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Redmann Provider moral distress in caring for tracheostomy and ventilator dependent children: A cross-sectional evaluation.
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  • Andrew Redmann J,
  • Catherine Hart,
  • Matthew Smith,
  • Carrie Martin,
  • Adrienne Borschuk,
  • DonnaMaria Cortezzo E,
  • Dan Benscoter
Andrew Redmann J
Children's Minnesota

Corresponding Author:[email protected]

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Catherine Hart
Cincinnati Children's Hospital Medical Center
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Matthew Smith
Cincinnati Children's Hospital Medical Center
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Carrie Martin
Cincinnati Children's Hospital Medical Center
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Adrienne Borschuk
Cincinnati Children's Hospital Medical Center
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DonnaMaria Cortezzo E
Cincinnati Children's Hospital Medical Center
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Dan Benscoter
Cincinnati Children's Hospital Medical Center
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Abstract

Objective: To determine levels of moral distress in a pediatric unit caring for patients with tracheostomy/ventilator dependence. Hypothesis: Moral distress will be significant in a dedicated pediatric trach/vent unit. Methods: The Moral Distress Survey-Revised (MDS-R) is a 21-question survey measuring moral distress in pediatrics. The MDS-R was anonymously distributed to MD/DOs, advanced practice practitioners (APPs), RNs and RTs in a unit caring for tracheostomy/ventilator dependent patients. Descriptive statistics, bivariate and multivariate analysis were performed. Results: Response rate was 48% (61/127). Mean MDS-R score was 83 (range 43-119), which is comparable to reported levels in the pediatric intensive care unit. APPs had the highest median rate of moral distress (112, IQR 72-138), while MD/DOs had the lowest median score (49, IQR 43-77). RNs and RTs had MDS-R scores between these two groups (Medians of 91 and 84 respectively). Conclusions: Moral distress levels in a unit caring for long term tracheostomy and ventilator dependent patients are high, comparable to levels in pediatric ICUs. APPs had higher levels of distress compared to other groups. This may be attributable to the constant stressors of being the primary provider for complex patients, especially in a high-volume inpatient setting.
02 Feb 2023Submitted to Pediatric Pulmonology
02 Feb 2023Submission Checks Completed
02 Feb 2023Assigned to Editor
02 Feb 2023Review(s) Completed, Editorial Evaluation Pending
21 Feb 2023Reviewer(s) Assigned
03 Apr 2023Editorial Decision: Revise Major
14 Jun 20231st Revision Received
29 Jun 2023Submission Checks Completed
29 Jun 2023Assigned to Editor
29 Jun 2023Review(s) Completed, Editorial Evaluation Pending
29 Jun 2023Reviewer(s) Assigned
29 Jul 2023Editorial Decision: Revise Minor
03 Aug 20232nd Revision Received
04 Aug 2023Assigned to Editor
04 Aug 2023Submission Checks Completed
04 Aug 2023Review(s) Completed, Editorial Evaluation Pending
04 Aug 2023Reviewer(s) Assigned
17 Sep 2023Editorial Decision: Revise Minor
06 Oct 20233rd Revision Received
06 Nov 2023Review(s) Completed, Editorial Evaluation Pending
19 Nov 2023Editorial Decision: Revise Minor