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首页> 外文期刊>AJOB Primary Research >Development and Testing of an Instrument to Measure Moral Distressin Healthcare Professionals
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Development and Testing of an Instrument to Measure Moral Distressin Healthcare Professionals

机译：开发和测试用于衡量医疗专业人员道德压力的工具

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Background: Although moral distress is increasingly recognized as an important problem that threatens the integrity of health care providers and health care systems, few reliable and valid measures of moral distress are currently in use in research or clinical practice. This article describes the development and testing of a revised measure of moral distress, the Moral Distress Scale–Revised (MDS-R), designed for use in multiple health care settings and with multiple disciplines. Methods: After instrument development and content validity testing, a survey methodology was used to assess reliability and construct validity of the MDS-R. Registered nurses (n = 169) and physicians (n = 37) in eight intensive care units (ICUs) at an academic medical center in the southeastern United States participated; the survey was administered during a 2-week period in January 2011. Results: Adequate reliability and evidence of construct validity were demonstrated. Moral distress was significantly higher for nurses than physicians, although it was negatively correlated with ethical climate for both provider groups. MDS-R scores were significantly higher for those clinicians considering leaving their positions. The proportion of physicians and nurses who had left a previous position or who were considering leaving their current positions due to moral distress was high (16% and 31%, respectively). Conclusions: Initial testing of the MDS-R reveals promising evidence of instrument reliability and validity. The findings from this study lend further support to the important relationships between the moral distress of providers, the ethical climate of health care settings, and retention of health care professionals.
机译：背景：尽管越来越多的人认为精神困扰是威胁卫生保健提供者和卫生保健系统完整性的重要问题，但目前在研究或临床实践中很少使用可靠且有效的精神困扰措施。本文介绍了修订后的道德困扰量度（修订后的道德困扰量表（MDS-R））的开发和测试，该方法旨在用于多种医疗保健环境和多种学科。方法：在仪器开发和内容有效性测试之后，使用一种调查方法评估MDS-R的可靠性并构建其有效性。在美国东南部的一个学术医学中心的八个重症监护病房（ICU）中，注册护士（n = 169）和医师（n = 37）参加了该项目;该调查在2011年1月的2周内进行。结果：证明了足够的可靠性和构建体有效性的证据。护士的精神困扰明显高于医生，尽管这与两个服务提供者群体的道德氛围均呈负相关。考虑离职的临床医生的MDS-R分数明显更高。曾因精神困扰而离职或考虑辞职的医生和护士比例很高（分别为16％和31％）。结论：MDS-R的初步测试显示了仪器可靠性和有效性的有希望的证据。这项研究的结果进一步支持了提供者的道德困扰，医疗机构的道德氛围和医疗专业人员的保留之间的重要关系。

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