Development and Validation of a Moral Distress Scale for Nursing Students

2020 ◽  
pp. JNM-D-19-00001
Author(s):  
Simoní Saraiva Bordignon ◽  
Valéria Lerch Lunardi ◽  
Edison Luiz Barlem ◽  
Graziele de Lima Dalmolin ◽  
Rosemary Silva da Silveira ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Nursing Students ◽  
Internal Consistency ◽  
Moral Distress ◽  
Methodological Study ◽  
Undergraduate Nursing Students ◽  
Undergraduate Nursing ◽  
Development And Validation ◽  
Distress Scale ◽  
Scale Length

Background and PurposeThis study was aimed to develop and validate a scale to measure the frequency and the intensity of the moral distress experienced by nursing students.MethodMethodological study in which a guideline with eight steps: (a) to determine what to measure, (b) to produce items, (c) format to measure, (d) review by experts, (e) validation of items, (f) sample, (g) assessment (h) scale length was used to develop and validate a scale. The sample was composed of 499 undergraduate nursing students from three Brazilian universities.ResultsSix constructs were identified in the factor analysis. The instrument and dimensions presented satisfactory internal consistency, with Cronbach’s alpha coefficients equal to .97 and between .60 and .97, respectively.ConclusionThe developed scale is able to analyze the intensity and the frequency of Moral Distress in nursing students, in a valid and reliable way.

Moral distress in undergraduate nursing students

2019 ◽  
Vol 26 (7-8) ◽  
pp. 2325-2339 ◽  
Author(s):  
Simoní Saraiva Bordignon ◽  
Valéria Lerch Lunardi ◽  
Edison Luiz Devos Barlem ◽  
Graziele de Lima Dalmolin ◽  
Rosemary Silva da Silveira ◽  
...  
Keyword(s):  
Nursing Students ◽  
Undergraduate Students ◽  
Moral Distress ◽  
Intensity Level ◽  
Linear Regression Models ◽  
Design Data ◽  
Cross Sectional ◽  
Undergraduate Nursing Students ◽  
Undergraduate Nursing ◽  
Distress Scale

Background: Moral distress is considered to be the negative feelings that arise when one knows the morally correct response to a situation but cannot act because of institutional or hierarchal constraints. Objectives: To analyze moral distress and its relation with sociodemographic and academic variables in undergraduate students from different universities in Brazil. Method: Quantitative study with a cross-sectional design. Data were collected through the Moral Distress Scale for Nursing Students, with 499 nursing students from three universities in the extreme south of Brazil answering the scale. The data were analyzed in the statistical software SPSS version 22.0, through descriptive statistical analysis, association tests (t-test and analysis of variance), and linear regression models. Ethical considerations: Approval for the study was obtained from the Research Ethics Committee at Universidade Federal do Rio Grande. Findings: The mean intensity of moral distress in the constructs ranged from 1.60 to 2.55. As to the occurrence of situations leading to moral distress in the constructs, the frequencies ranged from 1.21 to 2.43. The intensity level of moral distress showed higher averages in the more advanced grades of the undergraduate nursing course, when compared to the early grades of this course (between 5 and 10 grade, average = 2.60–3.14, p = 0.000). Conclusion: The demographic and academic characteristics of the undergraduate nursing students who referred higher levels of moral distress were being enrolled in the final course semesters, were at a federal university, and had no prior degree as an auxiliary nurse/nursing technician.

