Validity and Reliability of the Korean version of the Moral Distress Scale-Revised for Korean Hospital Nurses

Chae, Younbyoung; Yu, Su-Jeong; Lee, Eun Ja; Kang, Kyung-Ja; Park, Myung‐Sook; Yu, Mi

doi:10.5977/jkasne.2016.22.2.228

Cited by 7 publications

(4 citation statements)

References 17 publications

(6 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 30 Authors utilized this scale in 169 registered nurses and 37 physicians to demonstrate its reliability and construct validity. As the first generic instrument of MD for healthcare professionals, moral distress scale - revised (MDS-R) has 3 parallel versions for nurses, physicians, and other health care providers, and has also been extensively utilized by other subsequent survey or comparative studies, 42 - 44 as well as been extensively validated in other countries including Turkey, 45 Italy, 32 , 46 Australia, 47 China, 48 Korea, 49 Brazil, 50 Sweden, 51 and Iran. 52 , 53 To date, the MDS-R has 6 versions, designed for different healthcare provider populations: adult-nurse, adult-physician, adult-other, pediatric-nurse, pediatric-physician, and pediatric-other.…”

Section: Resultsmentioning

confidence: 99%

Instruments for Detecting Moral Distress in Clinical Nurses: A Systematic Review

Tian

Jin

Chen

et al. 2021

INQUIRY

View full text Add to dashboard Cite

Moral distress (MD) has become a seriously negative problem experienced by healthcare professionals, especially clinical nurses. Early and accurate detection of MD by the validated and reliable instrument is critically important to further develop an effective intervention strategy. We performed the current systematic review to comprehensively summarize the evidence of instruments for the detection of MD in clinical nurses. The research design was a systematic literature review. We assigned 2 investigators to independently search potential studies in PubMed, EMBASE, and China National Knowledge Infrastructure (CNKI) from their inception to June 2020. We used data extraction table extracting essential information, and the modified critical appraisal tool evaluating the reliability and validity of eligible instruments. Finally, we qualitatively summarized results of all included instruments. No ethical approval was required because this systematic review was performed based on published studies. We included 16 eligible studies covering 10 original and 6 revised or modified instruments for the final analysis. The overall quality of all instruments was moderate because test-retest reliability was inadequately examined in most instruments. Of 16 instruments, MDS-revised (MDS-R) was broadly validated and employed in different working or cultural settings. Meanwhile, it also extensively expands to specifically detect MD. Moreover, other instruments including moral distress risk scale (MDSR) and moral distress thermometer (MDT) should be further validated and utilized because it covered the gap missed by most instruments. Although several instruments have been made available for clinical nurses, some of them have inadequate psychometric properties test, especially test-retest reliability evaluation. Meanwhile, most of them have not be validated and employed in other working or cultural settings. We therefore suggested further studies to validate the psychometric properties of existing instruments and then employed instruments with high reliability and validity to detect MD in clinical nurses.

show abstract

Section: Resultsmentioning

confidence: 99%

Instruments for Detecting Moral Distress in Clinical Nurses: A Systematic Review

Tian

Jin

Chen

et al. 2021

INQUIRY

View full text Add to dashboard Cite

show abstract

“…In support of these findings, Chae et al 23 found five factors (e.g. futile care, nursing practice, the institutional and contextual factor, limits to claim the ethical issue, and physician practice) for the MDS-R for nurses in South Korean hospitals.…”

Section: Discussionmentioning

confidence: 89%

“…Karagozoglu et al 21 reported the reliability of the scale as 0.82 and 0.85 using the test–retest correlation coefficient and Cronbach’s alpha coefficient, respectively. Chae et al 23 reported the reliability of the scale using Cronbach’s alpha as 0.91 and it is a Guttman split-half reliability as 0.83 for the total scale.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A Second-Order Confirmatory Factor Analysis of the Moral Distress Scale-Revised for Nurses

Nia¹,

Shafipour

Allen

et al. 2017

Nurs Ethics

View full text Add to dashboard Cite

show abstract

Relationship of ICU Nurses' Difficulties in End-of-Life Care to Moral Distress, Burnout and Job Satisfaction

