IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i7p3863-d778547.html
   My bibliography  Save this article

How Supportive Ethical Relationships Are Negatively Related to Palliative Care Professionals’ Negative Affectivity and Moral Distress: A Portuguese Sample

Author

Listed:
  • Francisca Rego

    (Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal)

  • Valentina Sommovigo

    (Department of Brain and Behavioural Sciences, Unit of Applied Psychology, University of Pavia, 27100 Pavia, Italy
    Department of Management, University of Bologna-Rimini Campus, 47900 Rimini, Italy)

  • Ilaria Setti

    (Department of Brain and Behavioural Sciences, Unit of Applied Psychology, University of Pavia, 27100 Pavia, Italy)

  • Anna Giardini

    (IT Department, Istituti Clinici Scientifici Maugeri IRCCS, 27100 Pavia, Italy)

  • Elsa Alves

    (Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal)

  • Julliana Morgado

    (Institute of Philosophy and Human Sciences, Federal University of Pará, Belém 66075-110, Brazil)

  • Marina Maffoni

    (Psychology Unit of Montescano Institute, Istituti Clinici Scientifici Maugeri IRCCS, 27040 Montescano, Italy)

Abstract

In the modern healthcare landscape, moral distress has become an increasingly common phenomenon among healthcare professionals. This condition is particularly prevalent among palliative care professionals who are confronted with bioethical issues in their daily practice. Although some studies described the effects of poor ethical climate and negative affectivity on moral distress, how these variables could be incorporated into a single model is still unclear. Thus, this study aims to investigate whether ethical relationships with the hospital could be related to the intensity and frequency of moral distress, both directly and as mediated by professionals’ negative affectivity. Sixty-one Portuguese palliative care professionals completed web-based self-report questionnaires. After exploring descriptive statistics, mediation analyses were performed using the partial least squares method. The results indicated that the presence of positive relationships with the hospital reduced the professionals’ negative affectivity levels. This, in turn, led palliative care professionals to experience a lower frequency and intensity of moral distress. Being a physician was positively associated with negative affectivity but not with the frequency of moral distress. Considering the protective role of ethical relationships with hospitals, health organizations could consider implementing interventions to improve hospitals’ ethical climate and provide staff with ethics training programs.

