Evidence map›Paper›PMID 39749366›Full record

ArticleEthics & human research

Investigating Moral Distress in Clinical Research Professionals-A Deep Dive into Troubled Waters.

Elena Bosack, Dawn Bourne, Elizabeth Epstein, Mary Faith Marshall, Donna T Chen

Abstract read
In one paragraph

Article in Ethics & human research. 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.

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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

5 authors.

Elena BosackMedical student at the University of Miami Miller School of Medicine.
Dawn BourneAssistant professor at the University of Virginia School of Nursing and a clinical ethics consultant at the Center for Health Humanities and Ethics at the University of Virginia School of Medicine.
Elizabeth EpsteinProfessor of ethics and pharmacology at the University of Virginia School of Nursing and is on the core faculty at the University of Virginia Center for Health Humanities and Ethics.
Mary Faith MarshallProfessor of public health sciences and a director of the Center for Health Humanities and Ethics at the University of Virginia School of Medicine.
Donna T ChenProfessor of health humanities and ethics, psychiatry, and public health sciences at the Center for Health Humanities and Ethics at the University of Virginia School of Medicine.

Funding

The integrated Translational Health Research Institute of Virginia (iTHRIV): Using Data to Improve HealthUL1TR003015 · NCATS · UNIVERSITY OF VIRGINIA · PI BROWN, DONALD E, JOHNSTON, KAREN C. · 2019 to 2023
$20.3M
Ingrassia Family Echols Scholars ResearchNational Center For Advancing Translational Sciences of the National Institutes of Health UL1TR003015NCATS NIH HHS UL1 TR003015
6 · The paper itself

Abstract

Moral distress occurs when professionals are constrained from taking what they believe to be ethically appropriate actions or are forced to take actions they believe are ethically inappropriate, challenging their professional identities and representing systems-level issues within organizations. Moral distress has been recognized in a variety of health care-related fields; however, the phenomenon is still comparatively unexplored among clinical research professionals (CRPs). In this qualitative study, we interviewed ten CRPs to unearth root causes of moral distress in this ethically unique profession. Four themes emerged from the data as contributors to moral distress: commodification of research; concern for research participants; compromised science; and structures of hierarchy. The experience of racism as a source of moral distress is also explored. The findings of this study indicate that the existence of moral distress in clinical research is troubling not only for the welfare of CRPs but also for the greater clinical research enterprise.

Indexed as

MoralsQualitative ResearchResearch PersonnelAdultBiomedical ResearchEthics, ResearchFemaleHumansMaleMiddle AgedPsychological DistressRacismStress, Psychologicalclinical research professionals (CRPs)hierarchyhuman subjects research, moral distressracismresearch ethicsresearch integrity

Identifiers

PMID39749366
PMCPMC11696204

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Registered trials

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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.