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Moral Distress Amongst American Physician Trainees Regarding Futile Treatments at the End of Life: A Qualitative Study

Overview of attention for article published in JGIM: Journal of General Internal Medicine, September 2015
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About this Attention Score

  • In the top 5% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (96th percentile)
  • High Attention Score compared to outputs of the same age and source (90th percentile)

Mentioned by

news
1 news outlet
blogs
2 blogs
twitter
52 tweeters
facebook
2 Facebook pages

Citations

dimensions_citation
40 Dimensions

Readers on

mendeley
93 Mendeley
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Title
Moral Distress Amongst American Physician Trainees Regarding Futile Treatments at the End of Life: A Qualitative Study
Published in
JGIM: Journal of General Internal Medicine, September 2015
DOI 10.1007/s11606-015-3505-1
Pubmed ID
Authors

Elizabeth Dzeng, Alessandra Colaianni, Martin Roland, David Levine, Michael P. Kelly, Stephen Barclay, Thomas J. Smith

Abstract

Ethical challenges are common in end of life care; the uncertainty of prognosis and the ethically permissible boundaries of treatment create confusion and conflict about the balance between benefits and burdens experienced by patients. We asked physician trainees in internal medicine how they reacted and responded to ethical challenges arising in the context of perceived futile treatments at the end of life and how these challenges contribute to moral distress. Semi-structured in-depth qualitative interviews. Twenty-two internal medicine residents and fellows across three American academic medical centers. This study uses systematic qualitative methods of data gathering, analysis and interpretation. Physician trainees experienced significant moral distress when they felt obligated to provide treatments at or near the end of life that they believed to be futile. Some trainees developed detached and dehumanizing attitudes towards patients as a coping mechanism, which may contribute to a loss of empathy. Successful coping strategies included formal and informal conversations with colleagues and superiors about the emotional and ethical challenges of providing care at the end of life. Moral distress amongst physician trainees may occur when they feel obligated to provide treatments at the end of life that they believe to be futile or harmful.

Twitter Demographics

The data shown below were collected from the profiles of 52 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 93 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United States 1 1%
Unknown 92 99%

Demographic breakdown

Readers by professional status Count As %
Student > Master 17 18%
Researcher 15 16%
Student > Doctoral Student 10 11%
Professor 9 10%
Other 9 10%
Other 33 35%
Readers by discipline Count As %
Medicine and Dentistry 38 41%
Nursing and Health Professions 17 18%
Unspecified 13 14%
Social Sciences 12 13%
Psychology 10 11%
Other 3 3%

Attention Score in Context

This research output has an Altmetric Attention Score of 52. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 08 April 2017.
All research outputs
#302,577
of 12,827,217 outputs
Outputs from JGIM: Journal of General Internal Medicine
#247
of 4,494 outputs
Outputs of similar age
#8,996
of 246,041 outputs
Outputs of similar age from JGIM: Journal of General Internal Medicine
#10
of 104 outputs
Altmetric has tracked 12,827,217 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 97th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 4,494 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 14.7. This one has done particularly well, scoring higher than 94% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 246,041 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 96% of its contemporaries.
We're also able to compare this research output to 104 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 90% of its contemporaries.