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Moral Distress in Physicians Practicing in Hospitals Affiliated to Medical Sciences Universities

BACKGROUND: Researchers have regarded moral distress as a major concern in the health care system. Symptoms associated with moral distress may manifest as frustration, dissatisfaction, and anxiety and may lead to burnout, job leaving, and finally, failure to provide safe and competent care to patien...

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Autores principales: Abbasi, Mahmoud, Nejadsarvari, Nasrin, Kiani, Mehrzad, Borhani, Fariba, Bazmi, Shabnam, Nazari Tavaokkoli, Saeid, Rasouli, Hamidreza
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Kowsar 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4270679/
https://www.ncbi.nlm.nih.gov/pubmed/25558387
http://dx.doi.org/10.5812/ircmj.18797
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author Abbasi, Mahmoud
Nejadsarvari, Nasrin
Kiani, Mehrzad
Borhani, Fariba
Bazmi, Shabnam
Nazari Tavaokkoli, Saeid
Rasouli, Hamidreza
author_facet Abbasi, Mahmoud
Nejadsarvari, Nasrin
Kiani, Mehrzad
Borhani, Fariba
Bazmi, Shabnam
Nazari Tavaokkoli, Saeid
Rasouli, Hamidreza
author_sort Abbasi, Mahmoud
collection PubMed
description BACKGROUND: Researchers have regarded moral distress as a major concern in the health care system. Symptoms associated with moral distress may manifest as frustration, dissatisfaction, and anxiety and may lead to burnout, job leaving, and finally, failure to provide safe and competent care to patients. Proper management of this phenomenon can be fulfilled through study of its causes at different levels of health services and taking necessary measures to solve them. OBJECTIVES: This study aimed to determine the status of moral distress in physicians practicing in hospitals affiliated to Medical Sciences Universities in Tehran. MATERIALS AND METHODS: This cross-sectional study was carried out using the Standard Hamric Scale to collect data after modification and evaluation of its reliability and validity. A total of 399 physicians responded to the scale. Data analysis was performed using descriptive and correlation statistics with respect to the variables. RESULTS: Results showed that the frequency of moral distress of physicians was 1.24 ± 0.63 and the intensity of moral distress and composite score of moral distress were 2.14 ± 0.80 and 2.94 ± 2.38, respectively. A significant negative correlation existed between age and frequency and composite score (r = -0.15, P < 0.01 and r = -0.16, P < 0.01, respectively) as well as years of experience and composite score (r = -0.11, P = 0.04). Moral distress composite score in adults specialists was higher than pediatricians (P = 0.002), but lower in physicians participated in medical ethics training courses compared to those not participated. CONCLUSIONS: Physicians may encounter moral distress during their practice; therefore, the common causes of distress should be identified in order to prevent its occurrence.
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spelling pubmed-42706792015-01-02 Moral Distress in Physicians Practicing in Hospitals Affiliated to Medical Sciences Universities Abbasi, Mahmoud Nejadsarvari, Nasrin Kiani, Mehrzad Borhani, Fariba Bazmi, Shabnam Nazari Tavaokkoli, Saeid Rasouli, Hamidreza Iran Red Crescent Med J Research Article BACKGROUND: Researchers have regarded moral distress as a major concern in the health care system. Symptoms associated with moral distress may manifest as frustration, dissatisfaction, and anxiety and may lead to burnout, job leaving, and finally, failure to provide safe and competent care to patients. Proper management of this phenomenon can be fulfilled through study of its causes at different levels of health services and taking necessary measures to solve them. OBJECTIVES: This study aimed to determine the status of moral distress in physicians practicing in hospitals affiliated to Medical Sciences Universities in Tehran. MATERIALS AND METHODS: This cross-sectional study was carried out using the Standard Hamric Scale to collect data after modification and evaluation of its reliability and validity. A total of 399 physicians responded to the scale. Data analysis was performed using descriptive and correlation statistics with respect to the variables. RESULTS: Results showed that the frequency of moral distress of physicians was 1.24 ± 0.63 and the intensity of moral distress and composite score of moral distress were 2.14 ± 0.80 and 2.94 ± 2.38, respectively. A significant negative correlation existed between age and frequency and composite score (r = -0.15, P < 0.01 and r = -0.16, P < 0.01, respectively) as well as years of experience and composite score (r = -0.11, P = 0.04). Moral distress composite score in adults specialists was higher than pediatricians (P = 0.002), but lower in physicians participated in medical ethics training courses compared to those not participated. CONCLUSIONS: Physicians may encounter moral distress during their practice; therefore, the common causes of distress should be identified in order to prevent its occurrence. Kowsar 2014-10-05 /pmc/articles/PMC4270679/ /pubmed/25558387 http://dx.doi.org/10.5812/ircmj.18797 Text en Copyright © 2014, Iranian Red Crescent Medical Journal; Published by Kowsar. http://creativecommons.org/licenses/by-nc/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
spellingShingle Research Article
Abbasi, Mahmoud
Nejadsarvari, Nasrin
Kiani, Mehrzad
Borhani, Fariba
Bazmi, Shabnam
Nazari Tavaokkoli, Saeid
Rasouli, Hamidreza
Moral Distress in Physicians Practicing in Hospitals Affiliated to Medical Sciences Universities
title Moral Distress in Physicians Practicing in Hospitals Affiliated to Medical Sciences Universities
title_full Moral Distress in Physicians Practicing in Hospitals Affiliated to Medical Sciences Universities
title_fullStr Moral Distress in Physicians Practicing in Hospitals Affiliated to Medical Sciences Universities
title_full_unstemmed Moral Distress in Physicians Practicing in Hospitals Affiliated to Medical Sciences Universities
title_short Moral Distress in Physicians Practicing in Hospitals Affiliated to Medical Sciences Universities
title_sort moral distress in physicians practicing in hospitals affiliated to medical sciences universities
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4270679/
https://www.ncbi.nlm.nih.gov/pubmed/25558387
http://dx.doi.org/10.5812/ircmj.18797
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