Skip to main content

Table 2 Top 10 ranked items in the MMD-HP questionnaire by occupations

From: Translation and validation of the Japanese version of the measure of moral distress for healthcare professionals

Rank Physicians Nurses
Item Mean (SD) Item Mean (SD)
1 Follow the family’s insistence to continue aggressive treatment even though I believe it is not in the best interest of the patient 8.2 (4.6) Follow the family’s insistence to continue aggressive treatment even though I believe it is not in the best interest of the patient 7.7 (4.3)
2 Feel pressured to order or carry out orders for what I consider to be unnecessary or inappropriate tests and treatments 6.3 (4.5) Be required to care for more patients than I can safely care for 6.3 (5.3)
3 Be required to care for more patients than I can safely care for 6.3 (6.0) Participate in care that causes unnecessary suffering or does not adequately relieve pain or symptoms 5.0 (4.4)
4 Witness low quality of patient care due to poor team communication 5.7 (4.4) Feel pressured to order or carry out orders for what I consider to be unnecessary or inappropriate tests and treatments 4.9 (4.1)
5 Be required to care for patients who have unclear or inconsistent treatment plans or who lack goals of care 5.4 (4.7) Be required to care for patients who have unclear or inconsistent treatment plans or who lack goals of care 4.9 (4.5)
6 Have excessive documentation requirements that compromise patient care 5.3 (5.2) Witness low quality of patient care due to poor team communication 4.8 (4.7)
7 Watch patient care suffer because of a lack of provider continuity 5.3 (4.8) Be required to work with abusive patients/family members who are compromising quality of care 4.5 (4.8)
8 Be required to work with other healthcare team members who are not as competent as patient care requires 5.1 (4.8) Be required to work with other healthcare team members who are not as competent as patient care requires 4.5 (4.7)
9 Be required to work with abusive patients/family members who are compromising quality of care 5.0 (5.0) Have excessive documentation requirements that compromise patient care 4.4 (5.0)
10 Witness healthcare providers giving “false hope” to a patient or family 4.9 (4.6) Continue to provide aggressive treatment for a person who is most likely to die regardless of this treatment when no one will make a decision to withdraw it 4.4 (4.3)