2022
DOI: 10.1186/s12909-022-03515-3
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A systematic scoping review moral distress amongst medical students

Abstract: Background Characterised by feelings of helplessness in the face of clinical, organization and societal demands, medical students are especially prone to moral distress (MD). Despite risks of disillusionment and burnout, efforts to support them have been limited by a dearth of data and understanding of MD in medical students. Yet, new data on how healthcare professionals confront difficult care situations suggest that MD could be better understood through the lens of the Ring Theory of Personho… Show more

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Cited by 17 publications
(18 citation statements)
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“…The innermost ring or the microenvironment is influenced and influences the two outer rings. The microenvironment considers the physician’s narratives including their previous experiences,37 demographics, training, skills, personality, attitudes, resilience, current coping, and the values, beliefs,39 and principles10 62 within each of the 4 rings of the RToP 38. This ring also considers conflicts between and within the rings of the physician’s RToP.…”
Section: Discussionmentioning
confidence: 99%
See 2 more Smart Citations
“…The innermost ring or the microenvironment is influenced and influences the two outer rings. The microenvironment considers the physician’s narratives including their previous experiences,37 demographics, training, skills, personality, attitudes, resilience, current coping, and the values, beliefs,39 and principles10 62 within each of the 4 rings of the RToP 38. This ring also considers conflicts between and within the rings of the physician’s RToP.…”
Section: Discussionmentioning
confidence: 99%
“…In addition, recognising MD's complex sociocultural nature underscores the importance of appreciating the physician's narratives, competencies, experiences, reflections, abilities and available coping and support mechanisms that provide MD with its personalised and evolving nature. Two, with a physician's personal, moral, ethical and professional beliefs, values, and principles informed by their self-concepts of identity and personhood or 'what makes you, you', 36 the link between personalised concepts [37][38][39] of MD and self-concepts of personhood become clearer. Ho et al 38 Kuek et al 3 Chan and Chia 40 and Huang et al 41 provide clinical evidence of these ties between self-concepts of personhood and identity using the ring theory of personhood (RToP) to study the experiences of physicians, nurses and medical students caring for terminally ill patients and confronting the death of their patients.…”
Section: Theoretical Lensmentioning
confidence: 99%
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“…The Krishna Model of RW posits that the RToP is able to encapsulate various aspects of the physician’s belief system. The Innate Ring which represents the innermost ring of the four concentric rings depicting the RToP is derived from currently held spiritual, religious, theist, moral and ethical values, beliefs and principles [ 13 , 51 , 53 , 252 ]. Encapsulating the Innate Ring is the Individual Ring.…”
Section: Discussionmentioning
confidence: 99%
“…Encapsulating the Innate Ring is the Individual Ring. The Individual Ring’s belief system is derived from the physician’s thoughts, conduct, biases, narratives, personality, decision-making processes and other facets of conscious function which together inform the physician’s Individual Identity [ 13 , 51 , 53 , 252 ]. The Relational Ring is shaped by the values, beliefs and principles governing the physician’s personal and important relationships [ 13 , 51 , 53 , 252 ].…”
Section: Discussionmentioning
confidence: 99%