Jeon

Park

2019

J Korean Acad Nurs Adm

View full text Add to dashboard Cite

Purpose:The aim of this study was to identify the relationships between the difficulty of end-of-life care and moral distress, burnout and job satisfaction of nurses working in intensive care units (ICUs). Methods: This descriptive study was conducted using self-report questionnaires. Participants were nurses who had more than one year of ICU experience and were recruited from three university hospitals (N=168). Results: The mean scores for ICU nurses' difficulty in end-of-life care, moral distress, burnout and job satisfaction were 3.42, 113.88, 3.16 and 2.58 points, respectively. Difficulty in end-of-life care was positively correlated with moral distress (r=.48, p<.001) and burnout (r=.26, p=.001) and was negatively correlated with job satisfaction (r=-.17, p=.024). Difficulties in end-of-life was identified as a predictor of moral distress (β=.44, p<.001), burnout (β=.26, p=.001) and job satisfaction (β=-.18, p=.024). Conclusion:The results of this study suggest the following: it is important to have a deep understanding of ICU nurses who experience various difficulties in end-of-life care and to provide realist support for these nurses. And practical efforts by nursing organizations are needed, including support systems and education programs to alleviate ICU nurses'difficulties in end-of-life care.This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/ by-nc/3.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. 서 론 1. 연구의 필요성 의료기술의 발달로 생명연장이 가능해지면서 생의 마지막 을 병원에서 맞이하는 사람들이 늘어나고 있다[1]. 2017년 통 계청 자료에 따르면 국내 전체 사망자 중 의료기관 사망자는 76.2%로 나타나 전년도 보다 1.3%, 10년 전보다 16.2%가 증가 하였고[2], 연간 20~40%의 환자들은 중환자실에서 임종을 맞 이하는 것으로 나타났다[3]. 중환자실은 질병으로 인해 생명의 위기에 처한 환자를 적극적으로 치료하여 환자의 상태를 안정 시키고 회복시키는 것을 목적으로 한다[3,4]. 그러나 현재 우리 ⓒ 2019 Korean Academy of Nursing Administration http://www.kanad.or.kr Vol. 25 No. 1, 2019 43 중환자실 간호사가 경험하는 말기 환자간호의 어려움과 도덕적 고뇌, 소진 및 직무만족과의 관계 본 연구의 목적은 중환자실 간호사가 경험하는 말기 환자간 호의 어려움과 도덕적 고뇌, 소진 및 직무만족의 관계를 파악 하기 위한 것으로 구체적인 연구목적은 다음과 같다.  중환자실 간호사의 일반적 특성에 따른 말기 환자간호의 어려움, 도덕적 고뇌, 소진 및 직무만족의 차이를 확인한 다.  중환자실 간호사의 말기 환자간호의 어려움, 도덕적 고 뇌, 소진 및 직무만족 정도를 확인한다.  중환자실 간호사의 말기 환자간호의 어려움과 도덕적 고 뇌, 소진 그리고 직무만족 간의 상관관계를 확인한다  중환자실 간호사의 말기 환자간호의 어려움이 도덕적 고 뇌, 소진 그리고 직무만족에 미치는 영향을 확인한다. 연 구 방 법 1. 연구설계 본 연구는 중환자실 간호사가 경험하는 말기 환자간호의 어 려움과 도덕적 고뇌, 소진 및 직무만족의 관계를 파악하기 위 한 서술적 상관관계 연구이다. 3. 말기 환자간호의 어려움과 도덕적 고뇌, 소진 및 직무 만족의 상관관계 말기 환자간호의 어려움과 도덕적 고뇌, 소진 및 직무만족의 상관관계 중 양의 상관관계는 도덕적 고뇌(r=.48, p<.001), 소진 (r=.26, p=.001)으로 나타났고, 직무만족(r=-.17, p=.024)과는 음의 상관관계를 보였다. 도덕적 고뇌와 소진 및 직무만족의 상 관관계 중 소진(r=.28, p<.001)이 양의 상관관계를 보였고, 직 무만족(r=-.22, p=.005)과는 음의 상관관계를 보였다. 소진과 직무만족은 음의 상관관계(r=-.42, p<.001)를 보였다(Table 3). 4. 말기 환자간호의 어려움이 도덕적 고뇌, 소진 및 직무 만족에 미치는 영향 말기 환자간호의 어려움이 도덕적 고뇌, 소진 및 직무만족에 미치는 영향에 대해 알아보기 위해회귀분석을 실시한 결과는 다음과 같다. 먼저 도덕적 고뇌에 영향을 주는 요인의 영향력 을 파악하기 위해 2단계 위계적 회귀분석(two-step hierarchical regression analysis)을 시행하였다. 1단계에서 대상...

show abstract

Validity and Reliability of the Korean version of the Moral Distress Scale-Revised for Korean Hospital Nurses

Cited by 7 publications

References 17 publications

Instruments for Detecting Moral Distress in Clinical Nurses: A Systematic Review

Instruments for Detecting Moral Distress in Clinical Nurses: A Systematic Review

A Second-Order Confirmatory Factor Analysis of the Moral Distress Scale-Revised for Nurses

Relationship of ICU Nurses' Difficulties in End-of-Life Care to Moral Distress, Burnout and Job Satisfaction

Contact Info

Product

Resources

About