Psychometric Evaluation of the Moral Comfort Questionnaire

被引:2
|
作者
Bermudez, Natalie [1 ]
机构
[1] Baptist Hlth South Florida, Nursing & Hlth Sci Res, Miami, FL 33176 USA
关键词
moral comfort; moral distress; psychometric evaluation; instrument testing; ETHICAL DECISION-MAKING; NURSES PERCEPTIONS; DISTRESS; RESPONSES;
D O I
10.1891/JNM-2022-0035
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Background and Purpose: The ethical challenges of the COVID-19 pandemic have contributed to an increase in moral distress (MD) in nurses-a long-standing, ubiquitous issue in nursing-highlighting its detrimental impact on nurses, patients, and healthcare organizations. MD is the negative outcome of a moral situation or dilemma in which a nurse is prevented from taking action on ethical decisions usually related to organizational constraints. On the opposite end of the spectrum, moral comfort (MC), an emerging concept in nursing, is an individual's feelings of ease with decisions and actions related to a moral dilemma or the positive outcome of a moral situation or dilemma. However, nursing literature on MC is sparse. While several instruments to measure MD exist, an instrument to measure MC was not found. The MC Questionnaire (MCQ) was theoretically developed. The purpose of this study was to conduct a psychometric evaluation of the new 35 -item MCQ. Methods: Psychometric evaluation design was used. Reliability testing consisted of the examination of internal consistency (coefficient alpha values) and stability (test-retest reliability: Spearman's correlation coefficient, weighted Kappa, and Bland-Altman [B&A] analysis). Validity was examined using content validity (content expert evaluation) and discriminant validity ( r < .30). Model fit of a proposed five -factor model was tested using confirmatory factor analysis (CFA). Results: Hospital -based direct -care (HB-DC) registered nurses (RNs; n = 466) participated from February 2019 to September 2019 in this Institutional Review Board-approved study. Participants completed demographic information, the MCQ, and the Moral Distress Scale-Revised (MDSR). The psychometric evaluation included a priori content validation and multiple statistical analyses: coefficient alpha, Spearman's correlation coefficient, weighted Kappa, B&A, discriminant validity, and CFA. Coefficient alpha was .951, suggesting internal consistency. Spearman's correlation coefficient was .605 ( p < .001), suggesting a strong correlation between Time 1 and Time 2. Weighted Kappa values for each item (range = .139-.559) suggested slight to moderate agreement between responses over time. The B&A plot suggested agreement of responses over time. Discriminant validity results suggested no correlation between the MCQ and MDSR ( r = -.219), which was expected. CFA results suggest a poor model fit of the proposed five -factor model. A post hoc hierarchical cluster analysis showed the presence of two clusters. A subsequent two -factor exploratory factor analysis showed items loading onto one of the two factors (internal and external). Conclusions: MC in nurses is essential to promoting positive outcomes for nurses. An instrument to measure MC in nurses is needed to gain a further understanding of the concept. The MCQ was theoretically developed and psychometrically evaluated. Results suggest the validity and reliability of the MCQ with further testing of a two -factor model. Knowledge acquired from studies using the MCQ could potentially be used to develop strategies to promote MC in nurses, thereby promoting positive outcomes for nurses, patients, and healthcare organizations.
引用
收藏
页码:141 / 151
页数:12
相关论文
共 50 条
  • [41] A Psychometric Evaluation of a Brief School Relationship Questionnaire
    Dong, Yang
    Liu, Ying
    Ding, Cody
    EUROPEAN JOURNAL OF PSYCHOLOGICAL ASSESSMENT, 2012, 28 (01) : 19 - 24
  • [42] MENSTRUAL SYMPTOM QUESTIONNAIRE - FURTHER PSYCHOMETRIC EVALUATION
    COX, DJ
    BEHAVIOUR RESEARCH AND THERAPY, 1977, 15 (06) : 506 - 508
  • [43] PSYCHOMETRIC EVALUATION OF THE EDUCATION NEEDS ASSESSMENT QUESTIONNAIRE
    Kim, M.
    Dyck, M. J.
    Klodt, M.
    Kelley, C. M.
    GERONTOLOGIST, 2013, 53 : 309 - 309
  • [44] Correction to: Psychometric evaluation of the Pinocchio Illusion Questionnaire
    John R. Purcell
    John Chen
    Alexandra B. Moussa-Tooks
    William P. Hetrick
    Attention, Perception, & Psychophysics, 2020, 82 : 2738 - 2738
  • [45] Psychometric evaluation of the Hamburg Nightmare Questionnaire (HNQ)
    Gorzka, Robert-Jacek
    Rebling, Katja
    Hoellmer, Helge
    Schulz, Holger
    Knaust, Thiemo
    Proticc, Sonja
    Schredl, Michael
    Wittmann, Lutz
    EUROPEAN JOURNAL OF PSYCHOTRAUMATOLOGY, 2019, 10 (01)
  • [46] Development and Psychometric Evaluation of the Father Engagement Questionnaire
    Jiang, Yixin
    Tully, Lucy A.
    Burn, Matthew T.
    Piotrowska, Patrycja
    Collins, Daniel A. J.
    Moul, Caroline
    Frick, Paul J.
    Hawes, David J.
    Kimonis, Eva R.
    Lenroot, Rhoshel K.
    Anderson, Vicki
    Dadds, Mark R.
    JOURNAL OF CHILD AND FAMILY STUDIES, 2018, 27 (11) : 3457 - 3467
  • [47] Development and psychometric evaluation of the contraceptive attitude questionnaire
    Aksu, Sidika Pelit
    Aksoy, Mehtap Uzun
    Gurcuoglu, Esra Arslan
    Erenel, Ayten Senturk
    JOURNAL OF NURSING AND MIDWIFERY SCIENCES, 2022, 9 (01) : 16 - 23
  • [48] Psychometric evaluation of the Motor Readiness Questionnaire for Stroke
    Page, SJ
    Garner, C
    CLINICAL REHABILITATION, 2005, 19 (05) : 531 - 537
  • [49] Psychometric evaluation of the Dutch version of the Aggression Questionnaire
    Meesters, C
    Muris, P
    Bosma, H
    Schouten, E
    Beuving, S
    BEHAVIOUR RESEARCH AND THERAPY, 1996, 34 (10) : 839 - 843
  • [50] Development and Psychometric Evaluation of the Body Mindfulness Questionnaire
    Burg, Jan M.
    Probst, Thomas
    Heidenreich, Thomas
    Michalak, Johannes
    MINDFULNESS, 2017, 8 (03) : 807 - 818