Psychometric testing of the Swedish version of the measure of moral distress for healthcare professionals (MMD-HP)
BACKGROUND: Moral distress has been described as moral constraints and uncertainty connected with guilty feelings of being unable to give care in accordance with one’s values for good care. Various instruments to measure moral distress have been developed. The instrument measure of moral distress fo...
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ftpubmed:oai:pubmedcentral.nih.gov:10228011 2023-06-18T03:42:18+02:00 Psychometric testing of the Swedish version of the measure of moral distress for healthcare professionals (MMD-HP) Fischer-Grönlund, Catarina Brännström, Margareta Isaksson, Ulf 2023-05-30 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10228011/ http://www.ncbi.nlm.nih.gov/pubmed/37254086 https://doi.org/10.1186/s12910-023-00916-x en eng BioMed Central http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10228011/ http://www.ncbi.nlm.nih.gov/pubmed/37254086 http://dx.doi.org/10.1186/s12910-023-00916-x © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. BMC Med Ethics Research Text 2023 ftpubmed https://doi.org/10.1186/s12910-023-00916-x 2023-06-04T01:21:17Z BACKGROUND: Moral distress has been described as moral constraints and uncertainty connected with guilty feelings of being unable to give care in accordance with one’s values for good care. Various instruments to measure moral distress have been developed. The instrument measure of moral distress for healthcare professionals (MMD-HP) was developed to capture the experience and frequency of moral distress among various healthcare professionals. The MMD-HP has been translated and culturally adapted into the Swedish language and context; however, the translation has not been validated. Therefore, this study aimed to evaluate the validity and reliability of the Swedish version of the measure of moral distress for healthcare professionals (MMD-HP). METHODS: Eighty-nine staff from various professions at a hospital in northern Sweden participated in the study. A confirmatory factor analysis was performed to check for consistency with the original version of the MMD-HP. To evaluate internal consistency, Cronbach’s alpha was calculated for each domain and for the scale as a whole. RESULTS: The scale as a whole showed a Cronbach’s alpha of 0.96, with a range between 0.84 and 0.90 between the different subscales. A confirmatory factor analysis based on the original four-factor structure showed good fit indices with a χ(2)/df of 0.67, CFI at 1.00, TLI at 1.02 and NFI at 0.97. RMSEA was at 0.00, and SRMR was at 0.08. A comparison of the total score between three equally large groups of years of experience at the present workplace showed no significant differences (F = 0.09, df = 2, p = 0.912). CONCLUSIONS: We found that the Swedish version of the MMD-HP has shown validity and reliability for use in a Swedish context for measuring moral distress among health personnel. Text Northern Sweden PubMed Central (PMC) BMC Medical Ethics 24 1 |
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Research Fischer-Grönlund, Catarina Brännström, Margareta Isaksson, Ulf Psychometric testing of the Swedish version of the measure of moral distress for healthcare professionals (MMD-HP) |
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Research |
description |
BACKGROUND: Moral distress has been described as moral constraints and uncertainty connected with guilty feelings of being unable to give care in accordance with one’s values for good care. Various instruments to measure moral distress have been developed. The instrument measure of moral distress for healthcare professionals (MMD-HP) was developed to capture the experience and frequency of moral distress among various healthcare professionals. The MMD-HP has been translated and culturally adapted into the Swedish language and context; however, the translation has not been validated. Therefore, this study aimed to evaluate the validity and reliability of the Swedish version of the measure of moral distress for healthcare professionals (MMD-HP). METHODS: Eighty-nine staff from various professions at a hospital in northern Sweden participated in the study. A confirmatory factor analysis was performed to check for consistency with the original version of the MMD-HP. To evaluate internal consistency, Cronbach’s alpha was calculated for each domain and for the scale as a whole. RESULTS: The scale as a whole showed a Cronbach’s alpha of 0.96, with a range between 0.84 and 0.90 between the different subscales. A confirmatory factor analysis based on the original four-factor structure showed good fit indices with a χ(2)/df of 0.67, CFI at 1.00, TLI at 1.02 and NFI at 0.97. RMSEA was at 0.00, and SRMR was at 0.08. A comparison of the total score between three equally large groups of years of experience at the present workplace showed no significant differences (F = 0.09, df = 2, p = 0.912). CONCLUSIONS: We found that the Swedish version of the MMD-HP has shown validity and reliability for use in a Swedish context for measuring moral distress among health personnel. |
format |
Text |
author |
Fischer-Grönlund, Catarina Brännström, Margareta Isaksson, Ulf |
author_facet |
Fischer-Grönlund, Catarina Brännström, Margareta Isaksson, Ulf |
author_sort |
Fischer-Grönlund, Catarina |
title |
Psychometric testing of the Swedish version of the measure of moral distress for healthcare professionals (MMD-HP) |
title_short |
Psychometric testing of the Swedish version of the measure of moral distress for healthcare professionals (MMD-HP) |
title_full |
Psychometric testing of the Swedish version of the measure of moral distress for healthcare professionals (MMD-HP) |
title_fullStr |
Psychometric testing of the Swedish version of the measure of moral distress for healthcare professionals (MMD-HP) |
title_full_unstemmed |
Psychometric testing of the Swedish version of the measure of moral distress for healthcare professionals (MMD-HP) |
title_sort |
psychometric testing of the swedish version of the measure of moral distress for healthcare professionals (mmd-hp) |
publisher |
BioMed Central |
publishDate |
2023 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10228011/ http://www.ncbi.nlm.nih.gov/pubmed/37254086 https://doi.org/10.1186/s12910-023-00916-x |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_source |
BMC Med Ethics |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10228011/ http://www.ncbi.nlm.nih.gov/pubmed/37254086 http://dx.doi.org/10.1186/s12910-023-00916-x |
op_rights |
© The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
op_doi |
https://doi.org/10.1186/s12910-023-00916-x |
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BMC Medical Ethics |
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24 |
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