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Moral distress in the PA profession
Noël E Smith1, Sean Kolhoff, Eric D Tetzlaff
1Noël E. Smith is a scholar-in-residence in the PA Leadership and Learning Academy at the University of Maryland, Baltimore in Baltimore, MD. Sean Kolhoff is a director of research for the American Academy of Physician Associates in Alexandria, VA. Eric D. Tetzlaff is an assistant professor in the Department of Hematology/Oncology at the Fox Chase Cancer Center in Philadelphia, PA. E.D. Tetzlaff discloses institutional receipt of a grant from the Association of PAs in Oncology. The authors have disclosed no other potential conflicts of interest, financial or otherwise.
Physician associates experiencing burnout and moral distress are more likely to leave their jobs. Addressing these issues and improving workplace climate can reduce turnover.
Area of Science:
- Healthcare Professionals
- Physician Associate Studies
- Organizational Psychology
Background:
- Moral distress and burnout are significant challenges impacting healthcare professionals.
- Understanding factors influencing physician associate (PA) retention is crucial for workforce stability.
Purpose of the Study:
- To investigate the interplay between moral distress, burnout, and organizational climate.
- To determine the influence of these factors on physician associates' intent to leave.
Main Methods:
- A survey was administered to 327 physician associates.
- Data were analyzed using linear and logistic regression models.
Main Results:
- Emotional exhaustion and depersonalization (burnout) were positively associated with moral distress.
- Organizational climate, moral distress, and emotional exhaustion significantly predicted intent to leave.
Conclusions:
- Interventions targeting moral distress, burnout, and workplace agency are needed.
- Addressing these factors can enhance PA well-being and mitigate turnover.
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