在急症护理护士的道德伤害结果尺度的验证
Hong Tao1, Jason A Nieuwsma2,3, Keith G Meador2,4,5,6
1Center for Nursing, Whole-Person, and Academic Research, AdventHealth Research Institute, AdventHealth, Orlando, FL, United States.
Frontiers in psychiatry
|December 14, 2023
概括
道德伤害结果表 (MIOS) 是一个有效和可靠的工具,用于评估急症护理护士的道德伤害. 研究结果表明,与军人相比,在道德伤害经历中存在差异,这为量身定制的干预提供了信息.
科学领域:
- 医疗保健 心理学 心理学
- 护理研究 护理研究
- 心理测量验证 心理测量验证
背景情况:
- 起初在军事背景下研究的道德伤害,由于与流行病相关的心理痛苦,在医疗保健中越来越多地得到了认可.
- 验证用于测量前线医疗保健人员的道德伤害的工具对于了解患病率和制定干预措施至关重要.
研究的目的:
- 在急症护理护理人群中验证道德伤害结果尺度 (MIOS).
- 在临床环境中评估MIOS的心理测量特性.
主要方法:
- 309名急症护士的样本完成了测量道德伤害,抑郁,焦虑,倦怠,职业成就,精神健康和PTSD症状的调查.
- 在MIOS数据上进行了确认因素分析,可靠性和有效性评估.
主要成果:
- 14项MIOS显示出强大的内部一致性 (0.89) 和显著的收和区分有效性.
- 构造有效性证实了一个双因素结构 (羞耻和信任侵犯).
- 回归分析揭示了在道德伤害经历中的人口统计差异 (年龄,种族,婚姻状况).
结论:
- MIOS是一个有效和可靠的仪器,用于测量急性护理护士的道德伤害.
- 心理测量特性很好,支持在这个人群中使用它.
- 与军人群体相比,在道德伤害得分上观察到的差异可能需要不同的干预策略.
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