Table 2: Hypothesis 1 – Moral Construct and Related Survey Question
Hypothesis 1 Moral Construct Related Question
Those who state that they have experienced distress resulting from blame for a negative outcome will also report that they:
Have you ever had physical or emotional distress related to being blamed by a patient outcome?
Took action according to professional and personal values, morals, and ethical beliefs PLUS
Action related to moral obligation
I took action according to my professional and personal values, moral or ethical beliefs.
Felt that action was morally required PLUS
Action related to moral obligation
I felt that the action was morally required.
Experienced feeling at least ONE of the follow after receiving blame
a. blame violated perception of core duties or obligation
Resulted in moral consequence Did the distress caused by blame result in a feeling that violated what I believed in were core duties or obligations?
b. blame challenged personal or professional moral integrity
Resulted in moral consequence Did the distress caused by blame result in a feeling that challenged my personal or professional moral integrity?
c. blame compromised or diminished moral integrity
Resulted in moral consequence Did the distress caused by blame result in a feeling that diminished my moral integrity?
d. distancing of moral sensitivity, decreasing ability to feel or advocate OR
Resulted in moral consequence Did the distress caused by blame result in a feeling that resulted or will result in a distancing of my moral sensitivity (deacreased ability
Hypothesis 1 Moral Construct Related Question to feel or advocate)?
conscientious objection, speaking up in a similar situation in the future to prevent it from happening again
Resulted in moral consequence Did the distress caused by blame result in a feeling that resulted or will result in conscientious objection, speaking up in a similar situation in the future to prevent it from happening again?
PLUS
experienced feeling at least one of the following:
Symptom reported in literature r/t MD
a. anxiety Symptom reported in literature r/t MD
Did the experience lead to the following feeling: anxiousness?
b. depression Symptom reported in literature r/t MD
Did the experience lead to the following feeling: depression?
c. frustration, anger Symptom reported in literature r/t MD
Did the experience lead to the following feeling: frustration or anger?
d. powerlessness, inability to fix the wrong
Symptom reported in literature r/t MD
Did the experience lead to the following feeling: powerlessness, inability to fix the wrong?
e. anxiousness when taking care of similar types of patients
Symptom reported in literature r/t MD
Did the experience lead to the following feeling: anxiety or anxiousness when taking care of similar types of patients?
f. feelings of sadness or depression
Symptom reported in literature r/t MD
Did the experience lead to the following feeling: depression?
g. physical exhaustion Symptom reported in literature r/t MD
Did the experience lead to the following feeling: physical exhaustion?
h. avoidance of situations that reminded you of the situation
Symptom reported in literature r/t MD
Did the experience lead to the following: avoidance of situations that reminded you of the situation
Hypothesis 1 Moral Construct Related Question
(e.g., request change in assignment or refuse assignment, avoiding work)?
i. Avoidance of people who were involved
Symptom reported in literature r/t MD
Did the experience lead to the following: avoidance of people who were involved?
j. distancing yourself from becoming attached to patients or co-workers
Symptom reported in literature r/t MD
Did the experience lead to the following: distancing yourself from becoming attached to patients or co- workers?
k. intrusive or recurrent unwanted thoughts about the situation
Symptom reported in literature r/t MD
Did the experience lead to the following: intrusive or recurrent unwanted thoughts about the situation?
l. burnout, loss of interest in continuing in the profession
Symptom reported in literature r/t MD
Did the experience lead to the following: burnout, loss of interest in continuing in the profession?
m. compassion fatigue Symptom reported in literature r/t MD
Did the experience lead to the following: compassion fatigue, specific type of burnout where it becomes hard to feel compassion?
n. sleep disturbances (sleeplessness or nightmares)
Symptom reported in literature r/t MD
Did the experience lead to the following: new sleep disturbances (sleeplessness or nightmares)?