2014
DOI: 10.1590/0104-07072014000060013
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Abstract: ABSTRACT:The Moral Distress Scale was designed to assess the severity and frequency of the moral distress experienced by nursing professionals in everyday situations. The objective of this study was to analyze the psychometric characteristics of the Moral Distress Scale adapted to Brazilian nursing. Through factor analysis, five constructs were identified: lack of competence in the work team; disregard for patient autonomy, inadequate working conditions, denial of the nursing role as an advocate in terminal pa… Show more

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Cited by 27 publications
(36 citation statements)
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“…Adversity in the workplace can lead to moral distress, burnout, increased staff turnover and the decrease in the quality of care. 36 In this context, due to budgetary constraints in the health services, it is possible for work overload, technical failures and ethical problems in nursing care to occur. In some cases, the practice becomes mechanized and there is lack of professional development policies.…”
Section: Discussionmentioning
confidence: 99%
“…Adversity in the workplace can lead to moral distress, burnout, increased staff turnover and the decrease in the quality of care. 36 In this context, due to budgetary constraints in the health services, it is possible for work overload, technical failures and ethical problems in nursing care to occur. In some cases, the practice becomes mechanized and there is lack of professional development policies.…”
Section: Discussionmentioning
confidence: 99%
“…MDS is extensively used to measure moral distress in nursing and was first used in 1995. 17 Another study investigated the MDS validity in Iran using content validity, and its reliability was derived 0.93 by test-retest and Cronbach's alpha coefficient. 18 This questionnaire consisted of 30 questions in three categories of ignoring patient (16 questions), decision-making power (8 questions), and professional performance competence (6 questions) which were rated by using 7-point Likert scale from very low to very high, number 1 represented the lowest moral distress, and number 7 represented the highest moral distress; as a result, the scores of the intensity of moral distress ranged between 30 and 210.…”
Section: Measures and Data Analysismentioning
confidence: 99%
“…12 Subsequent studies identified that denying a nurse's role as a patient advocate, which is defined as the potential to claim the rights of patients that was unused by nurses, was an important source of moral distress. 13,41 Nurses can individually recognize the problems of patients in the routine of their work and advocate in their favor, but it is virtually impossible for them to confront and change systemic problems affecting their patients, which may cause them unnecessary distress. Understanding advocacy as an individual responsibility of nurses seems to discourage nursing associations from playing their most important leadership roles, abandoning nurses and their patients.…”
Section: Advocate or Not? -Potentials Implicationsmentioning
confidence: 99%