Adaptation and Validation of a Moral Distress Instrument in Mental Health Nurses

J Nurs Meas. 2024 Oct 24;32(3):434-444. doi: 10.1891/JNM-2023-0016.

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.

Keywords: mental health; moral distress; nursing ethics; validity.

Publication types

  • Validation Study

MeSH terms

  • Adult
  • Brazil
  • Cross-Sectional Studies
  • Female
  • Humans
  • Male
  • Middle Aged
  • Morals
  • Psychiatric Nursing* / standards
  • Psychometrics* / instrumentation
  • Psychometrics* / standards
  • Reproducibility of Results
  • Stress, Psychological
  • Surveys and Questionnaires / standards