Publications by authors named "Carla N Falco"

PhenomenonMoral distress, which occurs when someone's moral integrity is seriously compromised because they feel unable to act in accordance with their core values and obligations, is an increasingly important concern for physicians. Due in part to limited understanding of the root causes of moral distress, little is known about which approaches are most beneficial for mitigating physicians' distress. Our objective was to describe system-level factors in United States (U.

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Objective: To explore how pediatric hospitalist attendings can recognize, prevent, and mitigate moral distress among pediatric residents.

Methods: We conducted a qualitative study, utilizing a deductive approach, from August 2019 to February 2020 at 4 university-affiliated, freestanding children's hospitals in the United States using semistructured, one-on-one interviews with pediatric residents and pediatric hospitalist attendings. All transcripts were coded by pairs of research team members.

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Article Synopsis
  • The study explores moral distress among pediatric residents and hospitalists, highlighting its prevalence and impact on their well-being.
  • Data collected from 288 pediatric residents and 118 hospitalists revealed that residents experienced higher moral distress scores compared to hospitalists, with excessive documentation and abusive patient interactions cited as key stressors.
  • A significant correlation was found between higher moral distress and reported burnout, suggesting that addressing these moral challenges could improve healthcare professionals' mental health.
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Objectives: The purpose of this study was to describe the characteristics and reasons for pediatric hospital medicine readmissions. We also aimed to describe characteristics of potentially preventable cases and the reliability of classification.

Methods: Retrospective descriptive study from December 2008 through June 2010 in a large academic tertiary care children's hospital in Houston, Texas.

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