Clinicians’ Perceptions About Institutional Factors in Moral Distress Related to Potentially Nonbeneficial Treatments
In this qualitative study, clinicians perceived that institutional factors affected their experiences of moral distress related to potentially nonbeneficial LST by exacerbating, preventing, or mitigating the influence of 3 societal factors: defaults of high-intensity treatments, health care consumerism, and medical hierarchies. These results have implications for developing tailored institutional-level interventions to address societal and institutional contributors to moral distress from potentially nonbeneficial LST.
Authors
- Jason Neil Batten (ORCID: https://orcid.org/0000-0002-8891-3693)
- Julia K. Axelrod (ORCID: https://orcid.org/0000-0003-0415-3293)
- Teva D. Brender (ORCID: https://orcid.org/0000-0002-2831-3039)
- Elizabeth Dzeng (ORCID: https://orcid.org/0000-0001-5235-8053)
- Sofía Weiss Goitiandía (ORCID: https://orcid.org/0000-0001-6538-0786)
Institutions
- University of California, Los Angeles (US)
- University of California, San Francisco (US)
- King's College London (GB)
- Cicely Saunders International (GB)
Publication Details
- Journal
- JAMA Network Open
- Published
- 2025-06-16
- DOI
- https://doi.org/10.1001/jamanetworkopen.2025.16089
- Citations
- 5
- Primary Topic
- Ethics in medical practice
- Type
- article
- Field-Weighted Citation Impact
- 14.08
Funders
- California Department of Public Health
- National Institute of Nursing Research