ArticleCanadian journal of anaesthesia = Journal canadien d'anesthesie2020
Understanding burnout and moral distress to build resilience: a qualitative study of an interprofessional intensive care unit team.
Article in Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 55 citations in OpenAlex.
- Pooled it
- The resilience of emergency and critical care nurses: a qualitative systematic review and meta-synthesis.Frontiers in psychology · 2023Pooled it
- Trial
- Impact of a Dedicated Trauma Consult Service on Burnout Among Physicians and Nurses: A Longitudinal Survey.Cureus · 2026Article
- Moral distress among pediatric nurses: a cross-sectional study from Sichuan, China.Frontiers in pediatrics · 2026Article
- Clinicians' Perceptions About Institutional Factors in Moral Distress Related to Potentially Nonbeneficial Treatments.JAMA network open · 2025Article
- Exploring resilience in critical care nursing: a qualitative inquiry into continuous adaptation, collaborative unity, and emotional balance.BMC nursing · 2025Article
- Moral Distress and Emotional Exhaustion in Healthcare Professionals: A Systematic Review and Meta-Analysis.Healthcare (Basel, Switzerland) · 2025Review
- Preventing burnout from moral distress among prehospital emergency personnel through action research and targeted clinical ethics support.Scientific reports · 2024Article
- Multi-professional perspectives to reduce moral distress: A qualitative investigation.Nursing ethics · 2024Article
- Moral Distress and Moral Injury in Military Healthcare Clinicians: A Scoping Review.AJPM focus · 2024Article
- Canadian respiratory therapists who considered leaving their clinical position experienced elevated moral distress and adverse psychological and functional outcomes during the COVID-19 pandemic.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2023Article
- Psychometric testing of the Swedish version of the measure of moral distress for healthcare professionals (MMD-HP).BMC medical ethics · 2023Article
- Workplace health in anesthesia team: A qualitative study in Iran.Frontiers in public health · 2023Article
- When duty to care causes collective sorrow and shame: assessing and addressing moral distress in intensive care unit clinicians.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2022Article
- New approach to assessing and addressing moral distress in intensive care unit personnel: a case study.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2022Article
- Article
- Reflection, refraction, resilience: the transformative potential of art.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2022Article
- The Relationship between Resilience and Moral Distress among Iranian Critical Care Nurses: A Cross-sectional Correlational Study.Ethiopian journal of health sciences · 2022Article
- Factors contributing to moral distress among intensive care nurses: A scoping review.F1000Research · 2022Article
Corrections and comments
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Authors and funding
11 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveThe purpose of this study was to explore personal and organizational factors that contribute to burnout and moral distress in a Canadian academic intensive care unit (ICU) healthcare team. Both of these issues have a significant impact on healthcare providers, their families, and the quality of patient care. These themes will be used to design interventions to build team resilience.
methodsThis is a qualitative study using focus groups to elicit a better understanding of stakeholder perspectives on burnout and moral distress in the ICU team environment. Thematic analysis of transcripts from focus groups with registered intensive care nurses (RNs), respiratory therapists (RTs), and physicians (MDs) considered causes of burnout and moral distress, its impact, coping strategies, as well as suggestions to build resilience.
resultsSix focus groups, each with four to eight participants, were conducted. A total of 35 participants (six MDs, 21 RNs, and eight RTs) represented 43% of the MDs, 18.8% of the RNs, and 20.0% of the RTs. Themes were concordant between the professions and included: 1) organizational issues, 2) exposure to high-intensity situations, and 3) poor team experiences. Participants reported negative impacts on emotional and physical well-being, family dynamics, and patient care. Suggestions to build resilience were categorized into the three main themes: organizational issues, exposure to high intensity situations, and poor team experiences.
conclusionsIntensive care unit team members described their experiences with moral distress and burnout, and suggested ways to build resilience in the workplace. Experiences and suggestions were similar between the interdisciplinary teams.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.