{"id":"W4323309453","doi":"10.1097/cce.0000000000000879","title":"Moral Orientation, Moral Decision-Making, and Moral Distress Among Critical Care Physicians: A Qualitative Study","year":2023,"lang":"en","type":"article","venue":"Critical Care Explorations","topic":"Ethics in medical practice","field":"Health Professions","cited_by":13,"is_retracted":false,"has_abstract":true,"ca_institutions":"University of British Columbia; Toronto Western Hospital; Ottawa Hospital; Centre for Advancing Health Outcomes; St. Michael's Hospital; McGill University; Health Sciences Centre; University of Toronto; Sunnybrook Health Science Centre","funders":"","keywords":"Psychology; Cognitive dissonance; Moral disengagement; Social psychology; Psychological intervention; Thematic analysis; Moral agency; Distress; Moral courage; Social cognitive theory of morality; Moral reasoning; Qualitative research; Clinical psychology; Psychiatry; Sociology","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":false,"about_ca":true,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"codex-gemma-dda1882f352a","candidate_categories":["metaresearch","metaepi_narrow","sts","research_integrity"],"consensus_categories":[],"category_scores_codex":[0.001822829,0.0003761961,0.0005454525,0.0002520047,0.004087071,0.0001722947,0.0003677089,0.000411741,0.0003434115],"category_scores_gemma":[0.0801045,0.0003719923,0.0001150874,0.001174613,0.001840428,0.001482546,0.0004825369,0.003322735,0.0005710651],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0002911135,"about_ca_system_score_gemma":0.0003786144,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.0001727638,"about_ca_topic_score_gemma":0.001331567,"domain_scores_codex":[0.9904565,0.00520639,0.001054976,0.0009401824,0.001388211,0.0009537032],"domain_scores_gemma":[0.9589206,0.03693212,0.0001276571,0.0006911345,0.002860273,0.0004682027],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"qualitative","study_design_gemma":"qualitative","study_design_scores_codex":[0.00008724132,0.0002875853,0.02562666,0.0006468715,0.00002878142,0.0001650705,0.6313536,0.00002213426,0.000004672766,0.3338351,0.005910676,0.002031619],"study_design_scores_gemma":[0.000668421,0.000328771,0.01678526,0.0005285334,0.0001862088,9.561812e-7,0.8380468,0.0004407968,0.000002436479,0.1424956,0.0001718881,0.000344292],"study_design_candidate":"qualitative","study_design_consensus":"qualitative","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9191653,0.001053177,0.02665985,0.02419373,0.006705144,0.004052484,0.001651224,0.001472319,0.01504678],"genre_scores_gemma":[0.9932652,0.00001646526,0.002695693,0.001194798,0.0007768543,0.001468835,0.000408753,0.00008299205,0.00009045144],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.2066932,"threshold_uncertainty_score":0.9998732,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.2110628598656836,"score_gpt":0.5886634318673514,"score_spread":0.3776005720016678,"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."}}