title: Organizational Influences on Health Professionals' Experiences of Moral Distress in PICUs.
abstract: This article reports the findings of a qualitative study (secondary analysis) that explored the organizational influences on moral distress for health professionals working in pediatric intensive care units (PICUs) across Canada. Participants were recruited to the study from PICUs across Canada. The PICU is a high-tech, fast-paced, high-pressure environment where caregivers frequently face conflict and ethical tension in the care of critically ill children. A number of themes including relationships with management, organizational structure and processes, workload and resources, and team dynamics were identified. This study provides a rare and important multi-disciplinary perspective on this topic and the findings have implications for administrators and leaders who seek to improve the moral climate of healthcare delivery.
authors: Faculty of Nursing and John Dossetor Health Ethics Centre, University of Alberta, Edmonton, Canada. swall@ualberta.ca.
authors: Sarah
authors: S
authors: Wall
authors: Faculty of Nursing and John Dossetor Health Ethics Centre, University of Alberta, Edmonton, Canada.
authors: Wendy J
authors: WJ
authors: Austin
authors: Faculty of Medicine and John Dossetor Health Ethics Centre, Edmonton, Canada.|Pediatric Intensive Care Unit, Stollery Children's Hospital, Edmonton, Canada.
authors: Daniel
authors: D
authors: Garros
mesh_terms: D002170:Canada; D006801:Humans; D015278:Intensive Care Units, Pediatric; D007407:Interviews as Topic; D007857:Leadership; D008505:Medical Staff, Hospital / Q000523:psychology*; D028681:Moral Obligations; D016134:Organizational Policy; D013315:Stress, Psychological
keywords: Ethical climate; Healthcare team; Leadership; Organizational ethics
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