care provided (especially too much care at end of life), poor communication, inconsistent care plans, and issues around end of life decision making. CONCLUSIONS: Causes of moral distress vary among ICU professional groups, but all are amenable to improvement.
PURPOSE: The purpose of the study is to examine the causes of moral distress in diverse members of the intensive care unit (ICU) team in both community and tertiary ICUs. MATERIALS AND METHODS: We used focus groups and coding of transcripts into themes and subthemes in 2 tertiary care ICUs and 1 community ICU. RESULTS: Based on input from 19 staff nurses (3 focus groups), 4 clinical nurse leaders (1 focus group), 13 physicians (3 focus groups), and 20 other health professionals (3 focus groups), the most commonly reported causes of moral distress were concerns about the care provided by other health care workers, the amount of care provided (especially too much care at end of life), poor communication, inconsistent care plans, and issues around end of life decision making. CONCLUSIONS: Causes of moral distress vary among ICU professional groups, but all are amenable to improvement.
Authors: Rui Song Ryan Ong; Ruth Si Man Wong; Ryan Choon Hoe Chee; Chrystie Wan Ning Quek; Neha Burla; Caitlin Yuen Ling Loh; Yu An Wong; Amanda Kay-Lyn Chok; Andrea York Tiang Teo; Aiswarya Panda; Sarah Wye Kit Chan; Grace Shen Shen; Ning Teoh; Annelissa Mien Chew Chin; Lalit Kumar Radha Krishna Journal: BMC Med Educ Date: 2022-06-17 Impact factor: 3.263
Authors: Amber S Spijkers; Aranka Akkermans; Ellen M A Smets; Marcus J Schultz; Thomas G V Cherpanath; Job B M van Woensel; Marc van Heerde; Anton H van Kaam; Moniek van de Loo; Dick L Willems; Mirjam A de Vos Journal: Intensive Care Med Date: 2022-06-30 Impact factor: 41.787
Authors: Jennifer Hancock; Tobias Witter; Scott Comber; Patricia Daley; Kim Thompson; Stewart Candow; Gisele Follett; Walter Somers; Corry Collins; Janet White; Olga Kits Journal: Can J Anaesth Date: 2020-08-26 Impact factor: 6.713