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

2017 ◽  
Vol 26 (2) ◽  
pp. 434-442 ◽  
Author(s):  
Rafaela Schaefer ◽  
Elma LCP Zoboli ◽  
Margarida M Vieira
Keyword(s):  
Moral Distress ◽  
Psychological Symptoms ◽  
Reliability And Validity ◽  
Psychometric Evaluation ◽  
Methodological Study ◽  
Moral Integrity ◽  
Distress Risk ◽  
Healthcare Settings ◽  
Statistical Program ◽  
Risk Scale

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.

scholarly journals Psychometric Evaluation of the Perceived Stress Scale in Multiple Sclerosis

2013 ◽  
Vol 2013 ◽  
pp. 1-9 ◽  
Author(s):  
Salene M. Wu ◽  
Dagmar Amtmann
Keyword(s):  
Multiple Sclerosis ◽  
Perceived Stress ◽  
Factor Model ◽  
Reliability And Validity ◽  
Psychometric Evaluation ◽  
General Factor ◽  
Perceived Stress Scale ◽  
Stress Scale ◽  
Two Factors ◽  
Mental And Physical Health

Multiple sclerosis (MS) is a progressive disease characterized by neurological symptoms and sometimes heightened levels of distress. The Perceived Stress Scale (PSS) is often used in MS samples to measure stress but has not been validated in this population. Participants (n=446) completed the PSS as well as measure of depression, anxiety, and mental and physical health. Factor analyses indicated that the general factor of a bifactor model accounted for a large amount of the variance in the 14-item and 10-item versions of the PSS. The 4-item PSS had two factors, the Stress subscale and the Coping subscale, but a one-factor model also fits the data well. Total scores and both subscales had sufficient reliability and validity for all versions of the PSS, although a few items of the 14-item PSS had low item-total correlations. This study supports the use of the total score of the PSS in MS but also suggests that the 10-item PSS had better psychometric properties than the 14-item PSS.

Gender and the experience of moral distress in critical care nurses

2014 ◽  
Vol 22 (1) ◽  
pp. 32-42 ◽  
Author(s):  
Christopher B O’Connell
Keyword(s):  
Gender Differences ◽  
Critical Care ◽  
Gender Difference ◽  
Intent To Leave ◽  
Moral Distress ◽  
Psychological Symptoms ◽  
Research Question ◽  
Critical Care Nurses ◽  
Underrepresented Groups ◽  
Distress Scale

Background: Nursing practice is complex, as nurses are challenged by increasingly intricate moral and ethical judgments. Inadequately studied in underrepresented groups in nursing, moral distress is a serious problem internationally for healthcare professionals with deleterious effects to patients, nurses, and organizations. Moral distress among nurses has been shown to contribute to decreased job satisfaction and increased turnover, withdrawal from patients, physical and psychological symptoms, and intent to leave current position or to leave the profession altogether. Research question: Do significant gender differences exist in the moral distress scores of critical care nurses? Research design: This study utilized a quantitative, descriptive methodology to explore moral distress levels in a sample of critical care nurses to determine whether gender differences exist in their mean moral distress scores. Participants and research context: Participants ( n = 31) were critical care nurses from an American Internet nursing community who completed the Moral Distress Scale–Revised online over a 5-day period in July 2013. Ethical considerations: Institutional review board review approved the study, and accessing and completing the survey implied informed consent. Findings: The results revealed a statistically significant gender difference in the mean moral distress scores of participants. Females reported statistically significantly higher moral distress scores than did males. Overall, the moral distress scores for both groups were relatively low. Discussion: The findings of a gender difference have not previously been reported in the literature. However, other findings are consistent with previous studies on moral distress. Conclusion: Although the results of this study are not generalizable, they do suggest the need for continuing research on moral distress in underrepresented groups in nursing, including cultural and ethnic groups.

