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Levels of Moral Distress among Health Care Professionals Working in Hospital and Community Settings: A Cross Sectional Study

Moral distress is a concern for all healthcare professionals working in all care settings. Based on our knowledge, no studies explore the differences in levels of moral distress in hospital and community settings. This study aims to examine the level of moral distress among healthcare professional w...

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Autores principales: Giannetta, Noemi, Sergi, Rebecca, Villa, Giulia, Pennestrì, Federico, Sala, Roberta, Mordacci, Roberto, Manara, Duilio Fiorenzo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8701919/
https://www.ncbi.nlm.nih.gov/pubmed/34946401
http://dx.doi.org/10.3390/healthcare9121673
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author Giannetta, Noemi
Sergi, Rebecca
Villa, Giulia
Pennestrì, Federico
Sala, Roberta
Mordacci, Roberto
Manara, Duilio Fiorenzo
author_facet Giannetta, Noemi
Sergi, Rebecca
Villa, Giulia
Pennestrì, Federico
Sala, Roberta
Mordacci, Roberto
Manara, Duilio Fiorenzo
author_sort Giannetta, Noemi
collection PubMed
description Moral distress is a concern for all healthcare professionals working in all care settings. Based on our knowledge, no studies explore the differences in levels of moral distress in hospital and community settings. This study aims to examine the level of moral distress among healthcare professional working in community or hospital settings and compare it by demographic and workplace characteristics. This is a cross-sectional study. All the professionals working in the hospitals or community settings involved received personal e-mail invitations to participate in the study. The Moral Distress Thermometer was used to measure moral distress among healthcare professionals. Before data collection, ethical approval was obtained from each setting where the participants were enrolled. The sample of this study is made up of 397 healthcare professionals: 53.65% of the sample works in hospital setting while 46.35% of the sample works in community setting. Moral distress was present in all professional groups. Findings have shown that nurses experienced level of moral distress higher than other healthcare professionals (mean: 4.91). There was a significant differences between moral distress among different professional categories (H(6) = 14.407; p < 0.05). The ETA Coefficient test showed significant variation between healthcare professionals working in community and in hospital settings. Specifically, healthcare professionals who work in hospital experienced a higher level of moral distress than those who work in community settings (means 4.92 vs. means 3.80). The results of this study confirm that it is imperative to develop educational programs to reduce moral distress even in those settings where the level perceived is low, in order to mitigate the moral residue and the crescendo effect.
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spelling pubmed-87019192021-12-24 Levels of Moral Distress among Health Care Professionals Working in Hospital and Community Settings: A Cross Sectional Study Giannetta, Noemi Sergi, Rebecca Villa, Giulia Pennestrì, Federico Sala, Roberta Mordacci, Roberto Manara, Duilio Fiorenzo Healthcare (Basel) Article Moral distress is a concern for all healthcare professionals working in all care settings. Based on our knowledge, no studies explore the differences in levels of moral distress in hospital and community settings. This study aims to examine the level of moral distress among healthcare professional working in community or hospital settings and compare it by demographic and workplace characteristics. This is a cross-sectional study. All the professionals working in the hospitals or community settings involved received personal e-mail invitations to participate in the study. The Moral Distress Thermometer was used to measure moral distress among healthcare professionals. Before data collection, ethical approval was obtained from each setting where the participants were enrolled. The sample of this study is made up of 397 healthcare professionals: 53.65% of the sample works in hospital setting while 46.35% of the sample works in community setting. Moral distress was present in all professional groups. Findings have shown that nurses experienced level of moral distress higher than other healthcare professionals (mean: 4.91). There was a significant differences between moral distress among different professional categories (H(6) = 14.407; p < 0.05). The ETA Coefficient test showed significant variation between healthcare professionals working in community and in hospital settings. Specifically, healthcare professionals who work in hospital experienced a higher level of moral distress than those who work in community settings (means 4.92 vs. means 3.80). The results of this study confirm that it is imperative to develop educational programs to reduce moral distress even in those settings where the level perceived is low, in order to mitigate the moral residue and the crescendo effect. MDPI 2021-12-03 /pmc/articles/PMC8701919/ /pubmed/34946401 http://dx.doi.org/10.3390/healthcare9121673 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Giannetta, Noemi
Sergi, Rebecca
Villa, Giulia
Pennestrì, Federico
Sala, Roberta
Mordacci, Roberto
Manara, Duilio Fiorenzo
Levels of Moral Distress among Health Care Professionals Working in Hospital and Community Settings: A Cross Sectional Study
title Levels of Moral Distress among Health Care Professionals Working in Hospital and Community Settings: A Cross Sectional Study
title_full Levels of Moral Distress among Health Care Professionals Working in Hospital and Community Settings: A Cross Sectional Study
title_fullStr Levels of Moral Distress among Health Care Professionals Working in Hospital and Community Settings: A Cross Sectional Study
title_full_unstemmed Levels of Moral Distress among Health Care Professionals Working in Hospital and Community Settings: A Cross Sectional Study
title_short Levels of Moral Distress among Health Care Professionals Working in Hospital and Community Settings: A Cross Sectional Study
title_sort levels of moral distress among health care professionals working in hospital and community settings: a cross sectional study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8701919/
https://www.ncbi.nlm.nih.gov/pubmed/34946401
http://dx.doi.org/10.3390/healthcare9121673
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