Moral distress thermometer : Swedish translation, cultural adaptation and validation
Background: Moral distress is a problem and negative experience among health-care professionals. Various instruments have been developed to measure the level and underlying reasons for experienced moral distress. The moral distress thermometer (MDT) is a single-tool instrument to capture the level o...
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Umeå universitet, Institutionen för omvårdnad
2023
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ftumeauniv:oai:DiVA.org:umu-215080 2023-11-12T04:23:25+01:00 Moral distress thermometer : Swedish translation, cultural adaptation and validation Fischer Grönlund, Catarina Isaksson, Ulf Brännström, Margareta 2023 application/pdf http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-215080 https://doi.org/10.1177/09697330231197707 eng eng Umeå universitet, Institutionen för omvårdnad Nursing Ethics, 0969-7330, 2023 orcid:0000-0002-8701-0169 orcid:0000-0001-5191-4599 orcid:0000-0003-1688-8991 http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-215080 doi:10.1177/09697330231197707 Scopus 2-s2.0-85172656359 info:eu-repo/semantics/openAccess health care professionals instrument moral distress questionnaire translation validation Nursing Omvårdnad Article in journal info:eu-repo/semantics/article text 2023 ftumeauniv https://doi.org/10.1177/09697330231197707 2023-10-18T22:36:25Z Background: Moral distress is a problem and negative experience among health-care professionals. Various instruments have been developed to measure the level and underlying reasons for experienced moral distress. The moral distress thermometer (MDT) is a single-tool instrument to capture the level of moral distress experienced in real-time. Aim: The aim of this study was to translate the MDT and adapt it to the Swedish cultural context. R esearch design: The first part of this study concerns the translation of MDT to the Swedish context, and the second part the psychometric testing of the Swedish version. Participants and research context: 89 healthcare professionals working at a hospital in northern Sweden participated. Convergent validity was tested between MDT and Measure of Moral Distress-Healthcare Professionals (MMD-HP), and construct validity was tested by comparing MDT scores among healthcare professionals. MDT was compared with responses to the final questions in MMD-HP. One-way ANOVA, Welch’s ANOVA, Games–Howell post-hoc test and Pearson’s correlation analysis were done. Ethical considerations: The study was approved by the Swedish Ethics Review Authority (dnr 2020-04120) in accordance with Helsinki Declaration. Results: The translated Swedish version of MDT was described as relevant to capture the experience of moral distress. The mean value for MDT was 2.26, with a median of 2 and a mode value of 0. The result showed moderate correlations between the MDT and MMD-HP total scores. There was a significant difference when comparing MDT and healthcare professionals who had never considered leaving their present position with those who had left and those who had considered leaving but had not done so, with the latter assessing significantly higher moral distress. Conclusion: The MDT is an easily available instrument useful as an extension to MMD-HP to measure the real-time experience of moral distress among healthcare professionals in a Swedish context. Article in Journal/Newspaper Northern Sweden Umeå University: Publications (DiVA) Howell ENVELOPE(-99.050,-99.050,-72.233,-72.233) Nursing Ethics |
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Open Polar |
collection |
Umeå University: Publications (DiVA) |
op_collection_id |
ftumeauniv |
language |
English |
topic |
health care professionals instrument moral distress questionnaire translation validation Nursing Omvårdnad |
spellingShingle |
health care professionals instrument moral distress questionnaire translation validation Nursing Omvårdnad Fischer Grönlund, Catarina Isaksson, Ulf Brännström, Margareta Moral distress thermometer : Swedish translation, cultural adaptation and validation |
topic_facet |
health care professionals instrument moral distress questionnaire translation validation Nursing Omvårdnad |
description |
Background: Moral distress is a problem and negative experience among health-care professionals. Various instruments have been developed to measure the level and underlying reasons for experienced moral distress. The moral distress thermometer (MDT) is a single-tool instrument to capture the level of moral distress experienced in real-time. Aim: The aim of this study was to translate the MDT and adapt it to the Swedish cultural context. R esearch design: The first part of this study concerns the translation of MDT to the Swedish context, and the second part the psychometric testing of the Swedish version. Participants and research context: 89 healthcare professionals working at a hospital in northern Sweden participated. Convergent validity was tested between MDT and Measure of Moral Distress-Healthcare Professionals (MMD-HP), and construct validity was tested by comparing MDT scores among healthcare professionals. MDT was compared with responses to the final questions in MMD-HP. One-way ANOVA, Welch’s ANOVA, Games–Howell post-hoc test and Pearson’s correlation analysis were done. Ethical considerations: The study was approved by the Swedish Ethics Review Authority (dnr 2020-04120) in accordance with Helsinki Declaration. Results: The translated Swedish version of MDT was described as relevant to capture the experience of moral distress. The mean value for MDT was 2.26, with a median of 2 and a mode value of 0. The result showed moderate correlations between the MDT and MMD-HP total scores. There was a significant difference when comparing MDT and healthcare professionals who had never considered leaving their present position with those who had left and those who had considered leaving but had not done so, with the latter assessing significantly higher moral distress. Conclusion: The MDT is an easily available instrument useful as an extension to MMD-HP to measure the real-time experience of moral distress among healthcare professionals in a Swedish context. |
format |
Article in Journal/Newspaper |
author |
Fischer Grönlund, Catarina Isaksson, Ulf Brännström, Margareta |
author_facet |
Fischer Grönlund, Catarina Isaksson, Ulf Brännström, Margareta |
author_sort |
Fischer Grönlund, Catarina |
title |
Moral distress thermometer : Swedish translation, cultural adaptation and validation |
title_short |
Moral distress thermometer : Swedish translation, cultural adaptation and validation |
title_full |
Moral distress thermometer : Swedish translation, cultural adaptation and validation |
title_fullStr |
Moral distress thermometer : Swedish translation, cultural adaptation and validation |
title_full_unstemmed |
Moral distress thermometer : Swedish translation, cultural adaptation and validation |
title_sort |
moral distress thermometer : swedish translation, cultural adaptation and validation |
publisher |
Umeå universitet, Institutionen för omvårdnad |
publishDate |
2023 |
url |
http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-215080 https://doi.org/10.1177/09697330231197707 |
long_lat |
ENVELOPE(-99.050,-99.050,-72.233,-72.233) |
geographic |
Howell |
geographic_facet |
Howell |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_relation |
Nursing Ethics, 0969-7330, 2023 orcid:0000-0002-8701-0169 orcid:0000-0001-5191-4599 orcid:0000-0003-1688-8991 http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-215080 doi:10.1177/09697330231197707 Scopus 2-s2.0-85172656359 |
op_rights |
info:eu-repo/semantics/openAccess |
op_doi |
https://doi.org/10.1177/09697330231197707 |
container_title |
Nursing Ethics |
_version_ |
1782338190619705344 |