scholarly journals Moral distress: Ethically appropriate actions

2021 ◽  
Vol 31 (Supplement_3) ◽  
Author(s):  
E Maeckelberghe
Keyword(s):  
Moral Agency ◽  
Moral Distress ◽  
Original Description ◽  
Moral Integrity ◽  
Moral Question ◽  
The Right ◽  
The Given ◽  
Psychological Dimensions ◽  
Original Concept ◽  
Ethical Situation

Abstract Andrew Jameton in 1984 coined the concept of moral distress as: “knowing what to do in an ethical situation, but not being allowed to do it” This original description presupposes that the right moral act can be identified and precludes situations of doubt and uncertainty. The 1984 definition emphasizes barriers that make it impossible for someone to do what they ought to do. Whereas Jameton in a revision in 2013 of his original concept emphasized reduction of the psychological dimensions, Peter& Liaschenko stress the element of moral agency. Moral distress then is a threat to the moral integrity of the professional. This requires three-step ananlysis: first, what is the moral question?; two, what are morally adeguate answers to this question?; three, what ethically appropriate actions are under pressure in the given situation? This will be illustrated with examples from the COVID-19 pandemic.

Moral distress of critical care nurses

1995 ◽  
Vol 4 (4) ◽  
pp. 280-285 ◽  
Author(s):  
MC Corley
Keyword(s):  
Factor Analysis ◽  
Critical Care ◽  
Intensive Care ◽  
Private Hospital ◽  
Moral Distress ◽  
Medical Center ◽  
Critical Care Nurses ◽  
Moral Integrity ◽  
Healthcare Organizations ◽  
Aggressive Care

BACKGROUND: Constraint of nurses by healthcare organizations, from actions the nurses believe are appropriate, may lead to moral distress. OBJECTIVE: To present findings on moral distress of critical care nurses, using an investigator-developed instrument. METHODS: An instrument development design using consensus by three expert judges, test-retest reliability, and factor analysis was used. Study participants (N = 111) were members of a chapter of the American Association of Critical-Care Nurses, critical care nurses employed in a large medical center, and critical care nurses from a private hospital. A 32-item instrument included items on prolonging life, performing unnecessary tests and treatments, lying to patients, and incompetent or inadequate treatment by physicians. RESULTS: Three factors were identified using factor analysis after expert consensus on the items: aggressive care, honesty, and action response. Nurses in the private hospital reported significantly greater moral distress on the aggressive care factor than did nurses in the medical center. Nurses not working in intensive care experienced higher levels of moral distress on the aggressive care factor than did nurses working in intensive care. Of the 111 nurses, 12% had left a nursing position primarily because of moral distress. CONCLUSIONS: Although the mean scores showed somewhat low levels of moral distress, the range of responses revealed that some nurses experienced high levels of moral distress with the issues. Research is needed on conditions organizations must provide to support the moral integrity of critical care nurses.

scholarly journals Memory of Love Towards Parents Questionnaire: Development and Psychometric Evaluation

2018 ◽  
Vol 123 (2) ◽  
pp. 546-577 ◽  
Author(s):  
Lawrence Patihis ◽  
Mario E. Herrera ◽  
Mark J. Huff ◽  
Randolph C. Arnau
Keyword(s):  
Reliability And Validity ◽  
Questionnaire Development ◽  
Psychometric Evaluation ◽  
Order Effects ◽  
Single Factor ◽  
Internal Reliability ◽  
Total N ◽  
Fixed Order ◽  
Time Periods ◽  
Important Time

We document the development of the Memory of Love towards Parents Questionnaire—for use in multiple areas of psychology. It is designed to measure current feelings of and memory of love towards a specific parent during important time periods in childhood. In all samples (total N = 1527), we consistently found high internal reliability. We report the basic psychometrics of the 28-item subscale version in both undergraduate and US nonclinical adult samples and identified 10-item and 4-item subscale versions. The Memory of Love towards Parents Questionnaire has eight subscales: assessing mother and father separately during first, sixth, and ninth grade, as well as current feelings. We found a pattern of correlations that one would expect between existing attachment scales and the Memory of Love towards Parents Questionnaire. A factor analysis demonstrated that Memory of Love towards Parents Questionnaire items capture something different from the factors in established attachment measures. We found that the order of the subscales can be presented in a fixed order (mother-first and chronologically) without large order effects. The Memory of Love towards Parents Questionnaire demonstrated a single factor within subscales, reliability, and validity. The Memory of Love towards Parents Questionnaire can be used in clinical, social, developmental, and cognitive psychology.

