Hola a tod@s, my dear friends.
The objective of the study was to determine the main sources of moral distress and how we could overcome as a team. To do this, they interviewed 29 members of the ICU Team, of all the professional classes.
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All team members experienced moral distress, and the discrepancies within the team are source of this in two situations:
– Start or maintenance of life support treatments considered futile.
– The lack of information on interventions that are conducted.
Then appear maladaptive behavior as the pas-de-deux, fight and withdrawal (they point to be most common in surgical ICUs) and constructive (“ventilation of problems”, networks of mentors and team cohesion work). Those constructive behaviors were typically carried out by nursing and ancillary staff. They point to the fact of medical information isolated as a factor of anxiety for doctors while nursing shown much more emotional.
Logically, these results have potential implications for the care of patients. Physicians and any surgical units health professionals may be susceptible to more anguish because they are less involved in constructive behaviors.
What do you think? Why not start talking about it?
Happy Thursday,
Gabi
I believe this Moral Distress contributes to intellectual unity which protects the individual from self-doubt though the following of "accepted protocols". Unfortunately produces a unified "cognitive collective" which does not foster the requisite dissent required for advancement of the science. This discussion here explains this problem as it relates to sepsis science. http://t.co/tSVZK7307x
Thanks so much Lawrence for your oppinion. I think it´s important to have emotional stress in our work, which is different from moral distress. I am going to read your post. Thanks again and wellcome to my blog!
Moral distress builds up as excellent physicians suffer through adverse events (which are generally not their fault) but for which they cannot help but take some subconscious responsibility. This burden weighs them don over time. Many academics defer this by passing day to day responsibility over to trainees (fellow and residents). Private physicians do not have that option.
Many academics and private physicians transfer this responsibility to a "protocol". While this may mitigate a sense of responsibility it leads to intellectual stagnation as questioning protocols caries the baggage of those patients who had adverse outcomes wherein the protocol was relied upon for treatment. The Kuhn social forces and the need to be right from a moral distress perspective close the door on dissent. The consequences of this are discussed in this article.
http://www.ncbi.nlm.nih.gov/pubmed/24383420
I look forward to your thoughts.
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Absolutely agree. We are not used to think what importan subconscious is in our life. We usually add deaths, suffers and thing that don´t belong us but we charge with them.