scholarly journals Cross-cultural adaptation and validation of the Moral Distress Scale-Revised for nurses

2017 ◽  
Vol 70 (5) ◽  
pp. 1011-1017
Author(s):  
Aline Marcelino Ramos ◽  
Edison Luiz Devos Barlem ◽  
Jamila Geri Tomaschewski Barlem ◽  
Laurelize Pereira Rocha ◽  
Graziele de Lima Dalmolin ◽  
...  
Keyword(s):  
Cultural Adaptation ◽  
Moral Distress ◽  
Cross Sectional Study ◽  
Intensity Analysis ◽  
Cross Sectional ◽  
Hospital Units ◽  
Brazilian Version ◽  
Valid Instrument ◽  
Distress Scale ◽  
Specialist Committee

ABSTRACT Objective: Cross-culturally adapt and validate the Moral Distress Scale-Revised for nurses. Method: Quantitative, analytical cross-sectional study conducted with 157 nurses of two hospital institutions of Southern Brazil, one public and one philanthropic. Procedures conducted: cultural adaptation of the instrument according to international recommendations; validation for the Brazilian context. Results: Face and content validation was considered satisfactory as assessed by a specialist committee and a pretest. The instrument demonstrated satisfactory internal consistency through frequency and intensity analysis per question in the 157 items and per subgroups of the various hospital units. Cronbach’s alpha was 0.88 for the instrument and between 0.76 and 0.94 for hospital units. Pearson’s correlation found a moderate association for moral distress among nurses. Conclusion: The Moral Distress Scale-Revised – Brazilian version is a valid instrument for the assessment of moral distress in nurses.

scholarly journals Moral Distress Assessment in the Nursing Team of a Hematology-Oncology Sector

2019 ◽  
Vol 72 (suppl 1) ◽  
pp. 58-65 ◽  
Author(s):  
Isolina Maria Alberto Fruet ◽  
Graziele de Lima Dalmolin ◽  
Julia Zancan Bresolin ◽  
Rafaela Andolhe ◽  
Edison Luiz Devos Barlem
Keyword(s):  
Moral Distress ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Multiprofessional Team ◽  
Brazilian Version ◽  
Nursing Team ◽  
Role Of Nursing ◽  
Hospital Institution ◽  
Nursing Professionals ◽  
Distress Scale

ABSTRACT Objective: To identify the frequency and intensity of Moral Distress, and to analyze the associations between Moral Distress and sociodemographic and labor characteristics of the nursing team of a Hematology-Oncology. Method: A cross-sectional study was carried out with 46 nursing professionals from a Hematology-Oncology sector of a hospital institution in Rio Grande do Sul State, Brazil, through the application of the Moral Distress Scale - Brazilian version. In the data analysis, descriptive statistics and nonparametric association tests were used. Results: Mortal Distress intensity of 3.27 (SD= 1.79) and frequency of 1.72 (SD= 1.02) were found in this team. The Moral Distress of greater intensity and frequency were related to the denial of the role of Nursing as a patient's advocate and the disrespect to the patient's autonomy, respectively. Conclusion: It is suggested a greater space for discussion among professionals, multiprofessional team and managers, so that adequate conditions of action and communication are provided.

scholarly journals Moral distress among nurses working in Covid-19 wards: a cross-sectional study in 2021

2021 ◽  
Author(s):  
Mina Pooresmaeil ◽  
Masoumeh Aghamohammadi
Keyword(s):  
Significant Relationship ◽  
Work Experience ◽  
Moral Distress ◽  
Pearson Correlation ◽  
Cross Sectional Study ◽  
Moderate Level ◽  
Related Factors ◽  
Cross Sectional ◽  
Experienced Nurses ◽  
Distress Scale

