Psychometric evaluation of the Moral Distress Risk Scale: A methodological study

Background:Moral distress is a kind of suffering that nurses may experience when they act in ways that are considered inconsistent with moral values, leading to a perceived compromise of moral integrity. Consequences are mostly negative and include physical and psychological symptoms, in addition to...

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Authors: Schaefer, Rafaela (Author) ; Zoboli, Elma LCP (Author) ; Vieira, Margarida M (Author)
Format: Electronic Article
Language:English
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Published: Sage 2019
In: Nursing ethics
Year: 2019, Volume: 26, Issue: 2, Pages: 434-442
Further subjects:B Instrument development
B Ethics
B statistical
B Nursing
B Factor analysis
B Moral Distress
B Validation studies
Online Access: Volltext (lizenzpflichtig)

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520 |a Background:Moral distress is a kind of suffering that nurses may experience when they act in ways that are considered inconsistent with moral values, leading to a perceived compromise of moral integrity. Consequences are mostly negative and include physical and psychological symptoms, in addition to organizational implications.Objective:To psychometrically test the Moral Distress Risk Scale.Research design:A methodological study was realized. Data were submitted to exploratory factorial analysis through the SPSS statistical program.Participants and research context:In total, 268 nurses from hospitals and primary healthcare settings participated in this research during the period of March to June of 2016.Ethical considerations:This research has ethics committee approval.Findings:The Moral Distress Risk Scale is composed of 7 factors and 30 items; it shows evidence of acceptable reliability and validity with a Cronbach’s α = 0.913, a total variance explained of 59%, a Kaiser–Meyer–Olkin = 0.896, and a significant Bartlett <0.001.Discussion:Concerns about moral distress should be beyond acute care settings, and a tool to help clarify critical points in other healthcare contexts may add value to moral distress speech.Conclusion:Psychometric results reveal that the Moral Distress Risk Scale can be applied in different healthcare contexts. 
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700 1 |a Vieira, Margarida M  |e VerfasserIn  |4 aut 
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