scholarly journals Psychosocial Screening in Disorders/Differences of Sex Development: Psychometric Evaluation of the Psychosocial Assessment Tool

2018 ◽  
Vol 90 (6) ◽  
pp. 368-380 ◽  
Author(s):  
Michelle M. Ernst ◽  
Melissa Gardner ◽  
Constance A. Mara ◽  
Emmanuèle C. Délot ◽  
Patricia Y. Fechner ◽  
...  
Keyword(s):  
Behavioral Problems ◽  
Assessment Tool ◽  
Reliability And Validity ◽  
Psychometric Evaluation ◽  
Psychosocial Assessment ◽  
Research Network ◽  
Caregiver Distress ◽  
Internal Reliability ◽  
Clinical Registry ◽  
Sex Development

Background/Aims: Utilization of a psychosocial screener to identify families affected by a disorder/difference of sex development (DSD) and at risk for adjustment challenges may facilitate efficient use of team resources to optimize care. The Psychosocial Assessment Tool (PAT) has been used in other pediatric conditions. The current study explored the reliability and validity of the PAT (modified for use within the DSD population; PAT-DSD). Methods: Participants were 197 families enrolled in the DSD-Translational Research Network (DSD-TRN) who completed a PAT-DSD during a DSD clinic visit. Psychosocial data were extracted from the DSD-TRN clinical registry. Internal reliability of the PAT-DSD was tested using the Kuder-Richardson-20 coefficient. Validity was examined by exploring the correlation of the PAT-DSD with other measures of caregiver distress and child emotional-behavioral functioning. Results: One-third of families demonstrated psychosocial risk (27.9% “Targeted” and 6.1% “Clinical” level of risk). Internal reliability of the PAT-DSD Total score was high (α = 0.86); 4 of 8 subscales met acceptable internal reliability. A priori predicted relationships between the PAT-DSD and other psychosocial measures were supported. The PAT-DSD Total score related to measures of caregiver distress (r = 0.40, p < 0.001) and to both caregiver-reported and patient self-reported behavioral problems (r = 0.61, p < 0.00; r = 0.37, p < 0.05). Conclusions: This study provides evidence for the reliability and validity of the PAT-DSD. Given variability in the internal reliability across subscales, this measure is best used to screen for overall family risk, rather than to assess specific psychosocial concerns.

scholarly journals RELIABILITY AND VALIDITY OF THE KNOWLEDGE OF PERSON-CENTERED BEHAVIORAL APPROACHES FOR BPSD

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S558-S559
Author(s):  
Kimberly Van Haitsma ◽  
Caroline Madrigal ◽  
Ann M Kolanowski ◽  
Barb Resnick ◽  
Beth Galik ◽  
...  
Keyword(s):  
Construct Validity ◽  
Test Scores ◽  
Rasch Analysis ◽  
Psychological Symptoms ◽  
Reliability And Validity ◽  
Psychometric Testing ◽  
Person Centered Care ◽  
Centered Care ◽  
Behavioral And Psychological Symptoms ◽  
Item Reliability