Abstract Background Covid-19 is an emerging disease, which has confronted nurses with new moral distress. This study aims to determine the moral distress and its related factors among nurses working in the covid-19 wards of Ardabil city in Iran. Methods This cross-sectional descriptive study evaluated 159 nurses working in the covid-19 wards of Imam Khomeini hospital -as the only hospitalization center for the patients with covid-19 in Ardabil, 2021. The instruments used included a personal-occupational information form and Corley's moral distress scale. Data analysis was performed using descriptive and inferential statistics (Pearson correlation coefficient, independent t-test and one-way analysis of variance) in SPSS v22. Results The mean and standard deviation of the frequency and intensity of the nurses' moral distress were estimated 52.28 ± 5.24 and 51.54 ± 5.86, respectively, which indicated the moderate level of moral distress in the both dimensions. The item "I hesitate to tell the patient or the patient's family about his condition and treatment" (4.74 ± 0.75) showed the most moral distress based on the intensity and the phrase "too much work reduces the quality of my work” (4.81 ± 0.55) caused the most moral distress in the frequency dimension. The results indicated a significant relationship between the intensity and frequency of moral distress with the type of nurses' employment (P < 0.05). Moreover, a significant relationship was observed between the nurses’ position and the frequency (P = 0.04), and the nurses’ work experience and the intensity of moral distress (P = 0.02). Conclusions It seems that providing the necessary training for how to deal with the moral distress in new waves of the disease and using the experiences of the experienced nurses in this field are essential due to observing the moderate level of moral distress among nurses working in covid-19 wards.

scholarly journals Intensity and frequency of moral distress in Brazilian nurses

2020 ◽  
Vol 54 ◽  
Author(s):  
Flavia Regina Souza Ramos ◽  
Priscila Orlandi Barth ◽  
Laura Cavalcanti de Farias Brehmer ◽  
Graziele de Lima Dalmolin ◽  
Mara Ambrosina Vargas ◽  
...  
Keyword(s):  
Professional Identity ◽  
Moral Distress ◽  
Work Teams ◽  
Cross Sectional Study ◽  
Work Environments ◽  
Sectional Study ◽  
Cross Sectional ◽  
Nurses Role ◽  
Distress Scale ◽  
Descriptive Statistical Analysis

Abstract Objective: To evaluate the frequency and intensity of moral distress in Brazilian nurses. Method: Cross-sectional study performed with nurses from 27 Brazilian states through application of the Brazilian Moral Distress Scale in Nurses (Portuguese acronym: EDME-Br) and descriptive statistical analysis. Results: Participation of 1,226 Brazilian nurses in the study. The intensity and frequency of overall moral distress were rated as moderate level, with averages of 3.08 (± 1.45) and 2.94 (± 1.37), respectively. Specifically, the highest intensity and frequency was related to the factors Acknowledgement, power and professional identity and Work teams, while the lowest was related to the factor Defense of values and rights. Conclusion: Moral distress occurs in precarious work environments, with little expressiveness of the nurses’ role. One highlights the importance of the problem in terms of its amplitude and multicausality, reaching professionals acting in different work contexts.

Moral distress and its influencing factors: A cross-sectional study in China

2016 ◽  
Vol 25 (4) ◽  
pp. 470-480 ◽  
Author(s):  
Zhang Wenwen ◽  
Wu Xiaoyan ◽  
Zhan Yufang ◽  
Ci Lifeng ◽  
Sun Congcong
Keyword(s):  
Influencing Factors ◽  
Moral Distress ◽  
Cross Sectional Study ◽  
Local Health ◽  
Cross Sectional ◽  
Clinical Nurses ◽  
Local Health Service ◽  
Job Diagnostic Survey ◽  
The University ◽  
Distress Scale

Objective: The purpose of this study was to describe the current situation of moral distress and to explore its influencing factors among Chinese nurses. Methods: This is an exploratory, descriptive design study. A total of 465 clinical nurses from different departments in three Grade-III, Level-A hospitals in Jinan, Shandong Province, completed the questionnaires, including demographics questionnaire, Chinese version of Moral Distress Scale–Revised, and Job Diagnostic Survey. Ethical considerations: The study was approved by the university ethics board and the local health service director. Results: The total score of Moral Distress Scale–Revised was 36.01 ± 24.02 points. The mean frequency and intensity scores of moral distress were 1.13 ± 0.49 and 1.09 ± 0.58, respectively. The level of moral distress among Chinese clinical nurses was low, and the frequency and intensity of moral distress were on low to moderate level. The level of moral distress experienced by clinical nurses is associated with demographics features and job characteristics, including age, education degree, department, task significance, autonomy, and dealing with others. Conclusion: Our conclusion suggests that hospital and organizational administrations should attach much importance to the moral distress experienced by clinical nurses in China. Further studies should focus on interventions about how to reduce the levels of the frequency and intensity of moral distress among clinical nurses.

