Validation of the Moral Injury Outcome Scale in acute care nurses.

Autor:	Tao H; Center for Nursing, Whole-Person, and Academic Research, AdventHealth Research Institute, AdventHealth, Orlando, FL, United States., Nieuwsma JA; Integrative Mental Health, Mental Illness Research, Education and Clinical Centers MIRECC (VA), Durham, NC, United States.; Department of Psychiatry and Behavioral Sciences, School of Medicine, Duke University, Durham, NC, United States., Meador KG; Integrative Mental Health, Mental Illness Research, Education and Clinical Centers MIRECC (VA), Durham, NC, United States.; Department of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center, Nashville, TN, United States.; Center for Biomedical Ethics and Society, Vanderbilt University Medical Center, Nashville, TN, United States.; Graduate Department of Religion, Vanderbilt Divinity School, Nashville, TN, United States., Harris SL; Center for Nursing, Whole-Person, and Academic Research, AdventHealth Research Institute, AdventHealth, Orlando, FL, United States., Robinson PS; Center for Nursing, Whole-Person, and Academic Research, AdventHealth Research Institute, AdventHealth, Orlando, FL, United States.
Jazyk:	angličtina
Zdroj:	Frontiers in psychiatry [Front Psychiatry] 2023 Nov 29; Vol. 14, pp. 1279255. Date of Electronic Publication: 2023 Nov 29 (Print Publication: 2023).
DOI:	10.3389/fpsyt.2023.1279255
Abstrakt:	Introduction: Moral injury, predominantly studied in military populations, has garnered increased attention in the healthcare setting, in large part due to the psychological and emotional consequences of the COVID-19 pandemic. The measurement of moral injury with instrumentation adapted from military settings and validated by frontline healthcare personnel is essential to assess prevalence and guide intervention. This study aimed to validate the Moral Injury Outcome Scale (MIOS) in the population of acute care. Methods: A sample of 309 acute care nurses completed surveys regarding moral injury, depression, anxiety, burnout, professional fulfillment, spiritual wellbeing, and post-traumatic stress disorder symptoms. Confirmatory factor analysis was conducted as well as an assessment of reliability and validity. Results: The internal consistency of the 14-item MIOS was 0.89. The scale demonstrated significant convergent and discriminant validity, and the test of construct validity confirmed the two-factor structure of shame and trust violations in this clinical population. Regression analysis indicated age, race, and marital status-related differences in the experience of moral injury. Discussion: The MIOS is valid and reliable in acute care nursing populations and demonstrates sound psychometric properties. Scores among nurses diverge from those of military personnel in areas that may inform distinctions in interventions to address moral injury in these populations. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2023 Tao, Nieuwsma, Meador, Harris and Robinson.)
Databáze:	MEDLINE
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