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Tytuł:
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Moral distress among healthcare professionals working in intensive care units in Spain.
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Autorzy:
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Rodriguez-Ruiz E; Intensive Care Medicine Department, University Clinic Hospital of Santiago de Compostela (CHUS), Galician Public Health System (SERGAS), Santiago de Compostela, Spain; Simulation, Life Support & Intensive Care Research Unit of Santiago de Compostela (SICRUS), Health Research Institute of Santiago de Compostela (IDIS), Santiago de Compostela, Spain; CLINURSID Research Group, University of Santiago de Compostela, Santiago de Compostela, Spain. Electronic address: .
Campelo-Izquierdo M; Division of Nursing, Intensive Care Medicine Department, University Clinic Hospital of Santiago de Compostela (CHUS), Galician Public Health System (SERGAS), Santiago de Compostela, Spain.
Veiras PB; Division of Nursing, Intensive Care Medicine Department, University Clinic Hospital of Santiago de Compostela (CHUS), Galician Public Health System (SERGAS), Santiago de Compostela, Spain.
Rodríguez MM; Division of Nursing, Intensive Care Medicine Department, University Clinic Hospital of Santiago de Compostela (CHUS), Galician Public Health System (SERGAS), Santiago de Compostela, Spain.
Estany-Gestal A; Epidemiology and Clinical Research Unit, Health Research Institute of Santiago (IDIS), Santiago de Compostela, Spain.
Hortas AB; Epidemiology and Clinical Research Unit, Health Research Institute of Santiago (IDIS), Santiago de Compostela, Spain.
Rodríguez-Calvo MS; Institute of Forensic Sciences, University of Santiago de Compostela, Spain.
Rodríguez-Núñez A; Simulation, Life Support & Intensive Care Research Unit of Santiago de Compostela (SICRUS), Health Research Institute of Santiago de Compostela (IDIS), Santiago de Compostela, Spain; CLINURSID Research Group, University of Santiago de Compostela, Santiago de Compostela, Spain; Paediatric Intensive Care Unit, Department of Pediatrics, University Clinic Hospital of Santiago de Compostela (CHUS), Galician Public Health System (SERGAS), Santiago de Compostela, Spain.
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Źródło:
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Medicina intensiva [Med Intensiva (Engl Ed)] 2022 Jul; Vol. 46 (7), pp. 383-391.
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Typ publikacji:
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Journal Article
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Język:
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English
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Imprint Name(s):
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Original Publication: [Barcelona?] : Elsevier España, 2011-
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MeSH Terms:
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Attitude of Health Personnel*
Stress, Psychological*
Cross-Sectional Studies ; Health Personnel ; Humans ; Intensive Care Units ; Morals ; Prospective Studies ; Spain
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Contributed Indexing:
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Keywords: Clima ético; Critical care; Critical care nursing; Cuidados intensivos; Desasosiego moral; Enfermería de cuidados intensivos; Ethical climate; Intensive care units; Moral distress; Unidad de cuidados intensivos
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Entry Date(s):
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Date Created: 20220626 Date Completed: 20220628 Latest Revision: 20220720
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Update Code:
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20240105
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DOI:
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10.1016/j.medine.2021.06.005
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PMID:
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35753710
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Objective: To assess moral distress (MD) among Spanish critical care healthcare professionals (HCPs).
Design: Cross-sectional, prospective study.
Setting: ICUs in Spain.
Participants: HCPs currently working in Spanish ICUs.
Interventions: A 55-item questionnaire was electronically distributed.
Main Variables: The questionnaire included work-related and socio-demographic characteristics, the Spanish version of the Measure of Moral Distress for Health Care Professionals (MMD-HP-SPA), and the Hospital Ethical Climate Survey (HECS).
Results: In total, 1065 intensive care providers completed the questionnaire. Three out of four validity hypotheses were supported. MD was significantly higher for physicians (80, IQR 40-135) than for nurses (61, IQR 35-133, p=0.026). MD was significantly higher for those clinicians considering leaving their position (78, IQR 46-163 vs. 61, IQR 32-117; p<0.001). The MMD-HP-SPA was inversely correlated with the HECS (r=-0.277, p<0.001). An exploratory factor analysis revealed a four-factor structure, evidencing the patient, team, and system levels of MD.
Conclusions: In the study sample, Spanish intensivists report higher MD than nurses. Strategies to improve ICU ethical climate and to correct other related factors in order to mitigate MD at a patient, team, and system level should be implemented. Both groups of HCPs manifest a relevant intention to leave their position due to MD. Further studies are needed to determine the extent to which MD influences their desire to leave the job.
(Copyright © 2022 Elsevier España, S.L.U. and SEMICYUC. All rights reserved.)
