Table 3 The odds that healthcare providers experienced a change in the frequency and severity of moral distress in response to DIT-targeted situations post-implementation

Seeing care that does not show respect to residents with dementia

Frequency

0.5

0.1

1.6

Degree of distress

0.5

0.1

1.9

Seeing a resident with dementia receive poor care because there is no consistent care plan

Frequency

0.9

0.2

3.7

Degree of distress

0.8

0.2

3.2

Seeing poor care for a resident with dementia because of poor communication between staff members

Frequency

2.7

0.6

14.4

Degree of distress

2.1

0.5

7.7

Not reporting problems with the care of residents with dementia because I feel no one listens

Frequency

2.2

0.3

24.5

Degree of distress

3.3

0.6

39.4

Having my ideas about best care for residents with dementia ignored by management or

other staff

Frequency

1.8

0.4

7.3

Degree of distress

0.5

0.1

2.0

Seeing a low quality of life for residents with dementia because there are not enough activities

Frequency

0.4

0.1

1.4

Degree of distress

1.1

0.3

3.9

Having to provide care that I think is against the wishes of the resident with dementia

Frequency

1.4

0.3

7.3

Degree of distress

0.7

0.2

3.0

Seeing the care suffer for residents with dementia because staff lack knowledge and skills, they need to provide dementia care

Frequency

1.2

0.3

4.6

Degree of distress

0.8

0.2

2.9