scholarly journals Frequency, Severity, Rate, and Causes of Moral Distress among Nursing Students: A Cross-Sectional Study

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Maryam Janatolmakan ◽  
Amirabbas Dabiry ◽  
Shahab Rezaeian ◽  
Alireza khatony
Keyword(s):  
Nursing Students ◽  
Patient Care ◽  
Student Performance ◽  
Work Experience ◽  
Moral Distress ◽  
Personal Information ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Distress Scale

Background. One of the most important psychosocial issues related to the nursing profession is moral distress (MD), which has devastating effects on student performance as well as patient care. The current study was conducted to determine the frequency, severity, rate, and causes of MD in nursing students. Methods. During this cross-sectional study, 86 samples were last year undergraduate nursing students of Kermanshah University of Medical Sciences, who were entered into the study by the census method. Data gathering instruments were personal information form, Moral Distress Scale-revised (MDS-r), and Moral Distress Thermometer (MDT). Results. The mean frequency, severity, and rate of MD, according to the MDS-r questionnaire, were 1.3 ± 0.7 out of 4, 1.8 ± 0.8 out of 4, and 3.3 ± 2.3 out of 16, respectively. The average MDT score was 2.6 ± 2.5 out of 10. The most common causes of MD were working in unsafe conditions (6.8 ± 6.0), observing impaired patients health servicing (5.4 ± 5.6), and the low quality of patient care (5.1 ± 4.6). There was a statistically significant relationship between the gender, work experience, and participation in the professional ethics workshop variables and mean MDS-total and MDT. Conclusion. The rate and mean severity of MD were reported at a moderate level. Also, the MDT average was reported at a mild to an uncomfortable level, and the overall MD was equal to moderate. Therefore, student administrators should take steps to eliminate or reduce the causes of MD. In this regard, the need for teaching preventive methods against MD to nursing students before their clinical courses seems crucial. Also, students with MD must be referred to the psychiatric/psychologist.

scholarly journals Healthcare Advocacy And Moral Distress In The Practice Of Nurses

10.3823/2578 ◽  
2018 ◽  
Vol 11 ◽  
Author(s):  
Aline Marcelino Ramos ◽  
Edison Luiz Devos Barlem ◽  
Jamila Geri Tomaschewski Barlem ◽  
Laurelize Pereira Rocha ◽  
Rosemary Silva da Silveira ◽  
...  
Keyword(s):  
Moral Distress ◽  
Research Question ◽  
Linear Regression Analysis ◽  
Well Being ◽  
University Hospital ◽  
Human Beings ◽  
Cross Sectional ◽  
Brazilian Version ◽  
Distress Scale

Background: By focusing in prioritizing patients and their rights, occasional limitations may arise and prevent nurses from doing their work according to their social and professional commitment. This may culminate in Moral Distress, resulting from the incoherence between the nurses' actions and their personal convictions. Research question: Is there any relationship between healthcare advocacy and moral distress in the practice of nurses working in hospitals? Objective: Analyzing the relation between healthcare advocacy and moral distress in the practice of nurses working in hospitals. Research design: Quantitative, analytical cross-sectional study. The data collection instruments comprise the Moral Distress Scale Revised – Brazilian version and the Protective Nursing Advocacy Scale – Brazilian version. Data analysis was carried out with elements of descriptive statistics, Pearson's correlation and linear regression analysis. Participants and research context: The participants comprised 157 nurses working in two hospitals located in a city in southern Brazil. One of the institutions is a public university hospital and the other is a philanthropic institution. Ethical considerations: All the international directives for research with human beings were observed. Findings: The constructs barriers to the advocacy practice and negative implications to the advocacy practice were pointed out as predictors of moral distress.   Discussion: The situations approached in this study illustrate that certain organizational and cultural contexts have negative impacts on nurses, who are in constant contact with the necessity of promoting patient well being and increasing access to healthcare, especially under the perception of vulnerability in risk situations, or when the quality of the services provided decreases and patients are not given adequate assistance. Conclusion: We hope that this study encourages the reflection about the relationship between patient advocacy and moral distress, and the search for resources that may contribute to the quality of the assistance provided by nurses.

