A systematic scoping review moral distress amongst medical students.



Ong, Rui Song Ryan, Wong, Ruth Si Man, Chee, Ryan Choon Hoe, Quek, Chrystie Wan Ning, Burla, Neha, Loh, Caitlin Yuen Ling, Wong, Yu An, Chok, Amanda Kay-Lyn, Teo, Andrea York Tiang, Panda, Aiswarya
et al (show 5 more authors) (2022) A systematic scoping review moral distress amongst medical students. BMC medical education, 22 (1). 466-.

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Abstract

<h4>Background</h4>Characterised by feelings of helplessness in the face of clinical, organization and societal demands, medical students are especially prone to moral distress (MD). Despite risks of disillusionment and burnout, efforts to support them have been limited by a dearth of data and understanding of MD in medical students. Yet, new data on how healthcare professionals confront difficult care situations suggest that MD could be better understood through the lens of the Ring Theory of Personhood (RToP). A systematic scoping review (SSR) guided by the RToP is proposed to evaluate the present understanding of MD amongst medical students.<h4>Methods</h4>The Systematic Evidence-Based Approach (SEBA) is adopted to map prevailing accounts of MD in medical students. To enhance the transparency and reproducibility, the SEBA methodology employs a structured search approach, concurrent and independent thematic analysis and directed content analysis (Split Approach), the Jigsaw Perspective that combines complementary themes and categories, and the Funnelling Process that compares the results of the Jigsaw Perspective with tabulated summaries to ensure the accountability of these findings. The domains created guide the discussion.<h4>Results</h4>Two thousand six hundred seventy-one abstracts were identified from eight databases, 316 articles were reviewed, and 20 articles were included. The four domains identified include definitions, sources, recognition and, interventions for MD.<h4>Conclusions</h4>MD in medical students may be explained as conflicts between the values, duties, and principles contained within the different aspects of their identity. These conflicts which are characterised as disharmony (within) and dyssynchrony (between) the rings of RToP underline the need for personalised and longitudinal evaluations and support of medical students throughout their training. This longitudinal oversight and support should be supported by the host organization that must also ensure access to trained faculty, a nurturing and safe environment for medical students to facilitate speak-up culture, anonymous reporting, feedback opportunities and supplementing positive role modelling and mentoring within the training program.

Item Type: Article
Uncontrolled Keywords: Humans, Reproducibility of Results, Mentors, Students, Medical, Personhood, Mentoring
Divisions: Faculty of Health and Life Sciences
Depositing User: Symplectic Admin
Date Deposited: 08 Jul 2022 14:25
Last Modified: 18 Jan 2023 20:56
DOI: 10.1186/s12909-022-03515-3
Open Access URL: https://doi.org/10.1186/s12909-022-03515-3
Related URLs:
URI: https://livrepository.liverpool.ac.uk/id/eprint/3158036