Measuring Moral Distress in Pharmacy and Clinical Practice

This article presents the development, validation and application of an instrument to measure everyday moral distress in different health care settings. The concept of moral distress has been discussed and developed over 20 years. A few instruments have been developed to measure it, predominantly in...

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Главные авторы: Sporrong, Sofia Kälvemark (Автор) ; Höglund, Anna T (Автор) ; Arnetz, Bengt (Автор)
Формат: Электронный ресурс Статья
Язык:Английский
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Опубликовано: Sage 2006
В: Nursing ethics
Год: 2006, Том: 13, Выпуск: 4, Страницы: 416-427
Другие ключевые слова:B Ethics
B Clinical Practice
B pharmacy practice
B Moral Distress
B Scale Development
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Итог:This article presents the development, validation and application of an instrument to measure everyday moral distress in different health care settings. The concept of moral distress has been discussed and developed over 20 years. A few instruments have been developed to measure it, predominantly in nursing. The instrument presented here consists of two factors: level of moral distress, and tolerance/openness towards moral dilemmas. It was tested in four medical departments and three pharmacies, where 259 staff members completed a questionnaire. The two factors were found to be reliable. Differences in levels of moral distress were found between pharmacies and clinical departments, and between the youngest and oldest age groups; departmental staff and the youngest group experienced higher levels of moral distress. Departments reported less tolerance/openness towards moral dilemmas than pharmacies. The instrument needs to be tested further, but its strengths are the focus on everyday ethical dilemmas and its usefulness in different health care settings.
ISSN:1477-0989
Второстепенные работы:Enthalten in: Nursing ethics
Persistent identifiers:DOI: 10.1191/0969733006ne880oa