The Role of Moral Distress on Physician Burnout during COVID-19
Abstract
:1. Introduction
2. Materials and Methods
2.1. Power Analysis
2.2. Participants
2.3. Procedure
2.4. Statistical Methods
3. Results
3.1. Demographics
3.2. Descriptive Statistics
3.3. Correlations
3.4. T-Tests
3.5. Mediations
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Scale | Mean ± SD |
---|---|
OBI (burnout) | 4.14 ± 0.57 |
Perceived Organizational Support | 2.90 ± 0.97 |
Moral Distress | 3.86 ± 0.57 |
Workplace Motivation | 1.88 ± 0.44 |
Surface Emotional Labor | 2.86 ± 1.02 |
Deep Emotional Labor | 3.52 ± 0.68 |
Natural Emotional Labor | 3.53 ± 0.80 |
Problem-Based Coping | 3.52 ± 0.61 |
Emotion-Based Coping | 3.32 ± 0.43 |
1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | |
---|---|---|---|---|---|---|---|---|---|---|
1. POS | 1 | −0.193 ** | −0.245 ** | 0.235 ** | 0.240 ** | 0.226 ** | −0.065 | 0.018 | −0.456 ** | −0.025 |
2. MD | 1 | 0.191 ** | −0.167 ** | −0.226 ** | −0.027 | 0.063 | −0.056 | 0.187 ** | 0.163 ** | |
3. SEL | 1 | −0.305 ** | −0.725 ** | −0.083 | 0.117 * | −0.064 | 0.472 ** | 0.059 | ||
4. DEL | 1 | 0.395 ** | 0.257 ** | 0.097 | −0.107 * | −0.266 ** | 0.094 | |||
5. NEL | 1 | 0.123 * | −0.047 | 0.035 | −0.399 ** | 0.003 | ||||
6. PBC | 1 | 0.515 ** | 0.024 | −0.140 * | 0.281 ** | |||||
7. EBC | 1 | 0.185 ** | 0.139 * | 0.321 ** | ||||||
8. Years | 1 | −0.009 | −0.046 | |||||||
9. OBI | 1 | −0.041 | ||||||||
10. WM | 1 |
Groups | Group 1 M ± SD | Group 2 M ± SD | T | Df | p | d |
---|---|---|---|---|---|---|
EM vs. Non-EM * | 4.18 ± 0.59 | 3.97 ± 0.52 | 2.65 | 315 | 0.009 ** | 0.366 |
Male vs. Female | 4.14 ± 0.58 | 4.14 ± 0.57 | −0.01 | 355 | 0.989 | −0.002 |
COVID-19 vs. No COVID-19 | 4.15 ± 0.57 | 4.14 ± 0.57 | 0.07 | 355 | 0.947 | 0.011 |
Family COVID-19 vs. No COVID-19 | 4.12 ± 0.58 | 4.15 ± 0.57 | −0.41 | 356 | 0.684 | −0.044 |
IV | Mediator | DV | Point Estimate | SE | LLCI | ULCI |
---|---|---|---|---|---|---|
Gender | Moral distress | burnout | 0.001 | 0.012 | −0.023 | 0.026 |
Gender | Surface EL | burnout | −0.017 | 0.068 | −0.154 | 0.115 |
Gender | Deep EL | burnout | 0.007 | 0.026 | −0.045 | 0.062 |
Gender | Natural EL | burnout | 0.012 | 0.045 | −0.077 | 0.101 |
Years practiced | Problem-focused coping | burnout | <0.001 | 0.001 | −0.001 | 0.002 |
Years practiced | Moral distress | burnout | <0.001 | 0.001 | −0.001 | 0.001 |
EM | Moral distress | burnout | −0.024 | 0.013 | −0.053 | −0.032 |
POS | Moral distress | burnout | −0.028 | 0.012 | −0.052 | −0.003 |
Deep EL | Moral distress | burnout | −0.028 | 0.011 | −0.053 | −0.009 * |
Natural EL | Moral distress | burnout | −0.028 | 0.012 | −0.053 | −0.005 * |
Surface EL | Moral distress | burnout | 0.028 | 0.012 | 0.006 | 0.053 * |
Problem-focused coping | Moral distress | burnout | −0.018 | 0.010 | −0.039 | −0.001 * |
Emotion-focused coping | Moral distress | burnout | 0.027 | 0.014 | 0.005 | 0.058 * |
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Powell, C.A.J.; Butler, J.P. The Role of Moral Distress on Physician Burnout during COVID-19. Int. J. Environ. Res. Public Health 2022, 19, 6066. https://doi.org/10.3390/ijerph19106066
Powell CAJ, Butler JP. The Role of Moral Distress on Physician Burnout during COVID-19. International Journal of Environmental Research and Public Health. 2022; 19(10):6066. https://doi.org/10.3390/ijerph19106066
Chicago/Turabian StylePowell, Caitlin A. J., and John P. Butler. 2022. "The Role of Moral Distress on Physician Burnout during COVID-19" International Journal of Environmental Research and Public Health 19, no. 10: 6066. https://doi.org/10.3390/ijerph19106066