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Table 4 Mean moral distress scores per professional staff and ICU Types

From: Ethical decision-making climate, moral distress, and intention to leave among ICU professionals in a tertiary academic hospital center

 

Mean (S.D.)a

p-value

Role within ICU

Physician

Nurse

P-Nb

Overall moral distress

4.27 (3.0)

4.67 (2.9)

0.04

Factors

1. Ethically Inappropriate Care Due to Suboptimal Clinical Decision Making

6.66 (2.71)

7.6 (2.49)

0.03

2. Suboptimal patient care due to organizational restrictions / burden

4.32 (2.13)

4.7 (2.49)

0.14

3. Suboptimal quality of care due to poor team communication or lack of professionalism

4.17 (2.44)

4.5 (2.31)

0.03

4. Culture of fear and power hierarchy

2.18 (2.99)

2.05 (2.84)

0.82

 

Mean (S.D.)a

p-value

ICU types

Medical

Pediatric

Surgical

NP-Mc

M-Sd

NP-Se

Overall moral distress

4.57 (2.7)

4.05 (2.8)

4.54 (2.9)

0.02

0.85

0.01

Factors

      

1. Ethically inappropriate care due to suboptimal clinical decision making

7.35 (2.7)

6.84 (2.9)

6.98 (2.2)

0.27

0.23

0.73

2. Suboptimal patient care due to organizational restrictions / burden

4.43 (2.9)

3.39 (2.9)

4.18 (1.7)

0.002

0.32

0.01

3. Suboptimal quality of care due to poor team communication or lack of professionalism

3.72 (2.7)

3.88 (2.6)

4.33 (1.7)

0.76

0.12

0.38

4. Culture of fear and power hierarchy

2.00 (2.6)

2.00 (2.0)

2.39 (1.9)

0.10

0.14

0.20

  1. aScore range 0–16 higher scores reflect higher moral distress scores
  2. bPhysicians versus nurses
  3. cNeonatal/pediatric versus medical
  4. dMedical versus Surgical
  5. eNeonatal/pediatric/surgical