title: Moral Distress in Pediatric Healthcare Providers.
abstract: Pediatric providers across professions and clinical settings experience moral distress. Higher moral distress correlates with intent to leave for all professionals. Physicians as professional group had the highest moral distress. Intensive care nurses had the highest moral distress for nurses. While all providers describe distressing scenarios as disturbing, physicians report situations as occurring more frequently. The most distressing situations include requests for aggressive treatments not in child's best interest, poor team communication and lack of provider continuity. Understanding moral distress as experienced by all pediatric providers is needed to create interventions with a goal of reducing provider turnover.
authors: Children's Healthcare of Atlanta, Atlanta, GA. Electronic address: karen.trotochaud@choa.org.
authors: Karen
authors: K
authors: Trotochaud
authors: Children's Healthcare of Atlanta, Atlanta, GA.
authors: Joyce Ramsey
authors: JR
authors: Coleman
authors: Children's Healthcare of Atlanta, Atlanta, GA; Emory University, Atlanta, GA.
authors: Nicolas
authors: N
authors: Krawiecki
authors: Emory University, Atlanta, GA.
authors: Courtney
authors: C
authors: McCracken
mesh_terms: D000328:Adult; D002055:Burnout, Professional / Q000453:epidemiology / Q000523:psychology*; D003422:Critical Care / Q000523:psychology*; D003695:Delivery of Health Care / Q000592:standards / Q000639:trends; D005260:Female; D006282:Health Personnel / Q000523:psychology*; D006801:Humans; D015994:Incidence; D007362:Intensive Care Units; D008297:Male; D008875:Middle Aged; D009014:Morals; D009741:Nursing Staff, Hospital / Q000523:psychology; D016272:Occupational Health; D010372:Pediatrics; D018570:Risk Assessment; D013315:Stress, Psychological; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Intensive care; Moral distress; Pediatric providers