Study of the Psychometric Properties of the Spanish Version of the Measure of Moral Distress for Health Care Professionals (MMD-HP-SPA)

Eloy Girela-López, Cristina M. Beltran-Aroca (), Jaime Boceta-Osuna, Dolores Aguilera-Lopez, Alejandro Gomez-Carranza, Miguel García-Linares, Antonio Llergo-Muñoz and Manuel Romero-Saldaña
Additional contact information
Eloy Girela-López: Section of Legal and Forensic Medicine, Facultad de Medicina y Enfermería, Universidad de Córdoba, 14004 Cordoba, Spain
Cristina M. Beltran-Aroca: Section of Legal and Forensic Medicine, Facultad de Medicina y Enfermería, Universidad de Córdoba, 14004 Cordoba, Spain
Jaime Boceta-Osuna: Unidad de Cuidados Paliativos, Hospital Universitario Virgen Macarena, 41009 Sevilla, Spain
Dolores Aguilera-Lopez: Distrito Sanitario Córdoba-Guadalquivir, 14011 Cordoba, Spain
Alejandro Gomez-Carranza: Unidad de Cuidados Intensivos, Hospital Universitario Poniente, 04700 Almeria, Spain
Miguel García-Linares: Equipo de Soporte Domiciliario de Cuidados Paliativos, Distrito Sevilla Norte-Aljarafe, 41008 Sevilla, Spain
Antonio Llergo-Muñoz: UGC Cuidados Paliativos, Hospital Universitario Reina Sofía, 14004 Cordoba, Spain
Manuel Romero-Saldaña: Department of Nursing, Pharmacology and Physiotherapy, Facultad de Medicina y Enfermería, Universidad de Córdoba, 14004 Cordoba, Spain

IJERPH, 2022, vol. 19, issue 23, 1-10

Abstract: Background: The early detection of moral distress requires a validated and reliable instrument. The aim of this study was to carry out an advanced analysis of the psychometric properties of the moral distress scale for health professionals (MMD-HP-SPA) by performing a validation of the construct and its internal and external reliability. Methods: We performed a multicentre cross-sectional study in health professionals belonging to the Andalusian public health system. Construct validity was performed by exploratory ( n = 300) and confirmatory ( n = 275) factor analysis (EFA/CFA) in different subgroups; we also analysed the internal consistency and temporal reliability of the scale. Results: 384 doctors and 191 nurses took part in the survey. The overall mean for moral distress was 128.5 (SD = 70.9), 95% CI [122.7–134.3], and it was higher in nurses at 140.5 (SD = 74.9) than in doctors at 122.5 (SD = 68.1), F = 8.37 p < 0.01. The EFA produced a model of five components which accounted for 54.8% of the variance of the model. The CFA achieved a goodness of fit of Chi 2 = 972.4; AIC = 1144.3; RMSEA = 0.086; CFI = 0.844; TLI = 0.828; NFI = 0.785. Conclusions: The MMD-HP-SPA scale has solid construct validity, excellent internal consistency, optimal temporal reliability, and underlying dimensions which effectively explore the causes of moral distress in health professionals, thus guaranteeing its use in hospital and community settings.

Keywords: moral distress; stress psychological; health personnel; psychometrics (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
References: View references in EconPapers View complete reference list from CitEc
Citations:

Downloads: (external link)
https://www.mdpi.com/1660-4601/19/23/15649/pdf (application/pdf)
https://www.mdpi.com/1660-4601/19/23/15649/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:19:y:2022:i:23:p:15649-:d:983501

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().