Translation and Psychometric Evaluation of the Undergraduate Nursing Student Academic Satisfaction Scale (UNSASS)

2021 ◽  
pp. JNM-D-20-00068
Author(s):  
Pardis Rahmatpour ◽  
Hamid Sharif Nia ◽  
Mansoureh Ashghali Farahani ◽  
Kelly A. Allen
Keyword(s):  
Factor Analysis ◽  
Nursing Students ◽  
Nursing Student ◽  
Validity And Reliability ◽  
Satisfaction Scale ◽  
Undergraduate Nursing Students ◽  
Academic Satisfaction ◽  
Persian Version ◽  
Undergraduate Nursing ◽  
Undergraduate Nursing Student

Background and PurposeMeasuring student satisfaction among nursing students is necessary for academic institute. This study aimed to validate and measure the reliability of the Persian version of the Undergraduate Nursing Student Academic Satisfaction Scale (UNSASS).MethodsThis study was conducted on 437 undergraduate nursing students from September to December 2019. Face, content, construct validity (exploratory and confirmatory factor analysis), and reliability of the UNSASS were assessed.ResultsThe results of exploratory factor analysis showed that the Persian version of the UNSASS was composed of three factors: university, clinical, and faculty, which explained 41.77% of the overall variance.ConclusionsThe research revealed that the Persian version of the UNSASS has acceptable validity and reliability, which can be used to measure the academic satisfaction of undergraduate nursing students.

Moral distress among undergraduate nursing students who question the choice of professional career

2014 ◽  
Vol 1 (1) ◽  
pp. 63-69 ◽  
Author(s):  
S.S. Bordignon ◽  
V.L. Lunardi ◽  
E.L.D. Barlem ◽  
W.D. Lunardi Filho ◽  
J.G. Tomaschewski-Barlem ◽  
...  
Keyword(s):  
Nursing Students ◽  
Moral Distress ◽  
Undergraduate Nursing Students ◽  
Professional Career ◽  
Undergraduate Nursing

scholarly journals Instrument for evaluating care given by undergraduate nursing students to people with wounds

2015 ◽  
Vol 49 (2) ◽  
pp. 0317-0325 ◽  
Author(s):  
Roberta Kaliny de Souza Costa ◽  
Gilson de Vasconcelos Torres ◽  
Marina de Góes Salvetti ◽  
Isabelle Campos de Azevedo ◽  
Maria Antônia Teixeira da Costa
Keyword(s):  
Nursing Students ◽  
Delphi Technique ◽  
Kappa Coefficient ◽  
Wilcoxon Test ◽  
Methodological Study ◽  
Validity Index ◽  
Undergraduate Nursing Students ◽  
Cutaneous Injury ◽  
Undergraduate Nursing ◽  
Delphi Round

OBJECTIVE The aim of this study was to present the process of construction and validation of an instrument for evaluating the care provided to people with wounds, to be used with undergraduate nursing students. METHOD Methodological study, with quantitative approach, using the Delphi technique in two rounds, the first with 30 judges and the second with 18. The analysis was made with Kappa coefficient ≥0.80, and content validity index greater than >0.80, also using the Wilcoxon test for comparison of the indices between the rounds. RESULTS It was found that of the 20 categories of the instrument, 18 presented better scores in the second Delphi round. Scores were greater in the second round in seven of the ten evaluation categories. CONCLUSION Based on the evaluation by the judges, a version of the instrument was defined with adequate indices of agreement and validity, which will be able to help in evaluating care of people with cutaneous injury given by undergraduate nursing students.

Factor Analysis of the Transcultural Self-Efficacy Tool (TSET)

2010 ◽  
Vol 18 (2) ◽  
pp. 120-139 ◽  
Author(s):  
Marianne R. Jeffreys ◽  
Enis Dogan
Keyword(s):  
Factor Analysis ◽  
Nursing Students ◽  
Self Efficacy ◽  
Transcultural Nursing ◽  
Undergraduate Nursing Students ◽  
Factor Loadings ◽  
Undergraduate Nursing ◽  
Components Analysis ◽  
The Difference ◽  
Using Data