Abstract How behavioral and psychological symptoms of dementia (BPSD) are understood and managed is important to person-centered care. No knowledge tests associated with dementia specifically address staff knowledge of person-centered behavioral approaches to BPSD. The Knowledge of Person-Centered Behavioral Approaches for BPSD Test was developed by our team to fill that gap. We tested the reliability and validity of this measure using a Rasch analysis and additional psychometric testing. 1,071 nurses from 35 nursing homes participated in the study. Reliability was evident based on an item separation of 11.00 and item reliability of 0.99. Construct validity was evident in that all of the items fit the model with INFIT and OUTFIT statistics (0.6-1.4). Associations between test scores and observed positive and negative care interactions (r=.38, p=.03; r=-.26, p=.12), person-centered care approaches (r=-.25, p=.15), and resistance to care (r=-.31, p=.07) will be examined and implications for person-centered care discussed.

scholarly journals The Summary of an Urdu Version of Diabetes Self-Care Activities Measure: Psychometric Evaluation and Validation

2020 ◽  
Vol 11 ◽  
pp. 215013272093529
Author(s):  
Rashid M. Ansari ◽  
Mark F. Harris ◽  
Hassan Hosseinzadeh ◽  
Nicholas Zwar
Keyword(s):  
Small Sample Size ◽  
Self Care ◽  
Reliability And Validity ◽  
Psychometric Evaluation ◽  
Small Sample ◽  
World Health ◽  
Self Management ◽  
English Version ◽  
Health Organization ◽  
Test Retest Reliability

Objective: The English version of the Summary of Diabetes Self-Care Activities (SDSCA) measure is the most frequently used self-reporting instrument assessing diabetes self-management. This study is aimed at translating English SDSCA into the Urdu version and validating and evaluating its psychometric properties. Methods: The Urdu version of SDSCA was developed based on the guidelines provided by the World Health Organization for translation and adaptation of instruments. The panel of experts examined the content validity, reliability, and internal consistency of the instrument. The translation process from the English version to the Urdu version revealed excellent results at all the stages. Results: The instrument showed promising and acceptable results. Of particular mention are the results related to split-half reliability coefficient 0.90, test-retest reliability ( r = 0.918, P < .001), intraclass coefficient (0.912), and Cronbach’s alpha (.79). The factor analysis (exploratory and confirmatory) was not performed in this study due to the small sample size (n = 30) as the objective was to validate the Urdu version of the SDSCA instrument. Conclusions: This study provided evidence for the reliability and validity of the Urdu Summary of Diabetes Self-Care Activities (U-SDSCA) instrument, which may be used in the future for the patients of diabetes in order to assess type 2 diabetes self-management activities in the rural area of Pakistan and other Urdu-speaking countries.

scholarly journals Measuring instrument: knowledge, attitudes and practices of people with pulmonary tuberculosis

2019 ◽  
Vol 27 ◽  
Author(s):  
Alba Idaly Muñoz-Sánchez ◽  
Yurian Lida Rubiano-Mesa ◽  
Carlos Julio Saavedra-Cantor
Keyword(s):  
Pulmonary Tuberculosis ◽  
Content Validity ◽  
Theoretical Foundation ◽  
Reliability And Validity ◽  
Sensitivity Study ◽  
Control Group ◽  
Measuring Instrument ◽  
Methodological Study ◽  
Attitudes And Practices ◽  
Knowledge Attitudes And Practices

ABSTRACT Objective: to build an instrument to attain reliable and valid measurements of the knowledge, attitudes and practices of patients with pulmonary tuberculosis. Methods: methodological study that measured the sensitivity, reliability and validity of the instrument content. Studies of reliability and content validity comprehensibility involved 234 patients with pulmonary tuberculosis. Results: an integrative review was conducted for theoretical foundation. The sensitivity study comprised 30 patients with pulmonary tuberculosis, who had greater knowledge on tuberculosis (12.03) than the control group (9.93). Factor analysis showed that 7 factors explained 67.8% of the variance. Content validity identified a 98.3 % comprehensibility, and the expert trial assessed the sufficiency, clarity, relevance and coherence criteria, showing agreement between judges. Conclusions: the instrument has studies of sensitivity, reliability and content validity that showed it can be applied to patients with pulmonary tuberculosis; nevertheless, cultural and semantic adaptations must be developed for other scenarios.

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