The impact of interprofessional perspective-taking on moral distress in the pediatric intensive care unit
| Autor: | Mindy Ju, Katie A Kowalek, Naike Bochatay, Sandrijn M. van Schaik |
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| Rok vydání: | 2021 |
| Předmět: |
Pediatric intensive care unit
ComputingMilieux_THECOMPUTINGPROFESSION 030504 nursing Health professionals education Control (management) food and beverages General Medicine humanities Course of action 03 medical and health sciences 0302 clinical medicine Nursing Perspective-taking Moral distress 030212 general & internal medicine 0305 other medical science Psychology health care economics and organizations |
| Zdroj: | Journal of Interprofessional Care. :1-8 |
| ISSN: | 1469-9567 1356-1820 |
| DOI: | 10.1080/13561820.2021.1892613 |
| Popis: | Moral distress arises when constraints outside of healthcare professionals' control prohibit them from acting according to the ethically sound course of action. It can be triggered by poor communication and different perspectives between professionals. We examined whether and how taking the perspective of the other profession reduces moral distress among pediatric intensive care nurses and physicians. Using elements of a previously published scale, we created a Vignette-based Moral Distress Rating Scale (V-MDRS). Study participants from three sites included 105 nurses and 34 physicians who read a patient vignette with their own profession's perspective, completed the V-MDRS, then received the other profession's perspective and completed the V-MDRS again. We conducted semi-structured interviews with nine nurses and nine physicians who completed the V-MDRS to explore how interprofessional perspective-taking impacts moral distress. Nurses experienced higher baseline moral distress than physicians (mean ± standard deviation 31.1 ± 6.9 vs 26.4 ± 5 |
| Databáze: | OpenAIRE |
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