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Abbasi M, Nejadsarvari N, Kiani M, et al. Moral distress in physicians practicing in hospitals affiliated to medical sciences universities. Iran Red Crescent Med J. 2014;16(10):e18797doi: 10.5812/ircmj.18797.
Abbasi, M., Nejadsarvari, N., Kiani, M., Borhani, F., Bazmi, S., Nazari Tavaokkoli, S., & Rasouli, H. (2014). Moral distress in physicians practicing in hospitals affiliated to medical sciences universities. Iranian Red Crescent medical journal, 16(10), e18797. https://doi.org/10.5812/ircmj.18797
Abbasi, Mahmoud, et al. "Moral distress in physicians practicing in hospitals affiliated to medical sciences universities." Iranian Red Crescent medical journal vol. 16,10 (2014): e18797. doi: https://doi.org/10.5812/ircmj.18797
Abbasi M, Nejadsarvari N, Kiani M, Borhani F, Bazmi S, Nazari Tavaokkoli S, Rasouli H. Moral distress in physicians practicing in hospitals affiliated to medical sciences universities. Iran Red Crescent Med J. 2014 Oct 05;16(10):e18797. doi: 10.5812/ircmj.18797. eCollection 2014 Oct. PMID: 25558387; PMCID: PMC4270679.
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Iran Red Crescent Med J. 2014 Oct 05;16(10):e18797. doi: 10.5812/ircmj.18797. eCollection 2014 Oct.

Moral distress in physicians practicing in hospitals affiliated to medical sciences universities.

Iranian Red Crescent medical journal

Mahmoud Abbasi, Nasrin Nejadsarvari, Mehrzad Kiani, Fariba Borhani, Shabnam Bazmi, Saeid Nazari Tavaokkoli, Hamidreza Rasouli

Affiliations

  1. Medical Ethics and Law Research Center, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran.
  2. Department of Medical Ethics, School of Traditional Medicine, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran.
  3. Nursing Ethics Department, Medical Ethics and Law Research Center, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran.
  4. Faculty of Theology, Tehran University, Tehran, IR Iran.
  5. Trauma Research Center, Baqiyatallah University of Medical Sciences, Tehran, IR Iran.

PMID: 25558387 PMCID: PMC4270679 DOI: 10.5812/ircmj.18797

Abstract

BACKGROUND: Researchers have regarded moral distress as a major concern in the health care system. Symptoms associated with moral distress may manifest as frustration, dissatisfaction, and anxiety and may lead to burnout, job leaving, and finally, failure to provide safe and competent care to patients. Proper management of this phenomenon can be fulfilled through study of its causes at different levels of health services and taking necessary measures to solve them.

OBJECTIVES: This study aimed to determine the status of moral distress in physicians practicing in hospitals affiliated to Medical Sciences Universities in Tehran.

MATERIALS AND METHODS: This cross-sectional study was carried out using the Standard Hamric Scale to collect data after modification and evaluation of its reliability and validity. A total of 399 physicians responded to the scale. Data analysis was performed using descriptive and correlation statistics with respect to the variables.

RESULTS: Results showed that the frequency of moral distress of physicians was 1.24 ± 0.63 and the intensity of moral distress and composite score of moral distress were 2.14 ± 0.80 and 2.94 ± 2.38, respectively. A significant negative correlation existed between age and frequency and composite score (r = -0.15, P < 0.01 and r = -0.16, P < 0.01, respectively) as well as years of experience and composite score (r = -0.11, P = 0.04). Moral distress composite score in adults specialists was higher than pediatricians (P = 0.002), but lower in physicians participated in medical ethics training courses compared to those not participated.

CONCLUSIONS: Physicians may encounter moral distress during their practice; therefore, the common causes of distress should be identified in order to prevent its occurrence.

Keywords: Hospitals; Medical Ethics; Physicians

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