Gaining the Spotlight on Youtube! ( 3 / 5 Stars for Scope and Solutions of MD)

This is a video from researchers at the ethics center at Johns Hopkins explaining that ethics consultation is one potential resource for HCPs that feel MD. The researcher details a brief explanation of when nurses, in particular, feel MD. She also speaks a small portion about extrapolating why the nurse is experiencing MD from an ethical perspective.

https://www.youtube.com/watch?v=kgfX2FhQwTA

What to Do, What to Do? ( 4 / 5 Stars for Scope and Solutions of MD)

One of the reason why moral distress remains in the work environment is because it is difficult to combat. Tools have been developed to assess levels of MD, such as the MDS-I and the MDS-II, that use surveys to assess MD levels in HCPs. However, the data collected can be prone to being deemed not actionable because there are few known reliable MD interventions that will reduce MD. Thus, these researchers developed a moral distress consult service. Their article summarizing root cause analyses of MD and the potential utility of the consult service was then published in the international and peer-reviewed journal HealthCare Ethics Committee Forum in June of 2017.

Hamric, A.B. & Epstein, E.G. HEC Forum (2017) 29: 127. https://doi.org/10.1007/s10730-016-9315-y

https://link.springer.com/article/10.1007/s10730-016-9315-y

American Thoracic Society Talks About Burnout Syndrome, Noting Moral Distress Within Its Framework ( 4 / 5 Stars for Scope and Solutions of MD)

One of the corollaries in moral distress research is how MD fits into other pathological syndromes. In the article below, the American Thoracic Society notes that Burnout syndrome is a phenomena that is may be correlated to poor outcomes, high rates of attrition for clinicians, and increased medical error, among other problems. Moreover, the CCSC supported the publication of the article and the research behind it in order to have a call to action about burnout and the ways that it is affecting HCPs and patients. The authors defined burnout syndrome as manifesting with three classic symptoms: exhaustion, depersonalization, and reduced personal accomplishment. ATS is publishing information on burnout because it has been increasing in the last few decades. They cite information that up to 40% ER physicians have burnout syndrome, and up to 50% of ICU/CC clinicians experience burnout. They also cite potential risk factors for burnout, as well as potential solutions for reduction, such as mindfulness and resilience training, and motivating the health care workers to keep physically healthy. Moral distress fits into their model as depicted in their figure below:



Moss, M., Good, V. S., Gozal, D., Kleinpell, R., & Sessler, C. N. (2016). A critical care societies collaborative statement: Burnout syndrome in critical care health-care professionals. A call for action. Am J Respir Crit Care Med, 194(1), 106-113. doi:10.1164/rccm.201604-0708ST