scholarly journals Faktor-Faktor yang Mempengaruhi Moral Distress pada Perawat Kesehatan Jiwa

2020 ◽  
Vol 5 (1) ◽  
pp. 29
Author(s):  
Triyana Harlia Putri
Keyword(s):  
Mental Health ◽  
Nursing Education ◽  
Marital Status ◽  
Moral Distress ◽  
Early Adulthood ◽  
Cross Sectional Study ◽  
Bivariate Analysis ◽  
Cross Sectional ◽  
Spearman Rank ◽  
Distress Scale

<p><em>Conflicts in patient care decision making often conflict with a nurse's personal values and lead to moral distress. Moral distress unwittingly can occur continuously and if not resolved, the condition can lead to burnout. This research is aimed toidentifythe factors that influence moral distress in mental health nurses.A cross-sectional study design was adopted. A total of 130 mental health nurses were recruited using universal sampling at Mental Health hospital X. The instrument used was Moral Distress Scale for Psychiatric. Data analysis was performed by univariate to see the frequency of each variable studied, namely respondent characteristics, while bivariate analysis used Spearman Rank. The results showed that most of the nurses 94 (72.3%) were in early adulthood and 86 (66.2%) were women, almost all 118 nurses (90.8%) with marital status, 92 (70.8%) with a Diploma in Nursing education, and 88 (67.7%) with years of service - 10 years and 79 (60.8%) expressed high level of moral distress, each dimensi of moral distress, 81 (62.3%) stated that it was Unethical action by caregiver, 68 (52.3%) Low Staffing, and 92 (71 %) stated that acquiescence of patients rights violations. There is nocorrelation between the demographic characteristic variables such as age, gender, education level, marital status,and duration of work with moral distress</em></p><p><em><br /></em></p><p><em><em>Konflik dalam pengambilan keputusan perawatan klien sering bertentangan dengan nilai pribadi seorang perawat, hal tersebut dapat mengindikasikan ke moral distress. Moral distress tanpa disadari dapat terjadi secara terus menerus dan apabila tidak teratasi, kondisi itu dapat mengarah ke burnout. Adapaun tujuan dalam penelitian ini yaitu mengetahui faktor-faktor yang mempengaruhi moral distress pada perawat kesehatan jiwa. Desain penelitian ini deskriptif analitik dengan pendekatan cross sectional. Jumlah sampel sebanyak 130 perawat kesehatan jiwa secara total sampling yang dilakukan di RSJ X . Penelitian ini menggunakan Moral Distress Scale for Psychiatric untuk mengukur tingkat moral distress. Analisis data dilakukan dengan univariat  untuk melihat frekuensi dari setiap variabel yang diteliti yaitu karakteristik responden, sementara analisis bivariate digunakan teknik analisis bivariat korelasi Spearman Rank.  Hasil penelitian didapatkan bahwa sebagian besar dari perawat 94 (72,3%) berada pada usia dewasa awal dan 86 (66,2%) adalah perempuan, hampir seluruh perawat 118 (90,8%) dengan status menikah, 92 (70,8%) dengan tingkat pendidikan DIII Keperawatan, dan 88 (67,7%) dengan lama bekerja 1 tahun - 10 tahun. Sebanyak 79 (60,8%) mengungkapkan moral distress level tinggi, masing- masing dimensi moral distress, 81 (62,3%)  menyatakan hal yang tidak etis dilakukan caregiver, 68 (52,3%) menyatakankekurangan staf  dan 92 (71%) menyatakansecara diam-diam menyetujui pelanggaran hak klien. </em></em><em><em>31.1 perawarkesehatan lainnya .ress dapat menyebabkan burnout.Tidak ada hubungan yang bermakna semua variabel karakteristik seperti umur, jenis kelamin, tingkat pendidikan, status pernikahan, dan lama bekerja dengan moral distress</em></em></p>

scholarly journals The Brazilian version of the Health-Related Quality of Life Questionnaire for Nausea and Vomiting of Pregnancy: translation, cross-cultural adaptation and reliability – an observational cross-sectional study

