简化版巴西护士道德困扰量表的验证。

IF 1.3 4区 医学 Q3 NURSING
Revista Latino-Americana De Enfermagem Pub Date : 2025-02-17 eCollection Date: 2025-01-01 DOI:10.1590/1518-8345.7123.4455
Jordana Lopes Carvalho, Luis Felipe Dias Lopes, Flavia Regina Souza Ramos, Graziele de Lima Dalmolin
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引用次数: 0

摘要

目的:验证巴西护士道德困扰量表精简版的模型。方法:对巴西南部一所公立大学医院的269名护士进行方法学研究。采用社会人口学问卷和巴西护士道德困扰量表。采用描述性统计、结构方程模型和年龄组间的不变性分析。结果:在外形上,以31 ~ 40岁的专业人士、女性、已婚人士和专科医生为主。结构模型用可接受的拟合指标拟合数据。该模型具有良好的内部一致性、收敛效度和判别效度。结构模型的分析表明,这五个假设得到了证实,年龄组之间的不变性表明,模型中变量的概念化、测量和相互关联的方式不会影响结果,无论比较的是哪一组。结论:该量表达到了令人满意的心理测量指标,证明适合使用,各维度保持了相关的验证要素,具有实用优势。建议进一步研究以加深我们对道德困境后果的理解,并制定有效的管理策略。背景:(1)精简版EDME-BR由24个问题和6个因素组成。(2)采用不变性分析和结构方程模型进行验证。(3)内部一致性和复合可靠度值是足够的。(4)检验表明,所提出的模型具有足够的预测相关性。(5)减少的规模提供了一个清晰,方便的方法和更短的响应时间。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Validation of the reduced version of the Brazilian Scale of Moral Distress in Nurses.

Validation of the reduced version of the Brazilian Scale of Moral Distress in Nurses.

Validation of the reduced version of the Brazilian Scale of Moral Distress in Nurses.

Validation of the reduced version of the Brazilian Scale of Moral Distress in Nurses.

Objective: to validate a model of the reduced version of the Brazilian Scale of Moral Distress in Nurses.

Method: methodological study, with a sample of 269 nurses from a public university hospital in southern Brazil. A sociodemographic questionnaire and the Brazilian Moral Distress Scale for Nurses were used. Descriptive statistics, structural equation modeling, and invariance analysis between age groups were used.

Results: regarding profile, professionals aged between 31 and 40, women, married, and specialists prevailed. The structural model fitted the data with acceptable fit indices. The proposed model showed excellent internal consistency, convergent validity, and discriminant validity. The analysis of the structural model revealed that the five hypotheses were confirmed, and the invariance between the age groups indicates that the way the variables are conceptualized, measured, and interrelated in the model does not affect the results, regardless of the groups compared.

Conclusion: the scale achieved satisfactory psychometric indicators, proving to be suitable for use, maintaining the relevant validation elements per dimension, and offering practical advantages. Further research is suggested to deepen our understanding of the consequences of moral distress and to develop effective strategies for managing it.

Background: (1)The reduced version of the EDME-BR consisted of 24 questions and six factors. (2)Analysis of invariance and structural equation modeling were used for validation. (3)Internal consistency and composite reliability values were adequate. (4)The tests indicated sufficient predictive relevance of the proposed model. (5)The reduced scale offers a clear, accessible approach with a shorter response time.

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来源期刊
自引率
11.10%
发文量
142
期刊介绍: A Revista Latino-Americana de Enfermagem constitui-se no órgão oficial de divulgação científica da Escola de Enfermagem de Ribeirão Preto da Universidade de São Paulo e do Centro Colaborador da OMS para o Desenvolvimento da Pesquisa em Enfermagem. Foi criada em abril de 1992 sendo sua primeira edição publicada em janeiro de 1993. No período de 1993 a 1997 tinha periodicidade semestral, de 1997 a 2000 trimestral e, a partir de janeiro de 2001, tem periodicidade bimestral. Caracteriza-se como periódico de circulação internacional, abrangendo predominantemente os países da América Latina e Caribe, embora seja também divulgado para assinantes dos Estados Unidos, Portugal e Espanha.
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