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HEC Forum

, Volume 28, Issue 1, pp 53–67 | Cite as

Organizational Influences on Health Professionals’ Experiences of Moral Distress in PICUs

  • Sarah Wall
  • Wendy J. Austin
  • Daniel Garros
Article

This article reports the findings of a qualitative study (secondary analysis) that explored the organizational influences on moral distress for health professionals working in pediatric intensive care units (PICUs) across Canada. Participants were recruited to the study from PICUs across Canada. The PICU is a high-tech, fast-paced, high-pressure environment where caregivers frequently face conflict and ethical tension in the care of critically ill children. A number of themes including relationships with management, organizational structure and processes, workload and resources, and team dynamics were identified. This study provides a rare and important multi-disciplinary perspective on this topic and the findings have implications for administrators and leaders who seek to improve the moral climate of healthcare delivery.

Keywords

Organizational ethics Ethical climate Leadership Healthcare team 

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Copyright information

© Springer Science+Business Media Dordrecht 2015

Authors and Affiliations

  1. 1.Faculty of Nursing and John Dossetor Health Ethics CentreUniversity of AlbertaEdmontonCanada
  2. 2.Faculty of Medicine and John Dossetor Health Ethics CentreEdmontonCanada
  3. 3.Pediatric Intensive Care UnitStollery Children’s HospitalEdmontonCanada

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