The factor structure of the Transcultural Self-Efficacy Tool (TSET) was analyzed using data from 272 culturally diverse undergraduate nursing students. The TSET is a questionnaire designed to measure students’ confidence for performing general transcultural nursing skills among diverse client populations. Using the most recent imputation techniques for missing data, researchers demonstrate how common exploratory factor analysis (CEFA)—(as opposed to principal components analysis)—can (and should be) used in examining the factorial composition of the tool. Standard errors for factor loadings were computed and utilized in deciding whether a given item loaded significantly on a factor and whether the difference between the factor loadings of two or more items on the same factor were statistically significant. The CEFA, comprised of 69 of the 83 items, yielded four factors—“Knowledge and Understanding,” “Interview,” “Awareness, Acceptance, and Appreciation,” and “Recognition”—with internal consistency ranging from .94 to .98. Reliability of the total instrument was .99. It was concluded that the present CEFA study continues to support that the TSET assesses the multidimensional nature of transcultural self-efficacy while also differentiating between three types of learning: cognitive, practical, and affective. The benefits of this support allow the researcher/educator to move beyond mere assessment to the design, implementation, and evaluation of diagnostic-prescriptive teaching strategies for cultural competence education.

A Second-Order Confirmatory Factor Analysis of the Moral Distress Scale-Revised for Nurses

2017 ◽  
Vol 26 (4) ◽  
pp. 1199-1210 ◽  
Author(s):  
Hamid Sharif Nia ◽  
Vida Shafipour ◽  
Kelly-Ann Allen ◽  
Mohammad Reza Heidari ◽  
Jamshid Yazdani-Charati ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Factor Structure ◽  
Internal Consistency ◽  
Moral Distress ◽  
Second Order ◽  
Divergent Validity ◽  
Confirmatory Factor ◽  
Convergent And Divergent Validity ◽  
Distress Scale

Background: Moral distress is a growing problem for healthcare professionals that may lead to dissatisfaction, resignation, or occupational burnout if left unattended, and nurses experience different levels of this phenomenon. Objectives: This study aims to investigate the factor structure of the Persian version of the Moral Distress Scale–Revised in intensive care and general nurses. Research design: This methodological research was conducted with 771 nurses from eight hospitals in the Mazandaran Province of Iran in 2017. Participants completed the Moral Distress Scale–Revised, data collected, and factor structure assessed using the construct, convergent, and divergent validity methods. The reliability of the scale was assessed using internal consistency (Cronbach’s alpha, Theta, and McDonald’s omega coefficients) and construct reliability. Ethical considerations: This study was approved by the Ethics Committee of Mazandaran University of Medical Sciences. Findings: The exploratory factor analysis ( N = 380) showed that the Moral Distress Scale–Revised has five factors: lack of professional competence at work, ignoring ethical issues and patient conditions, futile care, carrying out the physician’s orders without question and unsafe care, and providing care under personal and organizational pressures, which explained 56.62% of the overall variance. The confirmatory factor analysis ( N = 391) supported the five-factor solution and the second-order latent factor model. The first-order model did not show a favorable convergent and divergent validity. Ultimately, the Moral Distress Scale–Revised was found to have a favorable internal consistency and construct reliability. Discussion and conclusion: The Moral Distress Scale–Revised was found to be a multidimensional construct. The data obtained confirmed the hypothesis of the factor structure model with a latent second-order variable. Since the convergent and divergent validity of the scale were not confirmed in this study, further assessment is necessary in future studies.

scholarly journals Validity and Reliability of the Transition Shock Scale for Undergraduate Nursing Students

2019 ◽  
Vol 25 (1) ◽  
pp. 17-26 ◽  
Author(s):  
Soo Yeon Kim ◽  
Yong Soon Shin
Keyword(s):  
Factor Analysis ◽  
Data Analysis ◽  
Nursing Students ◽  
Confirmatory Factor Analysis ◽  
Validity And Reliability ◽  
Undergraduate Nursing Students ◽  
Cronbach's Alpha ◽  
Undergraduate Nursing ◽  
Confirmatory Factor ◽  
Transition Shock

