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Mid- and late-career pediatric intensive care providers experience moral distress. They utilize adaptive strategies and seek enhanced formal supports to build moral resilience in the critical care environment.

Keywords:
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Area of Science:

  • Healthcare Professionals
  • Moral Distress
  • Resilience in Healthcare

Background:

  • Moral distress, defined as distress from inability to act on ethical beliefs due to constraints, is prevalent among healthcare providers, especially in intensive care.
  • High moral distress is linked to burnout, job attrition, and potential negative impacts on patient care.
  • Limited research exists on how mid- to late-career healthcare providers experience and cope with moral distress.

Purpose of the Study:

  • To explore moral distress experiences in mid- and late-career pediatric intensive care providers.
  • To identify coping strategies and resources used to mitigate moral distress.
  • To inform the development of a work environment that fosters moral resilience.

Main Methods:

  • An exploratory qualitative quality improvement project.
  • Focus groups and semi-structured interviews were conducted.
  • Participants included mid- and late-career (10+ years) frontline providers in a pediatric intensive care unit.

Main Results:

  • Participants employed perspective-building and adaptive strategies, including active, reflective, and structured supports.
  • Providers expressed a need for enhanced and more accessible formal support systems.
  • Findings align with existing literature on healthcare provider moral distress.

Conclusions:

  • The work environment can be enhanced to support a culture of moral resilience.
  • Specific avenues for managing and mitigating moral distress in critical care settings are identified.
  • This study provides a foundation for interventions promoting personal growth and meaning amidst moral challenges in critical care.