Moral distress in physical therapy practice

Carpenter, Christine

doi:10.3109/09593980903387878

Cited by 57 publications

(38 citation statements)

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“…Although the majority of these initial studies were primarily focused on physicians and nurses, research with other health professionals such as physiotherapists found similar levels of stress [2,24,25,[28][29][30]. Balogun et al [28] found high levels of emotional exhaustion and depersonalisation, and low levels of personal achievement in a sample of 169 physiotherapists working in various clinical settings.…”

Section: Discussionmentioning

confidence: 99%

“…Research has shown evidence of high levels of stress in health professionals working in different healthcare settings and the consequent negative effects, not only in the physical and psychological health of these professionals, but also in the quality of care they provide and in the overall quality of healthcare institutions [1][2][3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

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Occupational stress and coping resources in physiotherapists: a survey of physiotherapists in three general hospitals

2010

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Objectives To identify occupational stressors and coping resources in a group of physiotherapists, and to analyse interactions between subjective levels of stress, efficacy in stress resolution and coping resources used by these professionals. Design A sample of 55 physiotherapists working in three general hospitals in Portugal completed the Coping Resources Inventory for Stress, the Occupational Stressors Inventory and two subjective scales for stress and stress resolution. Main results Most physiotherapists perceived that they were moderately stressed (19/55, 35%) or stressed (20/55, 36%) due to work, and reported that their efficacy in stress resolution was moderate (25/54, 46%) or efficient (23/54, 42%). Issues related to lack of professional autonomy, lack of organisation in the hierarchical command chain, lack of professional and social recognition, disorganisation in task distribution and interpersonal conflicts with superiors were identified as the main sources of stress. The most frequently used coping resources were social support, stress monitoring, physical health and structuring. Perceived efficacy in stress resolution was inversely related to perceived level of occupational stress (r = −0.61, P < 0.01). Significant correlations were found between several coping resources and the perceived level of stress and efficacy in stress resolution. Associations between problem solving, cognitive restructuring and stress monitoring and both low levels of perceived stress and high levels of perceived efficacy were particularly strong. Implications for practice The importance of identifying stressors and coping resources related to physiotherapists' occupational stress, and the need for the development of specific training programmes to cope with stress are supported.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Occupational stress and coping resources in physiotherapists: a survey of physiotherapists in three general hospitals

2010

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“…Moral distress not only affects individual behavior but also the workplace environment. [52][53][54][55][56][57][58] For example, distressed health care providers can experience decreased job satisfaction, [59][60][61] unsettling physical symptoms such as insomnia and headaches, and disruptive psychological symptoms such as loss of confidence and self-worth. 26 Moreover, nurses' moral distress has been associated with absenteeism, burnout, intentions to quit, and leaving the profession.…”

Section: 50mentioning

confidence: 99%

Screening Situations for Risk of Ethical Conflicts: A Pilot Study

Pavlish¹,

Hellyer²,

Brown-Saltzman³

et al. 2015

American Journal of Critical Care

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A closed-book, multiple-choice examination following this article tests your under standing of the following objectives:1. Describe the impact of ethical conflict in the intensive care unit (ICU) for patients, families, and health care workers. 2. Describe risk factors and early warning signs of potential ethical conflicts with ICU patients. 3. Explain key results of ethical risk factor screening for critical care nurses. Results Older patients with multiple comorbid conditions and aggressive treatments were frequently assessed to be at risk for ethical conflicts. Nurses who witnessed patients' suffering and deterioration were likely to initiate the screening process. The most prominent family risk factors included unrealistic expectations and adamancy about treatment. The most prominent early indicators were signs of patients' suffering, unrealistic expectations, and providers' own moral distress. High-risk situations averaged a greater number of risk factors and early indicators than did medium-and low-risk situations. Certain risk factors featured prominently in high-risk situations. Conclusions A phenomenon of shared suffering emerged from the study and signifies the importance of relational strategies such as routine family conferences and ethics consultation.

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“…The demands of critical theory, in order to have practical purchase, include creating awareness among the profession about ethics and morality as critical political notions that are attentive to the materiality of people, spaces and contexts. The aim of critical work is to help researchers, practitioners and students to identify those situations where critique and resistance improve the well-being of patients and, perhaps controversially, also the therapist: a healthy working force is better for the patients, rather than being overwhelmed by conditions that are less than favourable for best practice, for example due to "moral distress" (see Carpenter, 2010). This is not mere problem-solving.…”

Section: Discussionmentioning

confidence: 99%