Author, as appears in the article.: Tian, Xu; Jin, Yanfei; Chen, Hui; Jimenez-Herrera, Maria F.;
Department: Infermeria
URV's Author/s: Jiménez Herrera, María Francisca / Tian, Xu
Keywords: Systematic review Scale Nurse Moral distress Instrument
Abstract: 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.
Thematic Areas: Sociologia i política Health policy & services Health policy Health care sciences & services General medicine Ciencias sociales
licence for use: https://creativecommons.org/licenses/by/3.0/es/
Author's mail: maria.jimenez@urv.cat xu.tian@estudiants.urv.cat
Author identifier: 0000-0003-2599-3742
Record's date: 2024-01-13
Journal volume: 58
Papper version: info:eu-repo/semantics/publishedVersion
Link to the original source: https://journals.sagepub.com/doi/10.1177/0046958021996499
Licence document URL: http://repositori.urv.cat/ca/proteccio-de-dades/
Papper original source: Inquiry-The Journal Of Health Care Organization Provision And Financing. 58 (0046958021996499): 46958021996499-
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
Article's DOI: 10.1177/0046958021996499
Entity: Universitat Rovira i Virgili
Journal publication year: 2021
Publication Type: Journal Publications
Repositori URV