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Adaptation and Validation of a Moral Distress Instrument in Mental Health Nurses
Mario Sergio Bruggmann1, Dulcinéia Ghizoni Schneider2, Flávia Regina Souza Ramos2
1Santa Catarina's State Health Department, Nursing Manager at the Santa Catarina's Institute of Psychiatry, Florianopolis, Santa Catarina, Brazil mariobrugg@gmail.com.
Abstract:
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.
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