High Prevalence of Burnout Despite Low Levels of Moral Distress and High Resilience Scores in Medical Students

Dodek, Peter; Culjak, Anna; Cheung, Elaine O.; Hubinette, Maria; Holmes, Cheryl L.; Schrewe, Brett; Wisener, Katherine; Crowell, P.

doi:10.1164/ajrccm-conference.2019.199.1_meetingabstracts.a4299

Cited by 2 publications

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“…The reported total mean resilience score for the bachelor paramedic students in our study is slightly lower than previously recorded scores among nursing bachelor students (73.3) (Lekan et al, 2018) and medical students at the University of British Columbia (74.0) (Dodek et al, 2019). Meanwhile, a study by Peng that investigated the resilience level of 1998 Chinese medical students reported a lower mean resilience score of 61.7 (Peng et al, 2012).…”

Section: Resilience Levels In Paramedic Studentscontrasting

confidence: 89%

Resilience levels in paramedic students: a cross-sectional study

Safori¹,

Alqudah

Williams

2021

IJES

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PurposeParamedics responding to emergencies have proven to have an impact on their mental health and well-being. Therefore, measuring and initiating resilience promotion and development during the educational process could promote health in this group. This study aims to cross-sectionally examine the self-reported resilience levels of bachelor paramedic students at a large Australian university.Design/methodology/approachA cross-sectional study using a convenience sample of first-, second- and third-year bachelor paramedic students was used from a large Australian university. The student’s resilience was measured using the 25-item Connor-Davidson Resilience Scale (CD-RISC) during 2019.FindingsTwo-hundred and twenty-nine students participated in the study, of which 55% were females. The total mean score for the CD-RISC was 72.6 [standard deviation (SD) = 13.2). The CD-RISC mean score of the first-, second- and third-year levels were 75.3 (SD = 13.2), 70.5 (SD = 14.4) and 73.8 (SD = 10.4), respectively, with no significant statistical difference (p-value = 0.1) and of which the second year formed the major sample (44.5%). Additionally, our findings show no significant variation in the CD-RISC mean score between males [70.8 (SD = 12.9)] and females [74.1 (SD = 13.3)], with p-value = 0.09.Originality/valueThe study findings suggest that paramedic students have moderate levels of self-reported resilience. These results, while specific to one university, provide essential data for the paramedic profession in addressing an important issue facing all paramedics around the world.

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Section: Resilience Levels In Paramedic Studentscontrasting

confidence: 89%

Resilience levels in paramedic students: a cross-sectional study

Safori¹,

Alqudah

Williams

2021

IJES

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“… 38 Authors analyzed the data from 529 nurses to demonstrate the convergent validity and concurrent validity of MDT, and then indicated that MDT has great potential as a screening tool for use in research, evaluating the effectiveness of interventions designed to decrease a nurse’s level of MD. To date, some empirical studies have employed this instrument to examine the level of MD in school nurses 62 , 63 and intensive care unit nurses. 64 , 65 However, the application in other clinical nurses or cultural settings has not yet been reported.…”

Section: Resultsmentioning

confidence: 99%

Instruments for Detecting Moral Distress in Clinical Nurses: A Systematic Review

Tian

Jin

Chen

et al. 2021

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Moral distress (MD) has become a seriously negative problem experienced by healthcare professionals, especially clinical nurses. Early and accurate detection of MD by the validated and reliable instrument is critically important to further develop an effective intervention strategy. We performed the current systematic review to comprehensively summarize the evidence of instruments for the detection of MD in clinical nurses. The research design was a systematic literature review. We assigned 2 investigators to independently search potential studies in PubMed, EMBASE, and China National Knowledge Infrastructure (CNKI) from their inception to June 2020. We used data extraction table extracting essential information, and the modified critical appraisal tool evaluating the reliability and validity of eligible instruments. Finally, we qualitatively summarized results of all included instruments. No ethical approval was required because this systematic review was performed based on published studies. We included 16 eligible studies covering 10 original and 6 revised or modified instruments for the final analysis. The overall quality of all instruments was moderate because test-retest reliability was inadequately examined in most instruments. Of 16 instruments, MDS-revised (MDS-R) was broadly validated and employed in different working or cultural settings. Meanwhile, it also extensively expands to specifically detect MD. Moreover, other instruments including moral distress risk scale (MDSR) and moral distress thermometer (MDT) should be further validated and utilized because it covered the gap missed by most instruments. Although several instruments have been made available for clinical nurses, some of them have inadequate psychometric properties test, especially test-retest reliability evaluation. Meanwhile, most of them have not be validated and employed in other working or cultural settings. We therefore suggested further studies to validate the psychometric properties of existing instruments and then employed instruments with high reliability and validity to detect MD in clinical nurses.

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High Prevalence of Burnout Despite Low Levels of Moral Distress and High Resilience Scores in Medical Students

Cited by 2 publications

References 0 publications

Resilience levels in paramedic students: a cross-sectional study

Resilience levels in paramedic students: a cross-sectional study

Instruments for Detecting Moral Distress in Clinical Nurses: A Systematic Review

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