From: Measuring moral distress in health professionals using the MMD-HP-SPA scale
A | |||||||||
Source of Moral Distress | Dimension | Global Mean (SD) | Rank | Males Mean (SD) | Rank | Females Mean (SD) | Rank | ||
Source of Moral Distress | Dimension | Global Mean (SD) | Rank | Males Mean (SD) | Rank | Females Mean (SD) | Rank | ||
16a. Having to attend to more patients than I can safely attend to. | Health Care | 9.8 (4.9) | 1 | 9.1 (5) | 1 | 10.1 (4.8) | 1 | ||
17. Seeing how patient care is negatively affected by the lack of resources/equipment or the availability of beds. | Health Care | 8.3 (4.7) | 2 | 7.9 (4.5) | 2 | 8.5 (4.8) | 2 | ||
9. Seeing how patient care suffers due to the lack of continuity of care. | Health Care | 7.4 (4.5) | 3 | 6.6 (4.2) | 4 | 7.7 (4.7) | 3 | ||
19. Having to deal with excessive paperwork, which negatively affects patient care. | Health Care | 7.1 (4.9) | 4 | 6.9 (4.8) | 3 | 7.2 (5) | 5 | ||
18. Witnessing inaction or lack of administrative support on an issue that negatively affects patient care. | Health Care | 7 (4.7) | 5 | 6.5 (4.2) | 5 | 7.3 (4.8) | 4 | ||
22. Having to work with aggressive or rude patients or family members who negatively affect the quality of care. | External Pressure | 6 (4.6) | 6 | 5.1 (4.1) | 7 | 6.4 (4.7) | 6 | ||
23. Feeling compelled to place too much emphasis on skills and productivity or quality measures at the expense of patient care. | Health Care | 5.97 (4.8) | 7 | 5.3 (4.6) | 6 | 6.2 (4.9) | 7 | ||
3. Feeling pressure to give/carry out orders which I consider unnecessary or to administer inappropriate tests or treatments. | Therapeutic Obstinacy-futility | 5.7 (4.3) | 8 | 4.6 (3.9) | 8 | 6.1 (4.4) | 8 | ||
2. Accepting the familyās insistence to continue an aggressive treatment, even though I believe it is not the best treatment for the patient. | Therapeutic Obstinacy -futility | 5.1 (4) | 9 | 4.4 (3.8) | 9 | 5.4 (4.1) | 9 | ||
4. Being unable to provide optimal care due to pressure from administrators or insurers to reduce costs. | Health Care | 5 (4.9) | 10 | 4.4 (4.6) | 10 | 5.3 (5.1) | 10 | ||
B | |||||||||
Source of Moral Distress | Dimension | Nurses Mean (SD) | Rank | Physicians Mean (SD) | Rank | Hospital Mean (SD) | Rank | Community Mean (SD) | Rank |
16a. Having to attend to more patients than I can safely attend to. | Health Care | 9.5 (4.7) | 1 | 9.9 (5) | 1 | 8.6 (4.7) | 1 | 10.9 (4.8) | 1 |
17. Seeing how patient care is negatively affected by the lack of resources/equipment or the availability of beds. | Health Care | 7.9 (4.6) | 2 | 8.5 (4.8) | 2 | 7.4 (4.6) | 2 | 9 (4.8) | 2 |
9. Seeing how patient care suffers due to the lack of continuity of care. | Health Care | 7.2 (4.6) | 3 | 7.4 (4.5) | 3 | 6.5 (4.2) | 3 | 8.1 (4.79 | 4 |
19. Having to deal with excessive paperwork, which negatively affects patient care. | Health Care | 6.4 (4.5) | 6 | 7.4 (4.8) | 5 | 5.9 (4.7) | 5 | 8.1 (5) | 3 |
18. Witnessing inaction or lack of administrative support on an issue that negatively affects patient care. | Health Care | 6.5 (4.5) | 5 | 7.3 (4.8) | 4 | 6.2 (4.6) | 4 | 7.6 (4.8) | 5 |
22. Having to work with aggressive or rude patients or family members who negatively affect the quality of care. | External Pressure | 6.4 (4.6) | 8 | 5.8 (4.5) | 6 | 4.9 (4.2) | 10 | 7.1 (4.8) | 6 |
23. Feeling compelled to place too much emphasis on skills and productivity or quality measures at the expense of patient care. | Health Care | 6.4 (4.8) | 9 | 5.8 (4.8) | 7 | 5.2 (4.5) | 9 | 6.8 (5.1) | 7 |
3. Feeling pressure to give/carry out orders which I consider unnecessary or to administer inappropriate tests or treatments. | Therapeutic Obstinacy-futility | 6.7 (4.3) | 4 | 5.8 (4.5) | 8 | 5.4 (4.3) | 7 | 6 (4.4) | 9 |
2. Accepting the familyās insistence to continue an aggressive treatment, even though I believe it is not the best treatment for the patient. | Therapeutic Obstinacy-futility | 6.4 (4.4) | 10 | 4.5 (3.6) | 10 | 5.7 (4.1) | 6 | 4.8 (4.4) | 11 |
4. Being unable to provide optimal care due to pressure from administrators or insurers to reduce costs. | Health Care | 4.8 (4.7) | 11 | 5.1 (5) | 9 | 3.5 (4.4) | 11 | 6.3 (5.2) | 8 |