Moral distress in long-term care questionnaire modification and psychometric evaluation

BackgroundLicensed nurses working in long-term care facilities experience ethical challenges if not resolved can lead to moral distress. There is a lack of an English-language validated tool to adequately measure moral distress in the long-term care setting.AimsTo describe the modification and psych...

Full description

Saved in:  
Bibliographic Details
Authors: Tan, Amil Kusain (Author) ; Samuels, William Ellery (Author) ; Backhaus, Ramona (Author) ; Capezuti, Elizabeth (Author)
Format: Electronic Article
Language:English
Check availability: HBZ Gateway
Journals Online & Print:
Drawer...
Fernleihe:Fernleihe für die Fachinformationsdienste
Published: Sage 2023
In: Nursing ethics
Year: 2023, Volume: 30, Issue: 6, Pages: 789-802
Further subjects:B Validity
B Moral distress questionnaire
B Factor analysis
B Nurses
B long-term care
B Reliability
Online Access: Volltext (lizenzpflichtig)

MARC

LEADER 00000naa a22000002 4500
001 1870839536
003 DE-627
005 20231122055505.0
007 cr uuu---uuuuu
008 231122s2023 xx |||||o 00| ||eng c
024 7 |a 10.1177/09697330231151349  |2 doi 
035 |a (DE-627)1870839536 
035 |a (DE-599)KXP1870839536 
040 |a DE-627  |b ger  |c DE-627  |e rda 
041 |a eng 
084 |a 1  |2 ssgn 
100 1 |a Tan, Amil Kusain  |e VerfasserIn  |4 aut 
245 1 0 |a Moral distress in long-term care questionnaire modification and psychometric evaluation 
264 1 |c 2023 
336 |a Text  |b txt  |2 rdacontent 
337 |a Computermedien  |b c  |2 rdamedia 
338 |a Online-Ressource  |b cr  |2 rdacarrier 
520 |a BackgroundLicensed nurses working in long-term care facilities experience ethical challenges if not resolved can lead to moral distress. There is a lack of an English-language validated tool to adequately measure moral distress in the long-term care setting.AimsTo describe the modification and psychometric evaluation of the Moral Distress Questionnaire.MethodsInstrument development and psychometric evaluation. Internal consistency using Cronbach’s α to establish reliability was conducted using SPSS version 27.0 while SPSS Amos version 27.0 was used to perform a confirmatory factor analysis of the Moral Distress QuestionnaireParticipantsA national sample of US-licensed nurses who provided direct resident care in long-term care settings were recruited via a targeted sampling method using Facebook from 7 December 2020 to 7 March 2021.Ethical ConsiderationThe study was approved by the university’s human research protection program. Informed consent was provided to all participants.ResultsA total of 215 participants completed the surveys. Confirmatory analysis indicated that the 21-item scale with a 4-factor structure for the Moral Distress Questionnaire model met the established criteria and demonstrates an acceptable model fit (CMIN/DF = 2.0, CFI = 0.82, TLI = 0.77, RMSEA = 0.07). Factor loadings for each item depict a moderate to a strong relationship (range 0.36–0.70) with the given underlying construct. Cronbach’s α coefficient was 0.87 for the overall scale and 0.60–0.74 for its subscales which demonstrate good reliabilities.DiscussionThis is the first English-language validated tool to adequately measure moral distress in the long-term care setting experienced by US long-term care nurses. This reliable and well-validated tool will help identify moral distress situations experienced by US long-term care nurses.ConclusionThe modified 21-item English version of the Moral Distress Questionnaire is reliable tool that demonstrates good psychometric properties to validly measure sources of moral distress among direct resident care nurses. 
650 4 |a Reliability 
650 4 |a Validity 
650 4 |a Factor analysis 
650 4 |a Nurses 
650 4 |a long-term care 
650 4 |a Moral distress questionnaire 
700 1 |a Samuels, William Ellery  |e VerfasserIn  |4 aut 
700 1 |a Backhaus, Ramona  |e VerfasserIn  |4 aut 
700 1 |a Capezuti, Elizabeth  |e VerfasserIn  |4 aut 
773 0 8 |i Enthalten in  |t Nursing ethics  |d London [u.a.] : Sage, 1994  |g 30(2023), 6, Seite 789-802  |h Online-Ressource  |w (DE-627)324869460  |w (DE-600)2031461-9  |w (DE-576)273866605  |x 1477-0989  |7 nnns 
773 1 8 |g volume:30  |g year:2023  |g number:6  |g pages:789-802 
856 4 0 |u https://doi.org/10.1177/09697330231151349  |x Resolving-System  |z lizenzpflichtig  |3 Volltext 
912 |a NOMM 
935 |a mteo 
936 u w |d 30  |j 2023  |e 6  |h 789-802 
951 |a AR 
ELC |a 1 
ITA |a 1  |t 1 
LOK |0 000 xxxxxcx a22 zn 4500 
LOK |0 001 4415526640 
LOK |0 003 DE-627 
LOK |0 004 1870839536 
LOK |0 005 20231122055505 
LOK |0 008 231122||||||||||||||||ger||||||| 
LOK |0 035   |a (DE-Tue135)IxTheo#2023-11-21#24033BB1E5A8A4A3FA6975D78749DDB38292E5C0 
LOK |0 040   |a DE-Tue135  |c DE-627  |d DE-Tue135 
LOK |0 092   |o n 
LOK |0 852   |a DE-Tue135 
LOK |0 852 1  |9 00 
LOK |0 935   |a ixzs  |a zota 
ORI |a TA-MARC-ixtheoa001.raw