Barth Priscila Orlandi, Ramos Flávia Regina Souza, Barlem Edison Luiz Devos, Dalmolin Graziele de Lima, Schneider Dulcinéia Ghizoni
Nursing Department, Universidade Federal de Santa Catarina, Florianópolis, SC, Brazil.
Nursing Department, Univerisdade Federal de Santa Catarina, Florianópolis, SC, Brazil.
Rev Lat Am Enfermagem. 2018;26:e3010. doi: 10.1590/1518-8345.2227.3010. Epub 2018 May 17.
to validate an instrument to identify situations that trigger moral distress in relation to intensity and frequency in primary health care nurses.
this is a methodological study carried out with 391 nurses of primary health care, applied to the Brazilian Scale of Moral Distress in Nurses with 57 questions. Validation for primary health care was performed through expert committee evaluation, pre-test, factorial analysis, and Cronbach's alpha.
there were 46 questions validated divided into six constructs: Health Policies, Working Conditions, Nurse Autonomy, Professional ethics, Disrespect to patient autonomy and Work Overload. The instrument had satisfactory internal consistency, with Cronbach's alpha 0.98 for the instrument, and between 0.96 and 0.88 for the constructs.
the instrument is valid and reliable to be used in the identification of the factors that trigger moral distress in primary care nurses, providing subsidies for new research in this field of professional practice.
验证一种用于识别在初级卫生保健护士中引发道德困扰的强度和频率相关情况的工具。
这是一项对391名初级卫生保健护士开展的方法学研究，应用了包含57个问题的巴西护士道德困扰量表。通过专家委员会评估、预测试、因子分析和克朗巴哈系数对初级卫生保健进行验证。
有46个问题得到验证，分为六个结构：卫生政策、工作条件、护士自主性、职业道德、对患者自主性的不尊重和工作负荷过重。该工具具有令人满意的内部一致性，工具的克朗巴哈系数为0.98，各结构的克朗巴哈系数在0.96至0.88之间。
该工具在识别引发初级保健护士道德困扰的因素方面有效且可靠，为该专业实践领域的新研究提供了支持。
