From: Moral distress and ethical climate in intensive care medicine during COVID-19: a nationwide study
Mean (SD)a | p value | |||||
---|---|---|---|---|---|---|
Nurse (n = 355) | Intensivist (n = 41) | Supporting staff (n = 108) | N–Ib | N–Sc | I–Sd | |
Overall moral distress score | 2.97 (2.06) | 2.56 (1.38) | 2.09 (1.71) | 0.22 | < 0.001 | 0.19 |
Factors | ||||||
1. Suboptimal patientcare due to organizational restrictions | 5.01 (3.45) | 3.34 (2.39) | 2.77 (2.51) | < 0.001 | < 0.001 | 0.40 |
2. Inadequate emotional support for patients and their families | 5.73 (3.89) | 6.20 (3.27) | 4.63 (3.91) | 0.67 | 0.030 | < 0.05 |
3. Fear of contamination | 3.86 (4.28) | 3.59 (3.86) | 3.77 (3.86) | 0.91 | 0.98 | 0.97 |
4. Collaboration with patients and their families | 1.54 (1.75) | 1.53 (1.29) | 0.78 (1.11) | 1.00 | < 0.001 | < 0.05 |
5. Culture of fear and hierarchy | 0.85 (1.54) | 1.03 (1.31) | 0.53 (0.91) | 0.69 | < 0.05 | < 0.05 |
6. Administrative burden | 2.96 (3.61) | 2.43 (2.63) | 2.07 (2.82) | 0.47 | < 0.05 | 0.76 |
7. Disproportional and aimless care | 2.68 (2.76) | 1.83 (1.55) | 1.49 (1.77) | 0.010 | < 0.001 | 0.50 |