PMID- 28668926
OWN - NLM
STAT- MEDLINE
DCOM- 20180419
LR  - 20180419
IS  - 1937-710X (Electronic)
IS  - 1062-3264 (Linking)
VI  - 26
IP  - 4
DP  - 2017 Jul
TI  - Consequences of Moral Distress in the Intensive Care Unit: A Qualitative Study.
PG  - e48-e57
LID - 10.4037/ajcc2017786 [doi]
AB  - BACKGROUND: Moral distress is common among personnel in the intensive care unit, 
      but the consequences of this distress are not well characterized. OBJECTIVE: To
      examine the consequences of moral distress in personnel in community and tertiary
      intensive care units in Vancouver, Canada. METHODS: Data for this study were
      obtained from focus groups and analysis of transcripts by themes and sub-themes
      in 2 tertiary care intensive care units and 1 community intensive care unit.
      RESULTS: According to 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 emotion
      associated with moral distress was frustration. Negative impact on patient care
      due to moral distress was reported 26 times, whereas positive impact on patient
      care was reported 11 times and no impact on patient care was reported 10 times.
      Having thoughts about quitting working in the ICU was reported 16 times, and
      having no thoughts about quitting was reported 14 times. CONCLUSION: In response 
      to moral distress, health care providers experience negative emotional
      consequences, patient care is perceived to be negatively affected, and nurses and
      other health care professionals are prone to consider quitting working in the
      intensive care unit.
CI  - (c)2017 American Association of Critical-Care Nurses.
FAU - Henrich, Natalie J
AU  - Henrich NJ
AD  - Natalie J. Henrich was a qualitative researcher at the Center for Health
      Evaluation and Outcome Sciences, St Paul's Hospital, Vancouver, British Columbia,
      Canada. Peter M. Dodek is a professor, Center for Health Evaluation and Outcome
      Sciences, St Paul's Hospital, and Division of Critical Care Medicine, University 
      of British Columbia, Vancouver. Emilie Gladstone was a graduate student, Mailman 
      School of Public Health, Department of Sociomedical Sciences, Columbia
      University, New York, New York. Lynn Alden is a professor, Department of
      Psychology, University of British Columbia. Sean P. Keenan is a clinical
      associate professor, Division of Critical Care Medicine, University of British
      Columbia. Steven Reynolds is a clinical associate professor, Division of Critical
      Care Medicine, University of British Columbia. Patricia Rodney is an associate
      professor, School of Nursing, University of British Columbia.
FAU - Dodek, Peter M
AU  - Dodek PM
AD  - Natalie J. Henrich was a qualitative researcher at the Center for Health
      Evaluation and Outcome Sciences, St Paul's Hospital, Vancouver, British Columbia,
      Canada. Peter M. Dodek is a professor, Center for Health Evaluation and Outcome
      Sciences, St Paul's Hospital, and Division of Critical Care Medicine, University 
      of British Columbia, Vancouver. Emilie Gladstone was a graduate student, Mailman 
      School of Public Health, Department of Sociomedical Sciences, Columbia
      University, New York, New York. Lynn Alden is a professor, Department of
      Psychology, University of British Columbia. Sean P. Keenan is a clinical
      associate professor, Division of Critical Care Medicine, University of British
      Columbia. Steven Reynolds is a clinical associate professor, Division of Critical
      Care Medicine, University of British Columbia. Patricia Rodney is an associate
      professor, School of Nursing, University of British Columbia. peter.dodek@ubc.ca.
FAU - Gladstone, Emilie
AU  - Gladstone E
AD  - Natalie J. Henrich was a qualitative researcher at the Center for Health
      Evaluation and Outcome Sciences, St Paul's Hospital, Vancouver, British Columbia,
      Canada. Peter M. Dodek is a professor, Center for Health Evaluation and Outcome
      Sciences, St Paul's Hospital, and Division of Critical Care Medicine, University 
      of British Columbia, Vancouver. Emilie Gladstone was a graduate student, Mailman 
      School of Public Health, Department of Sociomedical Sciences, Columbia
      University, New York, New York. Lynn Alden is a professor, Department of
      Psychology, University of British Columbia. Sean P. Keenan is a clinical
      associate professor, Division of Critical Care Medicine, University of British
      Columbia. Steven Reynolds is a clinical associate professor, Division of Critical
      Care Medicine, University of British Columbia. Patricia Rodney is an associate
      professor, School of Nursing, University of British Columbia.
