Identifying Moral Injury in Healthcare Professionals: The Moral Injury Symptom Scale-HP

Journal of Religion and Health
Sneha MantriHarold G Koenig

Abstract

This study aims to develop and assess the psychometric properties of a measure of moral injury (MI) symptoms for identifying clinically significant MI in health professionals (HPs), one that might be useful in the current COVID-19 pandemic and beyond. A total of 181 HPs (71% physicians) were recruited from Duke University Health Systems in Durham, North Carolina. Internal reliability of the Moral Injury Symptom Scale-Healthcare Professionals version (MISS-HP) was examined, along with factor analytic, discriminant, and convergent validity. A cutoff score was identified from a receiver operator curve (ROC) that best identified individuals with significant impairment in social or occupational functioning. The 10-item MISS-HP measures 10 theoretically grounded dimensions of MI assessing betrayal, guilt, shame, moral concerns, religious struggle, loss of religious/spiritual faith, loss of meaning/purpose, difficulty forgiving, loss of trust, and self-condemnation (score range 10-100). Internal reliability of the MISS-HP was 0.75. PCA identified three factors, which was confirmed by CFA, explaining 56.8% of the variance. Discriminant validity was demonstrated by modest correlations (r's = 0.25-0.37) with low religiosity, depression, ...Continue Reading

Associated Clinical Trials

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Dec 5, 2020·The Journal of Nervous and Mental Disease·Sneha MantriHarold G Koenig

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Citations

Dec 5, 2020·The Journal of Nervous and Mental Disease·Sneha MantriHarold G Koenig
Mar 17, 2021·Nursing Ethics·Katherine C Brewer
May 11, 2021·European Journal of Psychotraumatology·Alexandra Maftei, Andrei-Corneliu Holman
Jul 11, 2021·Journal of Religion and Health·Harold G Koenig, Faten Al Zaben
Jul 23, 2021·Nursing Standard·Sacha Leanne Rowlands
Jul 23, 2021·Journal of Medical Ethics·Philip DayRobert Lennon
Sep 2, 2021·EClinicalMedicine·Mark Linzer, Sara Poplau
Sep 29, 2021·The Journal of Nervous and Mental Disease·Sneha MantriHarold G Koenig

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Methods Mentioned

BETA
PCA

Software Mentioned

Qualtrics
SPSS Statistics
SAS

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