RT Journal
A1 Ulrich CM, Grady C
T1 PErceptions of appropriateness of care in the intensive care unit
JF JAMA
JO JAMA
YR 2012
FD April 4
VO 307
IS 13
SP 1370
OP 1372
DO 10.1001/jama.2012.394
UL http://dx.doi.org/10.1001/jama.2012.394
AB 
To the Editor: Moral distress is a common problem in today's health care environment. Dr Piers and colleagues1 shed light on this important ethical concept in their international study of ICU nurses and physicians. They showed that a perception of providing inappropriate care was associated with moral distress and intent to leave one's job. This study raises awareness of the impact of ethics in day-to-day clinical care and attention to the concerns of direct caregivers, but also raises a number of questions.