Moral distress in the PA profession

Objective: To examine the relationship among moral distress, burnout, and organizational climate, and to identify how these factors influence physician associates' (PAs') intent to leave their position. Methods: A total of 327 PAs completed a survey containing measures of organizational climate, moral distress, and burnout. Linear and logistic regressions were calculated to examine the relationship among moral distress, burnout, organizational climate, and intent to leave. Results: Burnout related to emotional exhaustion and depersonalization had a positive, statistically significant association with a PA's level of moral distress. Organizational climate, feelings of moral distress, and emotional exhaustion played a role in a PA's decision to leave a position. Conclusions: Understanding the interaction between moral distress and intent to leave can help improve PA well-being and reduce turnover. Future interventions aimed at addressing moral distress should target PAs who indicate they are experiencing emotional exhaustion, depersonalization, and a lack of agency in their current workplace.