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Turkish Adaptation of the Moral Distress Scale-Revised for Pediatric Nurses: A Validity and Reliability Study

Mustafa Sabri Kovancı1, Azize Atlı Ozbas2

  • 1Hacettepe University, Faculty of Nursing, Department of Psychiatric Nursing, Altındağ, Ankara, Turkey msabri.kovanci@gmail.com.

Journal of Nursing Measurement
|August 9, 2023
PubMed

Insights

This study validated the Turkish version of the Moral Distress Scale-Revised (MDS-R) for pediatric nurses. The findings confirm the scale is a reliable tool for assessing moral distress in Turkish pediatric nursing.

Area of Science:

  • Nursing
  • Medical Ethics
  • Psychometrics

Background:

  • Moral distress negatively impacts nurses, patients, and healthcare systems.
  • Previous research highlights the adverse effects of moral distress.

Purpose of the Study:

  • To analyze the validity and reliability of the Turkish version of the Moral Distress Scale-Revised (MDS-R) for pediatric nurses.
  • To establish a culturally and linguistically appropriate tool for measuring moral distress in this population.

Main Methods:

  • A study was conducted with 210 pediatric nurses.
  • Explanatory factor analysis was employed to assess the scale's structure.
  • Reliability was evaluated using Cronbach's alpha and item analysis.

Main Results:

  • A five-factor structure emerged from the explanatory factor analysis.
  • The Turkish version of the MDS-R demonstrated a Cronbach's alpha of 0.865.
  • Item analysis indicated acceptable values and adequate discrimination.

Conclusions:

  • The Turkish version of the MDS-R (pediatric) is a valid and reliable measurement tool.
  • The scale, comprising 21 items and five subdimensions, is suitable for the Turkish culture and language.
  • This validated tool can aid in understanding and addressing moral distress among Turkish pediatric nurses.

Keywords:
ethicsmoral distresspediatric nursingpediatricsreliabilityvalidity

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