Suggested Citation

  • Francisca Rego & Valentina Sommovigo & Ilaria Setti & Anna Giardini & Elsa Alves & Julliana Morgado & Marina Maffoni, 2022. "How Supportive Ethical Relationships Are Negatively Related to Palliative Care Professionals’ Negative Affectivity and Moral Distress: A Portuguese Sample," IJERPH, MDPI, vol. 19(7), pages 1-17, March.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:7:p:3863-:d:778547
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/7/3863/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/19/7/3863/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Jörg Henseler, 2010. "On the convergence of the partial least squares path modeling algorithm," Computational Statistics, Springer, vol. 25(1), pages 107-120, March.
    2. Ming Zhou & Yongzhao Shao, 2014. "A powerful test for multivariate normality," Journal of Applied Statistics, Taylor & Francis Journals, vol. 41(2), pages 351-363, February.
    3. Reinartz, Werner & Haenlein, Michael & Henseler, Jörg, 2009. "An empirical comparison of the efficacy of covariance-based and variance-based SEM," International Journal of Research in Marketing, Elsevier, vol. 26(4), pages 332-344.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Marina Maffoni & Elena Fiabane & Ilaria Setti & Sara Martelli & Caterina Pistarini & Valentina Sommovigo, 2022. "Moral Distress among Frontline Physicians and Nurses in the Early Phase of COVID-19 Pandemic in Italy," IJERPH, MDPI, vol. 19(15), pages 1-23, August.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Joseph F. Hair & G. Tomas M. Hult & Christian M. Ringle & Marko Sarstedt & Kai Oliver Thiele, 2017. "Mirror, mirror on the wall: a comparative evaluation of composite-based structural equation modeling methods," Journal of the Academy of Marketing Science, Springer, vol. 45(5), pages 616-632, September.
    2. Nitzl, Christian, 2016. "The use of partial least squares structural equation modelling (PLS-SEM) in management accounting research: Directions for future theory development," Journal of Accounting Literature, Elsevier, vol. 37(C), pages 19-35.
    3. Calabrò, Andrea & Campopiano, Giovanna & Basco, Rodrigo & Pukall, Thilo, 2017. "Governance structure and internationalization of family-controlled firms: The mediating role of international entrepreneurial orientation," European Management Journal, Elsevier, vol. 35(2), pages 238-248.
    4. Jörg Henseler & Marko Sarstedt, 2013. "Goodness-of-fit indices for partial least squares path modeling," Computational Statistics, Springer, vol. 28(2), pages 565-580, April.
    5. Lu, Irene R.R. & Kwan, Ernest & Thomas, D. Roland & Cedzynski, Marzena, 2011. "Two new methods for estimating structural equation models: An illustration and a comparison with two established methods," International Journal of Research in Marketing, Elsevier, vol. 28(3), pages 258-268.
    6. Sarstedt, Marko & Ringle, Christian M. & Smith, Donna & Reams, Russell & Hair, Joseph F., 2014. "Partial least squares structural equation modeling (PLS-SEM): A useful tool for family business researchers," Journal of Family Business Strategy, Elsevier, vol. 5(1), pages 105-115.
    7. Rezaei, Sajad, 2015. "Segmenting consumer decision-making styles (CDMS) toward marketing practice: A partial least squares (PLS) path modeling approach," Journal of Retailing and Consumer Services, Elsevier, vol. 22(C), pages 1-15.
    8. Luo, Mingjie & Ma, Zhuanglin & Zhao, Wenjing & Enoch, Marcus & I-Jy Chien, Steven, 2022. "An ex-post evaluation of the public acceptance of a license plate-based restriction policy: A case study of Xi’an, China," Transportation Research Part A: Policy and Practice, Elsevier, vol. 155(C), pages 259-282.
    9. Wilawan Jansri, 2019. "Perception of Residents, Community Participation and Support for Tourism Development in the Old Town Muang Songkhla, Thailand," Proceedings of the 13th International RAIS Conference, June 10-11, 2019 07WJ, Research Association for Interdisciplinary Studies.
    10. Philippe Cohard, 2020. "Information Systems Values: A Study of the Intranet in Three French Higher Education Institutions," Post-Print hal-02987225, HAL.
    11. Kautish, Pradeep & Paço, Arminda & Thaichon, Park, 2022. "Sustainable consumption and plastic packaging: Relationships among product involvement, perceived marketplace influence and choice behavior," Journal of Retailing and Consumer Services, Elsevier, vol. 67(C).
    12. Groza, Mark D. & Groza, Mya Pronschinske, 2018. "Salesperson regulatory knowledge and sales performance," Journal of Business Research, Elsevier, vol. 89(C), pages 37-46.
    13. Younès El Manzani & Mohamed Larbi Sidmou & Jean-Jack Cegarra, 2018. "Does IS0 9001 quality management system support product innovation? An analysis from the sociotechnical systems theory," Post-Print hal-03080217, HAL.
    14. Mäntymäki, Matti & Salo, Jari, 2013. "Purchasing behavior in social virtual worlds: An examination of Habbo Hotel," International Journal of Information Management, Elsevier, vol. 33(2), pages 282-290.
    15. Mahadzirah Mohamad & Asyraf Afthanorhan* & Zainudin Awang & Morliyati Mohammad, 2019. "Comparison Between CB-SEM and PLS-SEM: Testing and Confirming the Maqasid Syariah Quality of Life Measurement Model," The Journal of Social Sciences Research, Academic Research Publishing Group, vol. 5(3), pages 608-614, 03-2019.
    16. Dafna Kariv & Carlo Giglio & Vincenzo Corvello, 2025. "Fostering Entrepreneurial intentions: exploring the interplay of education and endogenous factors," International Entrepreneurship and Management Journal, Springer, vol. 21(1), pages 1-27, December.
    17. Xuelin Chen & Mohammad Masukujjaman & Abdullah Al Mamun & Jingzu Gao & Zafir Khan Mohamed Makhbul, 2023. "Modeling the significance of work culture on burnout, satisfaction, and psychological distress among the Gen-Z workforce in an emerging country," Palgrave Communications, Palgrave Macmillan, vol. 10(1), pages 1-12, December.
    18. Osama Sohaib & Kyeong Kang & Mohammad Nurunnabi, 2018. "Gender-Based iTrust in E-Commerce: The Moderating Role of Cognitive Innovativeness," Sustainability, MDPI, vol. 11(1), pages 1-16, December.
    19. Thac Dang‐Van & Tan Vo‐Thanh & Jianming Wang & Ninh Nguyen, 2023. "Luxury hotels' green practices and consumer brand identification: The roles of perceived green service innovation and perceived values," Business Strategy and the Environment, Wiley Blackwell, vol. 32(7), pages 4568-4583, November.
    20. Ana León-Gómez & José Manuel Santos-Jaén & Daniel Ruiz-Palomo & Mercedes Palacios-Manzano, 2022. "Disentangling the impact of ICT adoption on SMEs performance: the mediating roles of corporate social responsibility and innovation," Oeconomia Copernicana, Institute of Economic Research, vol. 13(3), pages 831-866, September.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:7:p:3863-:d:778547. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.