FAU - Alden, Lynn
AU  - Alden L
AD  - Natalie J. Henrich was a qualitative researcher at the Center for Health
      Evaluation and Outcome Sciences, St Paul's Hospital, Vancouver, British Columbia,
      Canada. Peter M. Dodek is a professor, Center for Health Evaluation and Outcome
      Sciences, St Paul's Hospital, and Division of Critical Care Medicine, University 
      of British Columbia, Vancouver. Emilie Gladstone was a graduate student, Mailman 
      School of Public Health, Department of Sociomedical Sciences, Columbia
      University, New York, New York. Lynn Alden is a professor, Department of
      Psychology, University of British Columbia. Sean P. Keenan is a clinical
      associate professor, Division of Critical Care Medicine, University of British
      Columbia. Steven Reynolds is a clinical associate professor, Division of Critical
      Care Medicine, University of British Columbia. Patricia Rodney is an associate
      professor, School of Nursing, University of British Columbia.
FAU - Keenan, Sean P
AU  - Keenan SP
AD  - Natalie J. Henrich was a qualitative researcher at the Center for Health
      Evaluation and Outcome Sciences, St Paul's Hospital, Vancouver, British Columbia,
      Canada. Peter M. Dodek is a professor, Center for Health Evaluation and Outcome
      Sciences, St Paul's Hospital, and Division of Critical Care Medicine, University 
      of British Columbia, Vancouver. Emilie Gladstone was a graduate student, Mailman 
      School of Public Health, Department of Sociomedical Sciences, Columbia
      University, New York, New York. Lynn Alden is a professor, Department of
      Psychology, University of British Columbia. Sean P. Keenan is a clinical
      associate professor, Division of Critical Care Medicine, University of British
      Columbia. Steven Reynolds is a clinical associate professor, Division of Critical
      Care Medicine, University of British Columbia. Patricia Rodney is an associate
      professor, School of Nursing, University of British Columbia.
FAU - Reynolds, Steven
AU  - Reynolds S
AD  - Natalie J. Henrich was a qualitative researcher at the Center for Health
      Evaluation and Outcome Sciences, St Paul's Hospital, Vancouver, British Columbia,
      Canada. Peter M. Dodek is a professor, Center for Health Evaluation and Outcome
      Sciences, St Paul's Hospital, and Division of Critical Care Medicine, University 
      of British Columbia, Vancouver. Emilie Gladstone was a graduate student, Mailman 
      School of Public Health, Department of Sociomedical Sciences, Columbia
      University, New York, New York. Lynn Alden is a professor, Department of
      Psychology, University of British Columbia. Sean P. Keenan is a clinical
      associate professor, Division of Critical Care Medicine, University of British
      Columbia. Steven Reynolds is a clinical associate professor, Division of Critical
      Care Medicine, University of British Columbia. Patricia Rodney is an associate
      professor, School of Nursing, University of British Columbia.
FAU - Rodney, Patricia
AU  - Rodney P
AD  - Natalie J. Henrich was a qualitative researcher at the Center for Health
      Evaluation and Outcome Sciences, St Paul's Hospital, Vancouver, British Columbia,
      Canada. Peter M. Dodek is a professor, Center for Health Evaluation and Outcome
      Sciences, St Paul's Hospital, and Division of Critical Care Medicine, University 
      of British Columbia, Vancouver. Emilie Gladstone was a graduate student, Mailman 
      School of Public Health, Department of Sociomedical Sciences, Columbia
      University, New York, New York. Lynn Alden is a professor, Department of
      Psychology, University of British Columbia. Sean P. Keenan is a clinical
      associate professor, Division of Critical Care Medicine, University of British
      Columbia. Steven Reynolds is a clinical associate professor, Division of Critical
      Care Medicine, University of British Columbia. Patricia Rodney is an associate
      professor, School of Nursing, University of British Columbia.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Am J Crit Care
JT  - American journal of critical care : an official publication, American Association
      of Critical-Care Nurses
JID - 9211547
SB  - IM
SB  - N
MH  - Adaptation, Psychological
MH  - Anger
MH  - Conflict (Psychology)
MH  - *Emotions
MH  - Focus Groups
MH  - Frustration
MH  - Guilt
MH  - Humans
MH  - *Intensive Care Units/standards
MH  - Interviews as Topic
MH  - Job Satisfaction
MH  - *Moral Obligations
MH  - Nursing Staff/ethics/*psychology
MH  - Physicians/ethics/*psychology
MH  - Qualitative Research
MH  - *Quality of Health Care
MH  - Stress, Psychological/psychology
EDAT- 2017/07/03 06:00
MHDA- 2018/04/20 06:00
CRDT- 2017/07/03 06:00
PHST- 2017/07/03 06:00 [entrez]
PHST- 2017/07/03 06:00 [pubmed]
PHST- 2018/04/20 06:00 [medline]
AID - 26/4/e48 [pii]
AID - 10.4037/ajcc2017786 [doi]
PST - ppublish
SO  - Am J Crit Care. 2017 Jul;26(4):e48-e57. doi: 10.4037/ajcc2017786.