{"id":"https://openalex.org/W4387035200","doi":"https://doi.org/10.1016/j.annemergmed.2023.08.410","title":"382 Moral Distress in Resuscitation Policy Implementation During the COVID-19 Pandemic: A Mixed Methods Study","display_name":"382 Moral Distress in Resuscitation Policy Implementation During the COVID-19 Pandemic: A Mixed Methods Study","publication_year":2023,"publication_date":"2023-09-26","ids":{"openalex":"https://openalex.org/W4387035200","doi":"https://doi.org/10.1016/j.annemergmed.2023.08.410"},"language":"en","primary_location":{"id":"doi:10.1016/j.annemergmed.2023.08.410","doi":"https://doi.org/10.1016/j.annemergmed.2023.08.410","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.annemergmed.2023.08.410","pdf_url":"http://www.annemergmed.com/article/S0196064423010673/pdf","source":{"id":"https://openalex.org/S116012647","display_name":"Annals of Emergency Medicine","issn_l":"0196-0644","issn":["0196-0644","1085-8717","1097-6760"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annals of Emergency Medicine","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"http://www.annemergmed.com/article/S0196064423010673/pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5004304734","display_name":"Karen Jean Jubanyik","orcid":"https://orcid.org/0000-0001-5256-7744","observed_orcids":["https://orcid.org/0000-0001-5256-7744"]},"institutions":[{"id":"https://openalex.org/I32971472","display_name":"Yale University","ror":"https://ror.org/03v76x132","country_code":"US","type":"education","lineage":["https://openalex.org/I32971472"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"K. Jubanyik","raw_affiliation_strings":["Yale University, New Haven, Connecticut, US"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Yale University, New Haven, Connecticut, US","institution_ids":["https://openalex.org/I32971472"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5049004280","display_name":"Rebeca Vergara Greeno","orcid":"https://orcid.org/0000-0001-6873-3620","observed_orcids":["https://orcid.org/0000-0001-6873-3620"]},"institutions":[{"id":"https://openalex.org/I32971472","display_name":"Yale University","ror":"https://ror.org/03v76x132","country_code":"US","type":"education","lineage":["https://openalex.org/I32971472"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"R. Vergara-Greeno","raw_affiliation_strings":["Yale University, New Haven, Connecticut, US"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Yale University, New Haven, Connecticut, US","institution_ids":["https://openalex.org/I32971472"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5072683993","display_name":"Robert D. Welch","orcid":"https://orcid.org/0000-0003-0358-2811","observed_orcids":["https://orcid.org/0000-0003-0358-2811"]},"institutions":[{"id":"https://openalex.org/I32971472","display_name":"Yale University","ror":"https://ror.org/03v76x132","country_code":"US","type":"education","lineage":["https://openalex.org/I32971472"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"R. Welch","raw_affiliation_strings":["Yale University, New Haven, Connecticut, US"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Yale University, New Haven, Connecticut, US","institution_ids":["https://openalex.org/I32971472"]}]},{"author_position":"middle","author":{"id":null,"display_name":"N. Kim","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I32971472","display_name":"Yale University","ror":"https://ror.org/03v76x132","country_code":"US","type":"education","lineage":["https://openalex.org/I32971472"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"N. Kim","raw_affiliation_strings":["Yale University, New Haven, Connecticut, US"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Yale University, New Haven, Connecticut, US","institution_ids":["https://openalex.org/I32971472"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5045370122","display_name":"Mary Showstark","orcid":"https://orcid.org/0000-0003-1768-9580","observed_orcids":["https://orcid.org/0000-0003-1768-9580"]},"institutions":[{"id":"https://openalex.org/I32971472","display_name":"Yale University","ror":"https://ror.org/03v76x132","country_code":"US","type":"education","lineage":["https://openalex.org/I32971472"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"M. Showstark","raw_affiliation_strings":["Yale University, New Haven, Connecticut, US"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Yale University, New Haven, Connecticut, US","institution_ids":["https://openalex.org/I32971472"]}]},{"author_position":"middle","author":{"id":null,"display_name":"N. Kashyap","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I32971472","display_name":"Yale University","ror":"https://ror.org/03v76x132","country_code":"US","type":"education","lineage":["https://openalex.org/I32971472"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"N. Kashyap","raw_affiliation_strings":["Yale University, New Haven, Connecticut, US"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Yale University, New Haven, Connecticut, US","institution_ids":["https://openalex.org/I32971472"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5042945969","display_name":"Jay S. Herbst","orcid":"https://orcid.org/0000-0003-3262-0389","observed_orcids":["https://orcid.org/0000-0003-3262-0389"]},"institutions":[{"id":"https://openalex.org/I32971472","display_name":"Yale University","ror":"https://ror.org/03v76x132","country_code":"US","type":"education","lineage":["https://openalex.org/I32971472"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"J. Herbst","raw_affiliation_strings":["Yale University, New Haven, Connecticut, US"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Yale University, New Haven, Connecticut, US","institution_ids":["https://openalex.org/I32971472"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5001011210","display_name":"Benjamin David Tolchin","orcid":"https://orcid.org/0000-0002-9099-0022","observed_orcids":["https://orcid.org/0000-0002-9099-0022"]},"institutions":[{"id":"https://openalex.org/I32971472","display_name":"Yale University","ror":"https://ror.org/03v76x132","country_code":"US","type":"education","lineage":["https://openalex.org/I32971472"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"B. Tolchin","raw_affiliation_strings":["Yale