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Measuring moral dis...
Measuring moral distress in Swedish intensive care: Psychometric and descriptive results
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- Nordin, Anna, 1972- (författare)
- Karlstads universitet,Luleå tekniska universitet,Omvårdnad och medicinsk teknik,Karlstad University, The Faculty of Health, Science and Technology, Department of Health Sciences, 651 88 Karlstad, Sweden,Institutionen för hälsovetenskaper (from 2013),Karlstad University, Sweden; Luleå University of Technology, Sweden
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- Engström, Åsa (författare)
- Luleå tekniska universitet,Omvårdnad och medicinsk teknik,Luleå University of Technology, Sweden
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- Fredholm, Angelica (författare)
- Karolinska Institutet,Karlstads universitet,Institutionen för hälsovetenskaper (from 2013),County Council of Värmland, Sweden; Karlstad University, Sweden; Karolinska Institutet, Sweden
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- Persenius Wentzel, Mona, 1958- (författare)
- Karlstads universitet,Institutionen för hälsovetenskaper (from 2013),Karlstad University, Sweden
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- Andersson, Maria, 1969- (författare)
- Röda Korsets Högskola,Luleå tekniska universitet,Omvårdnad och medicinsk teknik,The Swedish Red Cross University College, Stockholm, Sweden,Luleå University of Technology; The Swedish Red Cross University College,Hälsovetenskapliga institutionen
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(creator_code:org_t)
- Elsevier, 2023
- 2023
- Engelska.
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Ingår i: Intensive & Critical Care Nursing. - : Elsevier. - 0964-3397 .- 1532-4036. ; 76
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Objectives: To investigate the construct validity and psychometric properties of the Swedish version of the Moral Distress Scale–Revised and to describe moral distress in an intensive care context.Research Methodology/Design: The Italian Moral Distress Scale–Revised was translated and semantically adjusted to the Swedish intensive care context. A web survey with 14 moral distress items, as well as three additional and eight background questions was answered by critical care nurses (N = 71) working in intensive care units during the second year of the coronavirus disease pandemic. Inferential and descriptive statistics were used to investigate the Italian four-factor model and to examine critical care nurses’ moral distress.Results: The result shows a factor model of four components differing from the previous model. Critical care nurses demonstrated significant differences in moral distress regarding priorities compared to before the pandemic, type of household; experience as critical care nurses and whether they had supervised students during the pandemic.Conclusion: The component structure might have originated from the specific situation critical care nurses perceived during the pandemic. The health care organisations’ role in preventing and healing the effects of moral distress is important for managers to understand.Implications for clinical practice: Moral distress is common in intensive care and it is necessary to use valid instrument when measuring it. A psychometrical investigation of the Swedish version of the Moral Distress Scale–Revised, adapted for intensive care shows need for further semantic and cultural adaptation. Perceived priorities during the pandemic, household type, supervising during the pandemic and working experience were related to critical care nurses’ experience of moral distress and managers need to be aware of conditions that may trigger such a response.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
Nyckelord
- Critical care nurses
- Intensive care units
- Moral distress
- Psychometrics
- Validity
- Nursing
- Omvårdnad
- Nursing Science
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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