Purpose: This study was conducted to verify the validity and reliability of the modified Transition Shock Scale for use among nursing students. Methods: From March 8-April 3, 2018, 207 nursing students participated in this study and were asked to complete self-reported questionnaires, including transition shock, clinical stress, and adapting to clinical practicums. The IBM SPSS Win 18.0 and AMOS 18.0 programs were used for data analysis. Results: A confirmatory factor analysis supported good convergent and discriminant validities ($x^2/df=1.58$, TLI=.92, CFI=.95, RMSEA=.053, AVE=.51-.68, CR=.75-.68). Correlations among transition shock, clinical stress (r=.34, p<.001), and adapting to clinical practicums (r=-.54, p<.001) were significant. Cronbach's alpha for the overall scale was .85, and for the six subfactors it ranged from .65 to .75. Conclusion: The findings suggest that the 17-item transition shock questionnaire is an appropriate instrument for measuring nursing students' transition shock with good validity and reliability.

scholarly journals Development and validation of a video on bed baths

2020 ◽  
Vol 28 ◽  
Author(s):  
Juliana de Lima Lopes ◽  
Rui Carlos Negrão Baptista ◽  
Tânia Arena Moreira Domingues ◽  
Rosali Isabel Barduchi Ohl ◽  
Alba Lucia Bottura Leite de Barros
Keyword(s):  
Nursing Students ◽  
Undergraduate Students ◽  
Delphi Technique ◽  
Professional Training ◽  
Video Recording ◽  
Undergraduate Nursing Students ◽  
Undergraduate Nursing ◽  
Definition Of ◽  
Development And Validation ◽  
Nursing Professionals

Objective: develop and validate a video on bed bathing directed to nursing professionals and students. Method: the video was based on the literature and presents the definition of bed bath, indications for its performance, steps to perform it, and potential complications. Nursing professors and nurses validated it. They assessed the pertinence of content, clarity, and language of the video scenes. The Delphi Technique was used in this phase. After recording, three nursing professors, along with undergraduate nursing students from a public university, assessed the educational video. The professors first watched the video and suggested changes, and then the students watched the video after the changes were implemented. Results: six rounds were needed for experts to validate the video script using the Delphi Technique. After the video recording, undergraduate students considered the video of easy understanding. Conclusion: the video script was composed of four topics and was validated by experts after six rounds. The video was assessed by the professors and nursing undergraduate students, who considered the topics and the video as a whole as apprehensible. This study is expected to contribute to professional training and improvement of the knowledge and skills of nursing students.

scholarly journals Validation Study of the Korean Version of the Jefferson Scale of Empathy-Health Professions Students for Measuring Empathy in Undergraduate Nursing Students

2018 ◽  
Vol 24 (3) ◽  
pp. 259-268
Author(s):  
Jisoon Kim ◽  
Sukhee Ahn
Keyword(s):  
Factor Analysis ◽  
Nursing Students ◽  
Confirmatory Factor Analysis ◽  
Health Professions ◽  
Criterion Validity ◽  
Validity And Reliability ◽  
Undergraduate Nursing Students ◽  
Korean Version ◽  
Undergraduate Nursing ◽  
Confirmatory Factor

Purpose: This study was to validate the Korean version of the Jefferson Scale of Empathy-Health Professions Students (K-JSE-HPS) in undergraduate nursing students. Methods: With a survey design, a total of 293 junior and senior nursing students were recruited and data were collected using a self-administered study questionnaire to measure their levels of empathy use the K-JSE-HPS. Using SPSS/WIN 22.0 and AMOS 22.0, data analysis was conducted with confirmatory factor analysis, criterion validity, and reliability. Results: For construct validity, confirmatory factor analysis showed an acceptable model fit (Goodness of Fit Index was 0.88) along with confirming convergent and discriminant validity (construct reliability was 0.70). For criterion validity, the scale was significantly related with the Interpersonal Reaction Index. For reliability, Cronbach's ${alpha}$ coefficient for the scale was 0.87 and for the subscales were 0.84, 0.78, and 0.69, respectively. Conclusion: The findings show satisfactory construct and criterion validity and reliability of the Korean version of the JSE-HPS for measuring empathy in undergraduate nursing students.

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