Veterinarians and moral distress

J Am Vet Med Assoc. 2023 Feb 7;261(5):1-7. doi: 10.2460/javma.22.12.0598. Print 2023 May 1.

Abstract

Objective: Assess veterinarians' reported levels of moral distress and professional well-being. Determine the predictive value of moral distress, controlling for demographic factors, on veterinarians' levels of Professional Fulfillment, Work Exhaustion, Disengagement, and Burnout.

Sample: Members of the Veterinary Information Network.

Procedures: An electronic survey distributed via the Veterinary Information Network data collection portal.

Results: A total of 1,919 veterinarians completed the survey. For both associates and owners, gender and age were significant predictors of moral distress with younger female veterinarians reporting higher levels of distress than older male veterinarians. For associates, age was a positive predictor and moral distress score was a negative predictor of Professional Fulfillment. Age was a negative predictor, and female gender and moral distress score were both positive predictors for Work Exhaustion. For Interpersonal Disengagement and Burnout, age was a negative predictor and moral distress score was a positive predictor. For owners, age was a positive predictor and moral distress score was a negative predictor for Professional Fulfillment. Age was a negative predictor, and female gender and moral distress score were both positive predictors of Work Exhaustion, Interpersonal Disengagement, and Burnout.

Clinical relevance: We found that, controlling for age and gender, higher levels of moral distress predicted lower levels of Professional Fulfillment and higher levels of Work Exhaustion, Interpersonal Disengagement, and Burnout. Given the prevalence of moral distress and its impact on mental health, it is imperative that the veterinary field provide training and education on how to recognize and navigate ethical conflicts.

MeSH terms

  • Adult
  • Burnout, Professional / epidemiology
  • Female
  • Humans
  • Male
  • Middle Aged
  • Morals*
  • Psychological Distress*
  • Risk Factors
  • Surveys and Questionnaires
  • Veterinarians* / psychology
  • Veterinarians* / statistics & numerical data