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Analysis of institutional authors

Iglesias, Marta Elena LosaAuthorCorral-Liria, InmaculadaCorresponding AuthorFares-Medina, SandraAuthorGonzález-Martín, SaraAuthorJimenez-Fernandez, RaquelAuthor

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April 1, 2025
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Moral Distress Healthcare Providers in Spain: Observational Study

Publicated to:Risk Management And Healthcare Policy. 17 1493-1501 - 2024-01-01 17(), DOI: 10.2147/RMHP.S460360

Authors: Gonzalez, Marta Mellides; Iglesias, Marta Elena Losa; Corral-Liria, Inmaculada; Becerro-de-Bengoa-Vallejo, Ricardo; Martinez-Jimenez, Eva Maria; Fares-Medina, Sandra; Gonzalez-Martin, Sara; San-Antolin, Marta; Jimenez-Fernandez, Raquel

Affiliations

Hosp Univ 12 Octubre, Madrid 28041, Spain - Author
Univ Complutense Madrid, Fac Enfermeria Fisioterapia & Podol, E-28040 Madrid, Spain - Author
Univ Rey Juan Carlos, Fac Hlth Sci, Alcorcon 28922, Spain - Author
Univ Valladolid, Dept Psychol, Valladolid 47002, Spain - Author

Abstract

Objective: To evaluate the moral distress (MD)in health professionals of pediatric and adult units to show how the complexity of care in the pediatric field causes the professionals who carry out their activity in these units to present a higher level of moral distress and a worse climate ethical. Design: Observational study with health professionals who currently work in Spanish Hospitals. Methods: A 58-item questionnaire was electronically distributed which included sociodemographic and employment characteristics, the Spanish version of the Measure of Moral Unrest for Healthcare Professionals (MMD-HP-SPA) and the Hospital Ethical Climate Results: A total of 169 health professionals completed the questionnaire. The moral distress was significantly higher among nurses than among physicians and nursing assistant care technicians. Focusing on the type of unit, moral distress it was only significantly higher for those physicians treating adult patients compared to those treating pediatric patients. Regarding the total score of the HECS survey, the medical group shows higher scores compared to the nursing group. Conclusion: Statistically significant differences have been found only in the medical group that treats adult patients, presenting a higher level of moral unrests than the pediatrician group. The MMD-HP-SPA questionnaire is a valid and useful instrument to detect MD in our hospital units in order to be able to implement strategies/interventions that improve the ethical climate and other factors that can mitigate and prevent this MD.

Keywords

Ethical climateMoral unrestNursesPediatricPediatricsQuestionnairesSurveysUnit

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Risk Management And Healthcare Policy due to its progression and the good impact it has achieved in recent years, according to the agency Scopus (SJR), it has become a reference in its field. In the year of publication of the work, 2024 there are still no calculated indicators, but in 2023, it was in position , thus managing to position itself as a Q2 (Segundo Cuartil), in the category . Notably, the journal is positioned en el Cuartil Q3 for the agency WoS (JCR) in the category Health Policy & Services.

Independientemente del impacto esperado determinado por el canal de difusión, es importante destacar el impacto real observado de la propia aportación.

Según las diferentes agencias de indexación, el número de citas acumuladas por esta publicación hasta la fecha 2025-08-02:

  • WoS: 1

Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-08-02:

  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 3 (PlumX).

It is essential to present evidence supporting full alignment with institutional principles and guidelines on Open Science and the Conservation and Dissemination of Intellectual Heritage. A clear example of this is:

  • The work has been submitted to a journal whose editorial policy allows open Open Access publication.

Leadership analysis of institutional authors

There is a significant leadership presence as some of the institution’s authors appear as the first or last signer, detailed as follows: Last Author (Jiménez Fernández, Raquel).

the author responsible for correspondence tasks has been Corral Liria, Carmen Inmaculada.