Out-of-hours decision-making in deteriorating patients by foundation year doctors: Relationship to moral distress.
J R Coll Physicians Edinb
; 53(4): 239-246, 2023 12.
Article
em En
| MEDLINE
| ID: mdl-37873868
ABSTRACT
BACKGROUND:
Moral distress (MD) refers to psychological unease when healthcare professionals identify morally correct actions to take but are constrained in their ability to take those actions.METHODS:
This study evaluated the relationship between out-of-hours decisions and MD among 40 Foundation Year 2 (FY2) doctors. They were asked to choose the 'expected' and the 'right' management options for five out-of-hours scenarios and complete an adapted Measure of Moral Distress for Health Professionals (MMD-HP) questionnaire.RESULTS:
28/40 (70%) reported discordance between 'expected' and 'right' options more frequently than concordance. The mean total MMD-HP score was low 64.9 (SD = 26.9), range 13-143, maximum 288. The association between decision-making discordance and MMD-HP score was weak.CONCLUSION:
Out-of-hours decisions by FY2 doctors were characterised by doing what is 'expected' rather than what is perceived to be 'right'. Providing guidance regarding decision-making in deteriorating patients is needed for patient safety and staff well-being.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Médicos
/
Plantão Médico
Limite:
Humans
Idioma:
En
Revista:
J R Coll Physicians Edinb
Ano de publicação:
2023
Tipo de documento:
Article