UK trainees (in response to question of whether they have experienced moral distress after defining the term in the interview prompt)

US trainees (from Dzeng, et al., 2016)

“Probably not actually. I think I’ve been lucky in that my seniors, my hospital are of an attitude that I share about quality of life not too invasive procedures.” “I don’t think so. Nothing that I would consider to be at that level as you phrase it. I don’t think it’s ever been a massive ethical dilemma for me. I can’t really think of any situations where I’ve had to do something or been asked to do something that I’ve so strongly disagreed with I felt uncomfortable about it.”

“It felt horrible. I felt like I was torturing him. Absolutely torturing him. He was telling us we were torturing him. I didn’t think we were necessarily doing [the right] thing for the patient. I think that a lot of times that’s what happens when we go aggressive care all the way.” “A lot of things happen when you