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https://doi.org/10.1136/bmjopen-2022-064029
Title: | Systematic scoping review on moral distress among physicians | Authors: | Quek, Chrystie Wan Ning Ong, Ryan Rui Song Wong, Ruth Si Man Chan, Sarah Wye Kit Chok, Amanda Kay-Lyn Shen, Grace Shen Teo, Andrea York Tiang Panda, Aiswarya Burla, Neha Wong, Yu An Chee, Ryan Choon Hoe Loh, Caitlin Yuen Ling Lee, Kun Woo Tan, Gabrielle Hui Ning Leong, Ryan Emmanuel Jian Koh, Natalie Song Yi Ong, Yun Ting Chin, Annelissa Mien Chew Chiam, Min Lim, Crystal Zhou, Xuelian Jamie Ong, Simon Yew Kuang Ong, Eng Koon Krishna, Lalit Kumar Radha |
Keywords: | Science & Technology Life Sciences & Biomedicine Medicine, General & Internal General & Internal Medicine medical education & training mental health education & training (see medical education & training) INTENSIVE-CARE-UNIT CANCER-PATIENTS QUALITATIVE RESEARCH PEDIATRIC RESIDENTS ETHICAL CHALLENGES MEDICAL-EDUCATION FUTILE TREATMENTS DECISION-MAKING RING-THEORY END |
Issue Date: | Sep-2022 | Publisher: | BMJ PUBLISHING GROUP | Citation: | Quek, Chrystie Wan Ning, Ong, Ryan Rui Song, Wong, Ruth Si Man, Chan, Sarah Wye Kit, Chok, Amanda Kay-Lyn, Shen, Grace Shen, Teo, Andrea York Tiang, Panda, Aiswarya, Burla, Neha, Wong, Yu An, Chee, Ryan Choon Hoe, Loh, Caitlin Yuen Ling, Lee, Kun Woo, Tan, Gabrielle Hui Ning, Leong, Ryan Emmanuel Jian, Koh, Natalie Song Yi, Ong, Yun Ting, Chin, Annelissa Mien Chew, Chiam, Min, Lim, Crystal, Zhou, Xuelian Jamie, Ong, Simon Yew Kuang, Ong, Eng Koon, Krishna, Lalit Kumar Radha (2022-09). Systematic scoping review on moral distress among physicians. BMJ OPEN 12 (9). ScholarBank@NUS Repository. https://doi.org/10.1136/bmjopen-2022-064029 | Abstract: | Background Concepts of moral distress (MD) among physicians have evolved and extend beyond the notion of psychological distress caused by being in a situation in which one is constrained from acting on what one knows to be right. With many accounts involving complex personal, professional, legal, ethical and moral issues, we propose a review of current understanding of MD among physicians. Methods A systematic evidence-based approach guided systematic scoping review is proposed to map the current concepts of MD among physicians published in PubMed, Embase, PsycINFO, Web of Science, SCOPUS, ERIC and Google Scholar databases. Concurrent and independent thematic and direct content analysis (split approach) was conducted on included articles to enhance the reliability and transparency of the process. The themes and categories identified were combined using the jigsaw perspective to create domains that form the framework of the discussion that follows. Results A total of 30 156 abstracts were identified, 2473 full-text articles were reviewed and 128 articles were included. The five domains identified were as follows: (1) current concepts, (2) risk factors, (3) impact, (4) tools and (5) interventions. Conclusions Initial reviews suggest that MD involves conflicts within a physician's personal beliefs, values and principles (personal constructs) caused by personal, ethical, moral, contextual, professional and sociocultural factors. How these experiences are processed and reflected on and then integrated into the physician's personal constructs impacts their self-concepts of personhood and identity and can result in MD. The ring theory of personhood facilitates an appreciation of how new experiences create dissonance and resonance within personal constructs. These insights allow the forwarding of a new broader concept of MD and a personalised approach to assessing and treating MD. While further studies are required to test these findings, they offer a personalised means of supporting a physician's MD and preventing burn-out. | Source Title: | BMJ OPEN | URI: | https://scholarbank.nus.edu.sg/handle/10635/241803 | ISSN: | 2044-6055 | DOI: | 10.1136/bmjopen-2022-064029 |
Appears in Collections: | Staff Publications Elements |
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