2021 ◽  
Vol 139 (2) ◽  
pp. 147-155
Author(s):  
Adriana Piccini ◽  
Amanda Tulha ◽  
Sílvia Lanziotti Azevedo da Silva ◽  
Luciana de Barros Cavalcanti Michelutti ◽  
Leonardo César Carvalho ◽  
...  
Keyword(s):  
Cultural Adaptation ◽  
Cross Sectional Study ◽  
Cross Cultural ◽  
Life Questionnaire ◽  
Sectional Study ◽  
Cross Sectional ◽  
Brazilian Version ◽  
Related Quality ◽  
Health Related

scholarly journals Moral distress and avoidance behavior in nurses working in critical care and noncritical care units

2012 ◽  
Vol 20 (5) ◽  
pp. 589-603 ◽  
Author(s):  
Mary Jo De Villers ◽  
Holli A DeVon
Keyword(s):  
Critical Care ◽  
Avoidance Behavior ◽  
Moral Distress ◽  
Cross Sectional Study ◽  
Critical Care Nurses ◽  
Cross Sectional ◽  
Impact Of Event Scale ◽  
Event Scale ◽  
Avoidance Behaviors ◽  
Distress Scale

Nurses facing impediments to what they perceive as moral practice may experience moral distress. The purpose of this descriptive, cross-sectional study was to determine similarities and differences in moral distress and avoidance behavior between critical care nurses and non-critical care nurses. Sixty-eight critical care and 28 non-critical care nurses completed the Moral Distress Scale and Impact of Event Scale (IES). There were no differences in moral distress scores ( F = 0.892, p = 0.347) or impact of event scores ( F = 3.80, p = 0.054) between groups after adjusting for age. There was a small positive correlation between moral distress and avoidance behaviors for both the groups. Moral distress is present in both critical care and noncritical care nurses. It is important that nurses are provided with opportunities to cope with this distress and that retention strategies include ways to reduce suffering and mitigate the effects on professional practice.

Validation of the Brazilian Moral Distress Scale in Nurses

2019 ◽  
Vol 27 (2) ◽  
pp. 335-357 ◽  
Author(s):  
Flavia Regina Souza Ramos ◽  
Edison Luis Devos Barlen ◽  
Maria José Menezes Brito ◽  
Mara Ambrosina Vargas ◽  
Dulcineia Ghizoni Schneider ◽  
...  
Keyword(s):  
Moral Distress ◽  
Work Teams ◽  
Work Conditions ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Factor Analyses ◽  
Cross Sectional ◽  
Item Questionnaire ◽  
Exploratory Factor Analyses ◽  
Distress Scale

Background and PurposeTo determine the psychometric properties of the Brazilian Moral Distress Scale in Nurses (MDSN-BR).DesignIn this methodological, cross-sectional study, the criterion, content, and construct validation stages were presented.MethodA 57-item questionnaire was applied to 1,227 brazilian nurses through an online form. The exploratory factor analyses revealed significant conceptual relations among its items in six constructs, expressing the consistency of the scale.ResultsThe validated version of the instrument consists of six constructs and 49 items—Cronbach's alpha .980 (instrument) and of constructs: (a) (.942) Acknowledgment, power, and professional identity; (b) (.961) Safe and qualified care; (c) (.924) Defense of values and rights; (d) (.944) Work conditions; (e) (.933) Ethical infractions; (f) (.914) Work teams.ConclusionThe results provide evidence supporting the reliability and trustworthiness of the scale in the selected population.

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