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Moral distress from professionalism dilemmas and its association with self-rated professionalism behaviors among Chinese residents.

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Title: Moral distress from professionalism dilemmas and its association with self-rated professionalism behaviors among Chinese residents.
Authors: Song, Xinzhi1, Ding, Ning1, Jiang, Nan1, Zhang, Xu2, Li, Honghe1, Wen, Deliang1 dlwen@cmu.edu.cn
Source: Medical Teacher. Sep2024, Vol. 46 Issue 9, p1210-1219. 10p.
Subject Terms: *Interprofessional relations, *Role models, Professionalism, Cross-sectional method, Psychological distress, Logistic regression analysis, Questionnaires, Descriptive statistics, Ethics, Hospital medical staff, Surveys, Odds ratio, Cluster sampling, Professional competence
Geographic Terms: China
Abstract: Objectives: Residents inevitably witness or participate in a diverse range of professionalism dilemmas. However, few studies have focused on residents' moral distress from professionalism dilemmas and its relationship with residents' professionalism. This study aimed to understand the moral distress that Chinese residents may face after exposure to professionalism dilemmas and to examine the associations between moral distress and residents' perceived fulfillment of professionalism behaviors. Methods: We conducted a cross-sectional survey of residents from four standardized residency training bases in Liaoning Province, China, using stratified cluster sampling. A checklist of professionalism dilemmas, the Moral Distress Scale, and the Behavior-based Medical Professionalism Inventory were used to assess residents' moral distress from professionalism dilemmas and their perceived fulfillment of professionalism behaviors. Descriptive statistics, non-parametric tests, multiple linear regressions, and binary logistic regressions were used to analyze the data. Results: A total of 647 (81.1%) residents effectively completed the survey. The proportion of residents suffering from moral distress ranged from 58.4 to 90.6% for different professionalism dilemmas. As the number of professionalism dilemmas associated with moral distress increased, residents reported lower fulfillment of professionalism behaviors (β < 0, p < 0.05). Compared with residents with no distress, residents suffering from distress reported lower fulfillment of professionalism behaviors (OR < 1, p < 0.05). Among residents suffering from distress, as the distress intensity increased, residents reported higher fulfillment of professionalism behaviors (OR > 1, p < 0.05). Conclusions: Residents suffered a wide range of moral distress from professionalism dilemmas, and residents with moral distress reported lower fulfillment of professional behaviors. A responsive reporting system for residents and reflection on role modeling may help residents cope with the negative effects of moral distress and professionalism dilemmas. [ABSTRACT FROM AUTHOR]
Copyright of Medical Teacher is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Moral distress from professionalism dilemmas and its association with self-rated professionalism behaviors among Chinese residents.
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Medical+Teacher%22&quot;&gt;Medical Teacher&lt;/searchLink&gt;. Sep2024, Vol. 46 Issue 9, p1210-1219. 10p.
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– Name: Abstract
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  Data: Objectives: Residents inevitably witness or participate in a diverse range of professionalism dilemmas. However, few studies have focused on residents&#39; moral distress from professionalism dilemmas and its relationship with residents&#39; professionalism. This study aimed to understand the moral distress that Chinese residents may face after exposure to professionalism dilemmas and to examine the associations between moral distress and residents&#39; perceived fulfillment of professionalism behaviors. Methods: We conducted a cross-sectional survey of residents from four standardized residency training bases in Liaoning Province, China, using stratified cluster sampling. A checklist of professionalism dilemmas, the Moral Distress Scale, and the Behavior-based Medical Professionalism Inventory were used to assess residents&#39; moral distress from professionalism dilemmas and their perceived fulfillment of professionalism behaviors. Descriptive statistics, non-parametric tests, multiple linear regressions, and binary logistic regressions were used to analyze the data. Results: A total of 647 (81.1%) residents effectively completed the survey. The proportion of residents suffering from moral distress ranged from 58.4 to 90.6% for different professionalism dilemmas. As the number of professionalism dilemmas associated with moral distress increased, residents reported lower fulfillment of professionalism behaviors (β &lt; 0, p &lt; 0.05). Compared with residents with no distress, residents suffering from distress reported lower fulfillment of professionalism behaviors (OR &lt; 1, p &lt; 0.05). Among residents suffering from distress, as the distress intensity increased, residents reported higher fulfillment of professionalism behaviors (OR &gt; 1, p &lt; 0.05). Conclusions: Residents suffered a wide range of moral distress from professionalism dilemmas, and residents with moral distress reported lower fulfillment of professional behaviors. A responsive reporting system for residents and reflection on role modeling may help residents cope with the negative effects of moral distress and professionalism dilemmas. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Medical Teacher is the property of Taylor &amp; Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1080/0142159X.2024.2307486
    Languages:
      – Code: eng
        Text: English
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      Pagination:
        PageCount: 10
        StartPage: 1210
    Subjects:
      – SubjectFull: Interprofessional relations
        Type: general
      – SubjectFull: Role models
        Type: general
      – SubjectFull: Professionalism
        Type: general
      – SubjectFull: Cross-sectional method
        Type: general
      – SubjectFull: Psychological distress
        Type: general
      – SubjectFull: Logistic regression analysis
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Ethics
        Type: general
      – SubjectFull: Hospital medical staff
        Type: general
      – SubjectFull: Surveys
        Type: general
      – SubjectFull: Odds ratio
        Type: general
      – SubjectFull: Cluster sampling
        Type: general
      – SubjectFull: Professional competence
        Type: general
      – SubjectFull: China
        Type: general
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      – TitleFull: Moral distress from professionalism dilemmas and its association with self-rated professionalism behaviors among Chinese residents.
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              Text: Sep2024
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              Y: 2024
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