Advancement of the German version of the moral distress scale for acute care nurses-A mixed methods study

Nursing Open
Michael Kleinknecht-DolfRebecca Spirig

Abstract

Moral distress experienced by nurses in acute care hospitals can adversely impact the affected nurses, their patients and their hospitals; therefore, it is advisable for organizations to establish internal monitoring of moral distress. However, until now, no suitable questionnaire has been available for use in German-speaking contexts. Hence, the aim of this study was to develop and psychometrically test a German-language version of the Moral Distress Scale. We chose a sequential explanatory mixed methods design, followed by a second quantitative cross-sectional survey. An American moral distress scale was chosen, translated, culturally adapted, tested in a pilot study and subsequently used in 2011 to conduct an initial web-based quantitative cross-sectional survey of nurses in all inpatient units at five hospitals in Switzerland's German-speaking region. Data were analysed descriptively and via a Rasch analysis. In 2012, four focus group interviews were conducted with 26 nurses and then evaluated using knowledge maps. The results were used to improve the questionnaire. In 2015, using the revised German-language instrument, a second survey and Rasch analysis were conducted. The descriptive results of the first survey's particip...Continue Reading

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Citations

Sep 4, 2018·Journal of Health Psychology·Stephan Oelhafen, Eva Cignacco
Nov 7, 2019·Zeitschrift für Gerontologie und Geriatrie·Olivia Kada, Tanja Lesnik
Mar 28, 2019·Revista brasileira de enfermagem·Priscila Orlandi BarthJéssica Mendes Rocha
Dec 25, 2019·Nursing Open·Evelyn HuberRebecca Spirig
Feb 2, 2021·Neurological Research and Practice·Hanna HildesheimDaniela Berg

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Methods Mentioned

BETA
MDS

Software Mentioned

RUMM2030
SPSS

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