Autor segons l'article: Tian, Xu; Jin, Yanfei; Chen, Hui; Jimenez-Herrera, Maria F.;
Departament: Infermeria
Autor/s de la URV: Jiménez Herrera, María Francisca / Tian, Xu
Paraules clau: Systematic review Scale Nurse Moral distress Instrument
Resum: Moral distress (MD) has become a seriously negative problem experienced by healthcare professionals, especially clinical nurses. Early and accurate detection of MD by the validated and reliable instrument is critically important to further develop an effective intervention strategy. We performed the current systematic review to comprehensively summarize the evidence of instruments for the detection of MD in clinical nurses. The research design was a systematic literature review. We assigned 2 investigators to independently search potential studies in PubMed, EMBASE, and China National Knowledge Infrastructure (CNKI) from their inception to June 2020. We used data extraction table extracting essential information, and the modified critical appraisal tool evaluating the reliability and validity of eligible instruments. Finally, we qualitatively summarized results of all included instruments. No ethical approval was required because this systematic review was performed based on published studies. We included 16 eligible studies covering 10 original and 6 revised or modified instruments for the final analysis. The overall quality of all instruments was moderate because test-retest reliability was inadequately examined in most instruments. Of 16 instruments, MDS-revised (MDS-R) was broadly validated and employed in different working or cultural settings. Meanwhile, it also extensively expands to specifically detect MD. Moreover, other instruments including moral distress risk scale (MDSR) and moral distress thermometer (MDT) should be further validated and utilized because it covered the gap missed by most instruments. Although several instruments have been made available for clinical nurses, some of them have inadequate psychometric properties test, especially test-retest reliability evaluation. Meanwhile, most of them have not be validated and employed in other working or cultural settings. We therefore suggested further studies to validate the psychometric properties of existing instruments and then employed instruments with high reliability and validity to detect MD in clinical nurses.
Àrees temàtiques: Sociologia i política Health policy & services Health policy Health care sciences & services General medicine Ciencias sociales
Accès a la llicència d'ús: https://creativecommons.org/licenses/by/3.0/es/
Adreça de correu electrònic de l'autor: xu.tian@estudiants.urv.cat maria.jimenez@urv.cat
Identificador de l'autor: 0000-0003-2599-3742
Data d'alta del registre: 2024-07-27
Volum de revista: 58
Versió de l'article dipositat: info:eu-repo/semantics/publishedVersion
Enllaç font original: https://journals.sagepub.com/doi/10.1177/0046958021996499
URL Document de llicència: https://repositori.urv.cat/ca/proteccio-de-dades/
Referència a l'article segons font original: Inquiry-The Journal Of Health Care Organization Provision And Financing. 58 (0046958021996499): 46958021996499-
Referència de l'ítem segons les normes APA: Tian, Xu; Jin, Yanfei; Chen, Hui; Jimenez-Herrera, Maria F.; (2021). Instruments for Detecting Moral Distress in Clinical Nurses: A Systematic Review. Inquiry-The Journal Of Health Care Organization Provision And Financing, 58(0046958021996499), 46958021996499-. DOI: 10.1177/0046958021996499
DOI de l'article: 10.1177/0046958021996499
Entitat: Universitat Rovira i Virgili
Any de publicació de la revista: 2021
Tipus de publicació: Journal Publications