University, New Haven, Connecticut, US"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Yale University, New Haven, Connecticut, US","institution_ids":["https://openalex.org/I32971472"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I32971472"],"apc_list":{"value":3850,"currency":"USD","value_usd":3850},"apc_paid":null,"fwci":0.356,"has_fulltext":true,"cited_by_count":1,"citation_normalized_percentile":{"value":0.64060596,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":93,"max":96},"biblio":{"volume":"82","issue":"4","first_page":"S167","last_page":"S168"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11537","display_name":"Ethics in medical practice","score":0.913100004196167,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11537","display_name":"Ethics in medical practice","score":0.913100004196167,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10177","display_name":"Palliative Care and End-of-Life Issues","score":0.06639999896287918,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13147","display_name":"Ethics and bioethics in healthcare","score":0.00430000014603138,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/moral-distress","display_name":"moral distress","score":0.9819999933242798},{"id":"https://openalex.org/keywords/resuscitation-policy","display_name":"resuscitation policy","score":0.9070000052452087},{"id":"https://openalex.org/keywords/covid-19","display_name":"COVID-19 pandemic","score":0.9110000133514404},{"id":"https://openalex.org/keywords/clinician-experience","display_name":"clinician experience","score":0.6639999747276306},{"id":"https://openalex.org/keywords/public-health-emergencies","display_name":"public health emergencies","score":0.6790000200271606},{"id":"https://openalex.org/keywords/emergency-department-care","display_name":"emergency department care","score":0.37400001287460327}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9090794324874878},{"id":"https://openalex.org/C3008058167","wikidata":"https://www.wikidata.org/wiki/Q84263196","display_name":"Coronavirus disease 2019 (COVID-19)","level":4,"score":0.7826094627380371},{"id":"https://openalex.org/C89623803","wikidata":"https://www.wikidata.org/wiki/Q12184","display_name":"Pandemic","level":5,"score":0.7662707567214966},{"id":"https://openalex.org/C2778165595","wikidata":"https://www.wikidata.org/wiki/Q5491454","display_name":"Resuscitation","level":2,"score":0.6949172019958496},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.5877487659454346},{"id":"https://openalex.org/C139265228","wikidata":"https://www.wikidata.org/wiki/Q5283089","display_name":"Distress","level":2,"score":0.5670761466026306},{"id":"https://openalex.org/C3006700255","wikidata":"https://www.wikidata.org/wiki/Q81068910","display_name":"2019-20 coronavirus outbreak","level":3,"score":0.5444000363349915},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.5325056314468384},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.4922555983066559},{"id":"https://openalex.org/C3007834351","wikidata":"https://www.wikidata.org/wiki/Q82069695","display_name":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)","level":5,"score":0.44525039196014404},{"id":"https://openalex.org/C2993267355","wikidata":"https://www.wikidata.org/wiki/Q1519812","display_name":"Public health policy","level":4,"score":0.42348480224609375},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.29320603609085083},{"id":"https://openalex.org/C47344431","wikidata":"https://www.wikidata.org/wiki/Q1519812","display_name":"Health policy","level":3,"score":0.2899168133735657},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.2708030641078949},{"id":"https://openalex.org/C159047783","wikidata":"https://www.wikidata.org/wiki/Q7215","display_name":"Virology","level":1,"score":0.10812941193580627},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0596599280834198},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.05751129984855652},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.04924744367599487},{"id":"https://openalex.org/C116675565","wikidata":"https://www.wikidata.org/wiki/Q3241045","display_name":"Outbreak","level":2,"score":0.0},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.0},{"id":"https://openalex.org/C524204448","wikidata":"https://www.wikidata.org/wiki/Q788926","display_name":"Infectious disease (medical specialty)","level":3,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1016/j.annemergmed.2023.08.410","doi":"https://doi.org/10.1016/j.annemergmed.2023.08.410","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.annemergmed.2023.08.410","pdf_url":"http://www.annemergmed.com/article/S0196064423010673/pdf","source":{"id":"https://openalex.org/S116012647","display_name":"Annals of Emergency Medicine","issn_l":"0196-0644","issn":["0196-0644","1085-8717","1097-6760"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annals of Emergency Medicine","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.1016/j.annemergmed.2023.08.410","doi":"https://doi.org/10.1016/j.annemergmed.2023.08.410","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.annemergmed.2023.08.410","pdf_url":"http://www.annemergmed.com/article/S0196064423010673/pdf","source":{"id":"https://openalex.org/S116012647","display_name":"Annals of Emergency Medicine","issn_l":"0196-0644","issn":["0196-0644","1085-8717","1097-6760"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annals of Emergency Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.98580002784729}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4387035200.pdf","grobid_xml":"https://content.openalex.org/works/W4387035200.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4413364542","https://openalex.org/W3039055388","https://openalex.org/W3092574418","https://openalex.org/W4304172623","https://openalex.org/W3036076398","https://openalex.org/W2335300743","https://openalex.org/W4225274778","https://openalex.org/W4293770209","https://openalex.org/W4399020423","https://openalex.org/W4414791706"],"abstract_inverted_index":null,"counts_by_year":[{"year":2026,"cited_by_count":1}],"updated_date":"2026-10-12T09:40:04.860316","created_date":"2023-09-27T00:00:00"}