{"id":"W4294898366","doi":"10.1097/jhm-d-21-00263","title":"Mitigating Moral Distress in Leaders of Healthcare Organizations: A Scoping Review","year":2022,"lang":"en","type":"review","venue":"Journal of Healthcare Management","topic":"Ethics in medical practice","field":"Health Professions","cited_by":18,"is_retracted":false,"has_abstract":true,"ca_institutions":"University of Victoria; University of Toronto","funders":"","keywords":"Conceptualization; Distress; Psychology; Moral disengagement; Social psychology; Health care; Psychotherapist; Political science","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":false,"about_ca":false,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"codex-gemma-dda1882f352a","candidate_categories":["metaresearch","metaepi_narrow","research_integrity","insufficient_payload"],"consensus_categories":[],"category_scores_codex":[0.01741907,0.0004829694,0.003727697,0.0008440084,0.000864562,0.00001130623,0.001150547,0.0004946831,0.0009265269],"category_scores_gemma":[0.01044462,0.0004231841,0.0004285833,0.00251733,0.0002149687,0.0002335093,0.0007788406,0.01231279,0.00002527964],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.002224349,"about_ca_system_score_gemma":0.004224407,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.0008162908,"about_ca_topic_score_gemma":0.0007571711,"domain_scores_codex":[0.9749781,0.01480559,0.006904457,0.0004912543,0.001988391,0.0008321828],"domain_scores_gemma":[0.9822855,0.006638657,0.00899345,0.0008056709,0.0008707318,0.0004059866],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"systematic_review","study_design_gemma":"systematic_review","study_design_scores_codex":[0.000008386311,0.00007628946,0.0001058592,0.7131901,0.0001171475,0.0002135906,0.001014416,0.000002465345,3.099398e-9,0.004255046,0.00173646,0.2792802],"study_design_scores_gemma":[0.0003072892,0.0001186076,0.000005197365,0.6283413,0.0004452225,0.00004127775,0.009315697,0.000001133646,7.270784e-9,0.0004100378,0.3608256,0.0001885808],"study_design_candidate":"systematic_review","study_design_consensus":"systematic_review","genre_codex":"review","genre_gemma":"review","genre_scores_codex":[0.000001124156,0.9570904,0.00008558504,0.03463442,0.001896837,0.005149689,0.00005312043,0.00002413604,0.001064717],"genre_scores_gemma":[0.00002920892,0.9906278,0.001986261,0.006270861,0.0003829654,0.0003320267,0.0001118259,0.000120564,0.0001385105],"genre_candidate":"review","genre_consensus":"review","teacher_disagreement_score":0.3590892,"threshold_uncertainty_score":0.9999868,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.3163622576722993,"score_gpt":0.5854024024272515,"score_spread":0.2690401447549522,"validation_status":"score_only:v0-immature-baseline","note":"Baseline scores from an immature model (maturity gate not passed). Scores rank; they never assert a category."}}