Evidence map›Paper›PMID 35409562›Full record

ArticleInternational journal of environmental research and public health2022

Moral Distress in Healthcare Providers Who Take Care of Critical Pediatric Patients throughout Italy-Cultural Adaptation and Validation of the Italian Pediatric Instrument.

Chiara Grasso, Davide Massidda, Karolina Zaneta Maslak, Cinzia Favara-Scacco, Francesco Antonio Grasso, Carmela Bencivenga, Valerio Confalone, Elisabetta Lampugnani, Andrea Moscatelli, Marta Somaini and 4 more

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Critical Care Providers' Moral Distress: Frequency, Burden, and Potential Resources.International journal of environmental research and public health · 2022
    Article
  5. Moral Distress among Frontline Physicians and Nurses in the Early Phase of COVID-19 Pandemic in Italy.International journal of environmental research and public health · 2022
    Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Chiara GrassoDepartment of Anesthesia and Intensive Care, A.O.U. "Policlinico-San Marco", University of Catania, 95123 Catania, Italy.ORCID 0000-0002-2915-0366
Davide MassiddaKode, 56122 Pisa, Italy.ORCID 0000-0003-3854-9579
Karolina Zaneta MaslakA.O.U. "Policlinico-San Marco" Psychotherapy, 95123 Catania, Italy.ORCID 0000-0001-9112-7661
Cinzia Favara-ScaccoA.O.U. "Policlinico-San Marco" Psychotherapy & LAD ONLUS, 95123 Catania, Italy.
Francesco Antonio GrassoDepartment of Pediatric Anesthesia, Sidra Medicine, Doha P.O. Box 26999, Qatar.
Carmela BencivengaPediatric Intensive Care Unit-A.O.R.N. Santobono-Pausilipon, 80129 Napoli, Italy.
Valerio ConfalonePediatric Intensive Care Unit-Pediatric Emergency Department, Bambino Gesù Children's Hospital, Institute for Research and Health Care (IRCCS), 00165 Rome, Italy.
Elisabetta LampugnaniNeonatal and Pediatric Intensive Care Unit, Department of Critical Care and Perinatal Medicine, IRCCS Istituto Giannina Gaslini, 16147 Genova, Italy.ORCID 0000-0003-4150-3977
Andrea MoscatelliNeonatal and Pediatric Intensive Care Unit, Department of Critical Care and Perinatal Medicine, IRCCS Istituto Giannina Gaslini, 16147 Genova, Italy.
Marta SomainiDepartment of Anesthesia and Intensive Care Medicine, ASST GOM Niguarda Ca' Granda, University of Milano Bicocca, 20162 Milano, Italy.
Simonetta TesoroSection of Anesthesia, Analgesia, and Intensive Care, Department of Surgical and Biomedical Sciences, University of Perugia, 06129 Perugia, Italy.
Giulia LamianiDepartment of Health Sciences, University of Milan, 20133 Milano, Italy.ORCID 0000-0002-1943-3282
Marinella AstutoDepartment of Anesthesia and Intensive Care, A.O.U. "Policlinico-San Marco", University of Catania, 95123 Catania, Italy.ORCID 0000-0002-9365-1309
On Behalf Of The MoDiPerSaPerCI Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough Moral Distress (MD) is a matter of concern within the Pediatric Intensive Care Unit (PICU), there is no validated Italian instrument for measuring the phenomenon in nurses and physicians who care for pediatric patients in Intensive Care. The authors of the Italian Moral Distress Scale-Revised (Italian MDS-R), validated for the adult setting, in 2017, invited further research to evaluate the generalizability of the scale to clinicians working in other fields. Our study aims to reduce this knowledge gap by developing and validating the pediatric version of the Italian MDS-R.

methodsWe evaluated the new instrument for construct validity, then we administered it in a multicenter, web-based survey that involved healthcare providers of three PICUs and three adult ICUs admitting children in northern, central, and southern Italy. Finally, we tested it for internal consistency, confirmatory factorial validity, convergent validity, and differences between groups analysis.

resultsThe 14-item, three-factor model best fit the data. The scale showed good reliability (a = 0.87). Still, it did not correlate with the Emotional Exhaustion and Depersonalization sub-scales of the Maslach Burnout Inventory (MBI) or with the 2-item Connor-Davidson Resilience Scale (CD-RISC 2) or the Satisfaction with Life Scale (SWLS). A mild correlation was found between the

conclusionsThe

Indexed as

Burnout, ProfessionalCOVID-19PhysiciansAdultChildFemaleHumansReproducibility of ResultsSurveys and Questionnairescultural adaptationItalian Pediatric Intensive Caremoral distressoccupational well-beingScale Validation

Identifiers

PMID35409562
PMCPMC8997869

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.