Table 3 Highest ranking moral distress situations across nurses for the extended MMD-HP
From: Moral distress and ethical climate in intensive care medicine during COVID-19: a nationwide study
Nurses (n = 355) | Intensivists (n = 41) | Supporting staff (n = 108) | ||||||
|---|---|---|---|---|---|---|---|---|
Item no | Item | Mean (SD)a | Rank | Mean (SD) | Rank | Mean (SD) | Rank | p value |
30 | Be unable to provide optimal emotional support to anxious and distressed patients/family members | 7.69 (5.31) | 1 | 7.22 (4.64) | 2 | 5.38 (5.23) | 2 | < 0.001 |
29 | Be unable to allow patients/family members to have a dignified farewell | 7.00 (5.43) | 2 | 8.02 (4.87) | 1 | 6.55 (5.25) | 1 | 0.32 |
13 | Be required to work with other healthcare team members who are less experienced than patient care requires | 6.57 (4.94) | 3 | 3.32 (3.45) | 10 | 2.59 (3.57) | 12 | < 0.001 |
16 | Be required to care for more patients than I can safely care for | 6.22 (4.19) | 4 | 3.05 (3.99) | 13 | 2.42 (4.19) | 13 | < 0.001 |
28 | Working with other healthcare team members whom I do not know well | 6.00 (4.61) | 5 | 2.54 (2.97) | 15 | 4.81 (4.28) | 3 | < 0.001 |
17 | Experience compromised patient care due to a lack of resources/equipment/bed capacity | 5.23 (4.97) | 6 | 6.10 (5.25) | 3 | 3.38 (4.23) | 7 | 0.001 |
9 | Watch patient care suffer because of a lack of provider continuity | 5.00 (4.65) | 7 | 3.83 (3.67) | 7 | 3.10 (3.88) | 9 | < 0.001 |
35 | Providing care to patients of whom the course of the disease and proper treatment is unclear | 4.38 (4.24) | 8 | 5.46 (4.76) | 4 | 4.54 (4.94) | 4 | 0.33 |
32 | Feeling obligated to provide care to patients, where the health of my loved ones is at risk | 4.30 (5.10) | 9 | 4.22 (4.87) | 5 | 4.37 (4.86) | 5 | 0.99 |