Moral distress in medical student reflective writing

AJOB Empirical Bioethics
Mary E Camp, John Z Sadler

Abstract

Moral distress occurs when one identifies an ethically appropriate course of action but cannot carry it out. In this conceptualization, medical students may be particularly vulnerable to moral distress, but the literature on moral distress in medical trainees remains sparse. Using content analysis of 802 reflective essays written by third-year medical students, the authors analyzed for the presence of moral distress and other ethical themes. The authors then used chi-squared analysis to determine which ethical themes were statistically associated with moral distress. Two hundred and seventy-four (34%) of the essays included student descriptions of moral distress. The most frequent theme in the moral distress essays was "role of the medical student" in the training hierarchy, and this reached a statistically significant association with moral distress (χ2=15.19, p < 0.001). Statistically significant associations (p < 0.05) were also found with moral distress and themes related to an "ethical disagreement with supervisor," "insensitive care," "disputes," "abuse," "poverty," "medical errors," and "transplant ethics." Essays discussing the "doctor-patient relationship" or observations of a "job well done" were statistically less li...Continue Reading

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Citations

May 10, 2019·Teaching and Learning in Medicine·Mary E CampJohn Z Sadler
Feb 13, 2020·Academic Psychiatry : the Journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry·Tara ClarkJohn Z Sadler
Nov 13, 2020·Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz·Katja KühlmeyerAnnette Rogge
Jul 28, 2021·Teaching and Learning in Medicine·Jeffrey C MechamJuliana M Kling

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