Evidence map›Paper›PMID 41000295›Full record

ArticleO&G open2025

Residents Navigating Moral Distress After the

Abigail Cutler, Emily Claymore, Jema K Turk, Jody E Steinauer

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in O&G open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

4 authors.

Abigail CutlerDepartment of Obstetrics and Gynecology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin; and the Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, San Francisco, California.
Emily ClaymoreDepartment of Obstetrics and Gynecology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin; and the Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, San Francisco, California.
Jema K TurkDepartment of Obstetrics and Gynecology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin; and the Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, San Francisco, California.
Jody E SteinauerDepartment of Obstetrics and Gynecology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin; and the Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, San Francisco, California.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo identify and examine strategies used by obstetrics and gynecology residents in abortion-restricted states to mitigate moral distress.

methodsWe analyzed one-on-one, semi-structured interviews with 21 obstetrics and gynecology residents in abortion-restricted states to identify and examine strategies used to mitigate moral distress related to training in abortion-restricted environments.

resultsWe identified four themes that summarize the strategies that residents have used to mitigate moral distress experienced while training in abortion-restricted settings: maximizing clinical care, supplementing education, engaging in advocacy, and obtaining emotional support. Across all themes, participants described individual and institutional efforts that helped mitigate moral distress, as well as strengths and limitations of all strategies. Faculty and institutional leaders played a particularly pivotal role in mediating the effect of residents' moral distress.

conclusionStrategies used by obstetrics and gynecology residents to combat moral distress from training in abortion-restricted states have varying effectiveness. The role of faculty and institutional leadership appears especially important in mediating the effect of resident moral distress and the success of efforts to combat it.

Identifiers

PMID41000295
PMCPMC12456553

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.