{"id":"W4388819044","doi":"10.24095/hpcdp.43.10/11.04","title":"Canadian respiratory therapists who considered leaving their clinical position experienced elevated moral distress and adverse psychological and functional outcomes during the COVID-19 pandemic","year":2023,"lang":"en","type":"article","venue":"Health Promotion and Chronic Disease Prevention in Canada","topic":"Ethics in medical practice","field":"Health Professions","cited_by":6,"is_retracted":false,"has_abstract":true,"ca_institutions":"Lawson Health Research Institute; Western University; Veterans Affairs Canada; Royal Ottawa Mental Health Centre; University of Ottawa; St. Joseph’s Healthcare Hamilton; Homewood Research Institute; University of Toronto; McMaster University","funders":"McMaster University; U.S. Department of Veterans Affairs","keywords":"Anxiety; Distress; Depression (economics); Psychology; Adverse effect; Moral injury; Clinical psychology; Odds; Psychiatry; Psychological resilience; Medicine; Logistic regression; Psychotherapist; Internal medicine","routes":{"ca_aff":true,"ca_fund":true,"ca_venue":true,"about_ca":true,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.001388928,0.0002928852,0.0003187973,0.0006156118,0.004381702,0.001641263,0.001028791,0.0007194812,0.005253274],"category_scores_gemma":[0.006250867,0.0002407656,0.0005770744,0.001160552,0.001071933,0.0005292262,0.001525609,0.001389967,0.0003308494],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.01783748,"about_ca_system_score_gemma":0.03077113,"about_ca_topic_candidate":true,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.9201317,"about_ca_topic_score_gemma":0.9618425,"domain_scores_codex":[0.9982412,0.0002036536,0.0001002678,0.0001266827,0.000570045,0.0007582128],"domain_scores_gemma":[0.9961564,0.0002489563,0.001317212,0.00008112421,0.0009929565,0.001203409],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.0001072877,0.00008166273,0.9692199,0.0002213808,0.00005443502,0.000426968,0.01001185,0.0001954074,0.0004834639,0.0001098605,0.004502984,0.01458484],"study_design_scores_gemma":[0.000008300769,0.00006224615,0.9756435,0.0001959339,0.00002370546,0.0001999869,0.02157035,0.000121973,0.0000633294,0.00003317959,0.002056438,0.00002116563],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9918646,0.0006939906,0.00009282918,0.001831636,0.00005818028,0.00008265631,0.000732846,0.00001172643,0.004631533],"genre_scores_gemma":[0.9979908,0.0006005936,0.0001272198,0.0003113064,0.00001373487,0.00002512994,0.0003121228,0.000002663337,0.0006164368],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.9201317,"threshold_uncertainty_score":0.1606773,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.2437552780732669,"score_gpt":0.5144652074308989,"score_spread":0.270709929357632,"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."}}