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Table 3 Questions of Moral Distress Scale-Revised associated with burnout applied in the all professionals (ICU + SDU)

From: Moral distress and its contribution to the development of burnout syndrome among critical care providers

Moral distress questions No burnout Median [IRa] Severe burnout Median [IR] p*
Provide less than optimal care due to pressures from administrators or insurers to reduce costs 0 [0–2] 1 [0–6] 0.009
Initiate extensive lifesaving actions when I think they only prolong death 6 [2–9] 7 [4–16] 0.005
Follow the family’s request not to discuss death with a dying patient who asks about dying 4 [1–9] 8 [4–12] 0.005
Continue to participate in care for a hopelessly ill person who is being sustained on a ventilator, when no one will make a decision to withdraw support 8 [4–12] 12 [7–16] 0.006
Avoid taking action when I learn that a physician or nurse colleague has made a medical error and does not report it 1 [0–4] 2 [1–4] 0.017
Assist a physician who, in my opinion, is providing incompetent care 4 [1–8] 4 [2–9] 0.013
Be required to care for patients I do not feel qualified to care for 0 [0–2] 1 [0–4] 0.041
Provide care that does not relieve the patient’s suffering because the physician fears that increasing the dose of pain medication will cause death 2 [0–8] 6 [2–12] <0.001
Follow the family’s wishes for the patient’s care when I do not agree with them, but do so because of fears of a lawsuit 2 [0–6] 7 [1.5–12] <0.001
Work with nurses or other healthcare providers who are not as competent as the patient care requires 4 [2–9] 6 [3–12] 0.035
Witness diminished patient care quality due to poor team communication 4 [2–9] 9 [3–16] 0.004
  1. * Wilcoxon rank-sum test
  2. aInterquartile range