Validation of a moral distress instrument in nurses of primary health care

Authors

  • Priscila Orlandi Barth Universidade Federal de Santa Catarina; Nursing Department
  • Flávia Regina Souza Ramos Univerisdade Federal de Santa Catarina; Nursing Department
  • Edison Luiz Devos Barlem Universidade Federal de Rio Grande; Nursing Department
  • Graziele de Lima Dalmolin Universidade Federal de Santa Maria; Nursing Department
  • Dulcinéia Ghizoni Schneider Universidade Federal de Santa Catarina; Nursing Department

DOI:

https://doi.org/10.1590/1518-8345.2227.3010

Keywords:

Validation Studies, Nurses, Primary Health Care, Ethics, Stress Psychological, Moral

Abstract

Objective: to validate an instrument to identify situations that trigger moral distress in relation to intensity and frequency in primary health care nurses. Method: this is a methodological study carried out with 391 nurses of primary health care, applied to the Brazilian Scale of Moral Distress in Nurses with 57 questions. Validation for primary health care was performed through expert committee evaluation, pre-test, factorial analysis, and Cronbach’s alpha. Results: there were 46 questions validated divided into six constructs: Health Policies, Working Conditions, Nurse Autonomy, Professional ethics, Disrespect to patient autonomy and Work Overload. The instrument had satisfactory internal consistency, with Cronbach’s alpha 0.98 for the instrument, and between 0.96 and 0.88 for the constructs. Conclusion: the instrument is valid and reliable to be used in the identification of the factors that trigger moral distress in primary care nurses, providing subsidies for new research in this field of professional practice.

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Published

2018-01-01

Issue

Vol. 26 (2018)

Section

Original Articles

License

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Including names of authors whose contribution does not fit into the above criteria cannot be justified. Those names can be included in the Acknowledgements section.
 Authors are fully responsible for the concepts disseminated in their manuscripts, which do not necessarily reflect the editors’ and editorial board’s opinion.

 

How to Cite

Validation of a moral distress instrument in nurses of primary health care. (2018). Revista Latino-Americana De Enfermagem, 26, e3010. https://doi.org/10.1590/1518-8345.2227.3010