Bibliographic record
Abstract
Moral distress is a major concern among healthcare professionals (HCPs). In the Intensive Care Unit (ICU), moral distress can result from: 1) disagreements within the ICU team regarding life-sustaining treatments; 2) critical illnesses that result in tragic choices regarding treatment planning; 3) circumstances that require rapid decisions and actions without adequate consideration of all morally meaningful concerns; 4) tensions with administrators; and 5) legal standards that define the decisional authority that should be held by patients and families or which forms of end-of-life care are permissible. An impressive body of research literature has highlighted the prevalence of moral distress among HCPs (including ICU HCPs), health impacts of moral distress, as well as personal and contextual factors that are strong predictors of moral distress. However, there is a paucity of knowledge on effective ways to address moral distress. Yet, action is needed because many ICU HCPs are experiencing significant moral distress. This article outlines strategies that could be used to help diminish moral distress, drawing on the available literature. These strategies include: 1) Listen attentively to your colleagues' moral distress; 2) shift the focus from moral distress to moral agency; 3) promote ethically-attuned discussion and education (drawing on discussion models that can help reconcile diverse ethical viewpoints or disagreements); and 4) provide personal supports for HCPs. Research is urgently needed to further examine which strategies are most effective for addressing moral distress in ICU settings as well as other clinical contexts.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Direct model labels (unvalidated)
Per-model category and study-design labels from the labeling rounds. They are machine output, unvalidated, and the disagreement between models ships as data. No study design here is MEDLINE-validated yet.
| Model arm | Categories | Study design | Confidence |
|---|---|---|---|
| gemma | no category Domain: not available · Genre: Commentary About the Canadian research system: no · About a Canadian topic: no | Not applicable | low |
| gpt | no category Domain: not available · Genre: Editorial About the Canadian research system: no · About a Canadian topic: no | Not applicable | low |
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.006 | 0.048 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.001 | 0.000 |
| Research integrity | 0.001 | 0.004 |
| Insufficient payload (model declined to judge) | 0.003 | 0.008 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedLabeled directly by 2 models reading the full record.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".