Background The development pillars of a profession’s identity are the values of that profession. It’s highly critical to recognize and honor those professional values in nursing since nurses are in the frontline of the health system. In order to validate the 28-item scale of nursing professional value (NPVS-3), it was executed among nursing students. To conduct a Persian translation and validation of the nursing professional values scale-3 (NPVS-3). Method A methodological design was performed using convenient sampling method with a 400-subject sample size. As prescribed by the World Health Organization protocol, the NPVS-3 was translated. Results Removing 3 items, the exploratory factor analysis revealed a 3-factor structure (profession, activity, care), respectively, with 25 remaining items for the NPVS-3. These 3 factors overall accounted for 24.48% of the total variance of the NPVS-3 in this sample. Regarding the findings of the confirmatory factor analysis, all the fitness indices were appropriate and the fitness of the model was confirmed. As surveying the convergent and divergent validity displayed, all 3 factors are of befitting convergent and divergent validity. McDonald's Omega(ꙍ), CR and Cronbach's alpha, 3 factors extracted from the 25-item NPVS-3 were greater than 0.7. Conclusions The current research findings reported that the validity and reliability of the 25-item version of the NPVS-3 has been verified. This scale can be utilized to measure the awareness about the values of the nursing profession and the adherence and compliance level among the nursing students.
BACKGROUND: Critical care nurses usually experience high levels of moral distress due to the nature of their work. Resilience in critical care nurses can potentially facilitate effective adaptation to physical and emotional burden of caring for critically ill patients. The present study aimed to evaluate the relationship between resilience and moral distress among Iranian critical care nurses.METHODS: In this cross-sectional correlational study, 144 critical care nurses working in intensive care units (ICUs) of five teaching hospitals affiliated to Mazandaran University of Medical Sciences, were selected randomly, from July to October 2020. Data were collected using a 36 item moral distress questionnaire and a 25-item Connor-Davidson Resilience Scale (CD-RISC) questionnaire. Data were analyzed using independent t-test, ANOVA and Pearson correlation coefficient using SPSS 21 software.RESULTS: The mean score of moral distress in nurses was 66.93±2.47 and 95.8% of nurses had low-level moral distress. The mean score of resilience in nurses was 90.66±10.92 and 73.6% of nurses had high levels of resilience. There was a statistically significant relationship between the scores of moral distress and resilience. Also, there was a significant positive relationship between work experience and two subscales of resilience as "trust in individual instincts, tolerance of negative emotions" and "impact of spirituality" (p<0.001).CONCLUSION: The results of the present study indicated a positive correlation between resilience and moral distress in nurses working in ICUs. It seems that when moral distress increases, critical care nurses increasingly use the mechanism of resilience for better permanence and active presence in the organization.
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