Mario Sergio Bruggmann, Dulcinéia Ghizoni Schneider, Flávia Regina Souza Ramos, Mara Ambrosina Vargas, Laura Cavalcanti de Farias Brehmer, Ácmon Bhering
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Adaptation and Validation of a Moral Distress Instrument in Mental Health Nurses.
Background and Purpose: To adapt and validate the Brazilian Scale of Moral Distress in Nurses for the mental health field. Methods: A cross-sectional methodological study was carried out, adapted with the contribution of 34 specialists, and validated by 173 mental health nurses. Results: The validated scale consists of 37 items divided into seven factors, and they were responsible for 77.2% of variance-working conditions, advocacy for the values and rights, professional safety and autonomy, ethical violations, social conflicts, ethical-professional competence, and conflicts with the management, with coefficient α at .972 for the entire instrument, and ranging from .852 to .949 for the constructs. Conclusion: The results provide evidence that the adapted instrument is reliable, valid, and consistent in measuring moral distress in mental health nurses.
期刊介绍：
The Journal of Nursing Measurement specifically addresses instrumentation in nursing. It serves as a prime forum for disseminating information on instruments, tools, approaches, and procedures developed or utilized for measuring variables in nursing research, practice, and education. Particular emphasis is placed on evidence for the reliability and validity or sensitivity and specificity of such instruments. The journal includes innovative discussions of theories, principles, practices, and issues relevant to nursing measurement.
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