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

被引:9
作者
Barth, Priscila Orlandi [1 ,2 ]
Souza Ramos, Flavia Regina [1 ]
Devos Barlem, Edison Luiz [3 ]
Dalmolin, Graziele de Lima [1 ]
Schneider, Dulcineia Ghizoni [1 ]
机构
[1] Univ Fed Santa Catarina, Nursing Dept, Florianopolis, SC, Brazil
[2] Univ Fed Santa Catarina, PEN, Programa Pos Grad Enfermagem, Florianopolis, SC, Brazil
[3] Univ Fed Rio Grande, Nursing Dept, Rio Grande, SC, Brazil
关键词
Validation Studies; Nurses; Primary Health Care; Ethics; Stress Psychological; Moral; ETHICAL CLIMATE; PERCEPTIONS; EXPERIENCES;
D O I
10.1590/1518-8345.2227.3010
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
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'ss 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 Cronbac''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.
引用
收藏
页数:11
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