Development and validation of a questionnaire to measure moral distress in community pharmacists

Astbury, Jayne; Gallagher, Cathal T.

doi:10.1007/s11096-016-0413-3

Cited by 20 publications

(20 citation statements)

References 41 publications

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“…Moral distress has been well studied in the nursing field, but few studies exist that include other healthcare professionals, and no previous multidisciplinary study has specifically examined the relationship between burnout and moral distress. Moral distress has not been noted in pharmacist professional literature in the United States; however, UK researchers recently reported on a moral distress instrument developed for pharmacy practice, perhaps reflecting an increased professional interest in this area [33]. A study [ examining burnout and resilience of nurses in high acuity care settings did identify a correlation between moral distress and burnout (r = .49, P < .01).…”

Section: Predictors For Burnout and Moral Distress By Disciplinementioning

confidence: 99%

Burnout, Moral Distress, Work–Life Balance, and Career Satisfaction among Hematopoietic Cell Transplantation Professionals

Neumann

Mau

Virani

et al. 2018

Biology of Blood and Marrow Transplantation

122

146

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A projected shortage of hematopoietic cell transplantation (HCT) health professionals was identified as a major issue during the National Marrow Donor Program/Be The Match System Capacity Initiative. Work-related distress and work-life balance were noted to be potential barriers to recruitment/retention. This study examined these barriers and their association with career satisfaction across HCT disciplines. A cross-sectional, 90-item, web-based survey was administered to advanced practice providers, nurses, physicians, pharmacists, and social workers in 2015. Participants were recruited from membership lists of 6 professional groups. Burnout (measured with the Maslach Burnout Inventory subscales of emotional exhaustion and depersonalization) and moral distress (measured by Moral Distress Scale-Revised) were examined to identify work-related distress. Additional questions addressed demographics, work-life balance, and career satisfaction. Of 5759 HCT providers who received an individualized invitation to participate, 914 (16%) responded; 627 additional participants responded to an open link survey. Significant differences in demographic and practice characteristics existed across disciplines (P < .05). The prevalence of burnout differed across disciplines (P < .05) with an overall prevalence of 40%. Over one-half of pharmacists had burnout, whereas social workers had the lowest prevalence at less than one-third. Moral distress scores ranged from 0 to 336 and varied by discipline (P < .05); pharmacists had the highest mean score (62.9 ± 34.8) and social workers the lowest (42.7 ± 24.4). In multivariate and univariate analyses, variables contributing to burnout varied by discipline; however, moral distress was a significant contributing factor for all providers. Those with burnout were more likely to report inadequate work-life balance and a low level of career satisfaction; however, overall there was a high level of career satisfaction across disciplines. Burnout, moral distress, and inadequate work-life balance existed at a variable rate in all HCT disciplines, yet career satisfaction was high. These results suggest specific areas to address in the work environment for HCT health professionals, especially the need for relief of moral distress and a greater degree of personal time. As the creation of healthy work environments is increasingly emphasized to improve quality care and decrease costs, these findings should be used by HCT leadership to develop interventions that mitigate work-related distress and in turn foster recruitment and retention of HCT providers.

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Section: Predictors For Burnout and Moral Distress By Disciplinementioning

confidence: 99%

Burnout, Moral Distress, Work–Life Balance, and Career Satisfaction among Hematopoietic Cell Transplantation Professionals

Neumann

Mau

Virani

et al. 2018

Biology of Blood and Marrow Transplantation

122

146

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“…Astbury et al (15) declared that quantitative studies can measure and analyse the causal relationship between moral distress and associated variables. This descriptive correlation study was conducted in the emergency departments at five educational public hospitals in an urban area of Iran.…”

Section: Participants and Settingmentioning

confidence: 99%

Relationship between autonomy and moral distress in emergency nurses

Abdolmaleki¹,

Lakdizaji²,

Ghahramanian³

et al. 2019

IJME

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Reducing nurses' autonomy can impair their decision-making and ability for appropriate interventions. Lowered independence hinders ethical reasoning, which may lead to moral distress. This descriptive correlation study investigates the relationship between professional independence and moral distress in 173 nurses working in emergency departments in Tabriz, Iran. Data were collected using questionnaires designed to assess professional autonomy and moral distress and analysed using descriptive and inferential statistics via the SPSS 13 software. The level of professional autonomy among emergency nurses was low (83.2±16.9), and moral distress, moderate (7.43±3.52). A statistically significant negative relationship was reported between professional independence and the frequency of moral distress (p=0.018). Bivariate analysis related professional autonomy with the frequency and intensity of moral distress. Multiple regression analysis showed that age significantly predicted moral distress (frequency, intensity, and total scores). Lack of autonomy hinders nurses from functioning effectively and efficiently in practice and even can lead to moral distress. Increasing professional independence and the use of experienced nurses as mentors in emergency settings to support younger nurses can help with the reduction of moral distress.

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“…As the literature indicates, moral distress may be spreading to medicine and other professions [28,35,36,[100][101][102][103]. This may reflect that a variety of health professionals are increasingly finding themselves in moral binds similar to those experienced by nurses.…”

Section: Resultsmentioning

confidence: 99%

What Moral Distress in Nursing History Could Suggest about the Future of Health Care

2017

AMA Journal of Ethics

134

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The concept of moral distress was defined in 1984 as (a) the psychological distress of (b) being in a situation in which one is constrained from acting (c) on what one knows to be right. A substantial literature on the subject has developed, primarily in nursing ethics. The aforementioned elements of distress are applied here to areas of clinical and organizational significance: (a) distress from causing intimate pain during care of the dying, (b) constraints stemming from proximate and background challenges of health care organizations, and (c) changing perspectives on therapeutic technologies derived from global environmental perspectives. Although moral distress may be increasing in clinical settings, nursing advocates are developing positive ways to cope with it that can help clinicians in general. IntroductionAfter its first use in nursing over 30 years ago, the concept of moral distress has proven applicable to a growing range of problematic situations. This essay outlines a few motifs in the development of the concept in nursing ethics and then considers some current applications of the concept. Starting with the bedside care of the dying, it sets moral distress in successively wider contexts, concluding with some morally problematic global environmental challenges that health care services will need to address during the next decades.

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Development and validation of a questionnaire to measure moral distress in community pharmacists

Cited by 20 publications

References 41 publications

Burnout, Moral Distress, Work–Life Balance, and Career Satisfaction among Hematopoietic Cell Transplantation Professionals

Burnout, Moral Distress, Work–Life Balance, and Career Satisfaction among Hematopoietic Cell Transplantation Professionals

Relationship between autonomy and moral distress in emergency nurses

What Moral Distress in Nursing History Could Suggest about the Future of Health Care

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