Development and psychometric testing of a new tool for detecting moral distress: The Moral Distress Thermometer

Lucia D. Wocial, Michael T. Weaver

Research output: Contribution to journalArticle

42 Citations (Scopus)

Abstract

Aim. To report the development and psychometric testing of the Moral Distress Thermometer. The Moral Distress Thermometer is a new screening tool to measure moral distress in nurses who practise in the hospital setting. Background. Moral distress occurs when one knows the ethically correct thing to do, but is prevented from acting on that perceived obligation. It is a well documented phenomenon with negative consequences that may be experienced by nurses. Creating an instrument to effectively and efficiently measure moral distress in a timely way has been identified as a priority for nursing. Design. This study used a cross-sectional survey design. Methods. Data collection for this research occurred in 2009. Participants simultaneously completed either the adult or pediatric version of the Moral Distress Scale version 2009 and the Moral Distress Thermometer. A total of 529 participants from various clinical areas completed both tools. Results. Coefficients alpha were adequate for both Adult (0·90) and Pediatric (0·92) Moral Distress Scale 2009 scales. Statistically significant Pearson correlations were found for the Moral Distress Thermometer with Adult Moral Distress Scale 2009 and Pediatric Moral Distress Scale 2009 and higher Moral Distress Thermometer, Adult Moral Distress Scale 2009 and Pediatric Moral Distress Scale 2009 means for participants who had left or who considered leaving a position because of moral distress. Conclusion. These findings provide support for the validity of the Moral Distress Thermometer.

Original languageEnglish
Pages (from-to)167-174
Number of pages8
JournalJournal of Advanced Nursing
Volume69
Issue number1
DOIs
StatePublished - Jan 2013

Fingerprint

Thermometers
Psychometrics
Pediatrics
Nurses
Nursing
Cross-Sectional Studies
Research

Keywords

  • Ethics
  • Instrument development
  • Moral distress
  • Nursing

ASJC Scopus subject areas

  • Nursing(all)

Cite this

Development and psychometric testing of a new tool for detecting moral distress : The Moral Distress Thermometer. / Wocial, Lucia D.; Weaver, Michael T.

In: Journal of Advanced Nursing, Vol. 69, No. 1, 01.2013, p. 167-174.

Research output: Contribution to journalArticle

@article{ac5f015504564953b6add9e7079011a4,
title = "Development and psychometric testing of a new tool for detecting moral distress: The Moral Distress Thermometer",
abstract = "Aim. To report the development and psychometric testing of the Moral Distress Thermometer. The Moral Distress Thermometer is a new screening tool to measure moral distress in nurses who practise in the hospital setting. Background. Moral distress occurs when one knows the ethically correct thing to do, but is prevented from acting on that perceived obligation. It is a well documented phenomenon with negative consequences that may be experienced by nurses. Creating an instrument to effectively and efficiently measure moral distress in a timely way has been identified as a priority for nursing. Design. This study used a cross-sectional survey design. Methods. Data collection for this research occurred in 2009. Participants simultaneously completed either the adult or pediatric version of the Moral Distress Scale version 2009 and the Moral Distress Thermometer. A total of 529 participants from various clinical areas completed both tools. Results. Coefficients alpha were adequate for both Adult (0·90) and Pediatric (0·92) Moral Distress Scale 2009 scales. Statistically significant Pearson correlations were found for the Moral Distress Thermometer with Adult Moral Distress Scale 2009 and Pediatric Moral Distress Scale 2009 and higher Moral Distress Thermometer, Adult Moral Distress Scale 2009 and Pediatric Moral Distress Scale 2009 means for participants who had left or who considered leaving a position because of moral distress. Conclusion. These findings provide support for the validity of the Moral Distress Thermometer.",
keywords = "Ethics, Instrument development, Moral distress, Nursing",
author = "Wocial, {Lucia D.} and Weaver, {Michael T.}",
year = "2013",
month = "1",
doi = "10.1111/j.1365-2648.2012.06036.x",
language = "English",
volume = "69",
pages = "167--174",
journal = "Journal of Advanced Nursing",
issn = "0309-2402",
publisher = "Wiley-Blackwell",
number = "1",

}

TY - JOUR

T1 - Development and psychometric testing of a new tool for detecting moral distress

T2 - The Moral Distress Thermometer

AU - Wocial, Lucia D.

AU - Weaver, Michael T.

PY - 2013/1

Y1 - 2013/1

N2 - Aim. To report the development and psychometric testing of the Moral Distress Thermometer. The Moral Distress Thermometer is a new screening tool to measure moral distress in nurses who practise in the hospital setting. Background. Moral distress occurs when one knows the ethically correct thing to do, but is prevented from acting on that perceived obligation. It is a well documented phenomenon with negative consequences that may be experienced by nurses. Creating an instrument to effectively and efficiently measure moral distress in a timely way has been identified as a priority for nursing. Design. This study used a cross-sectional survey design. Methods. Data collection for this research occurred in 2009. Participants simultaneously completed either the adult or pediatric version of the Moral Distress Scale version 2009 and the Moral Distress Thermometer. A total of 529 participants from various clinical areas completed both tools. Results. Coefficients alpha were adequate for both Adult (0·90) and Pediatric (0·92) Moral Distress Scale 2009 scales. Statistically significant Pearson correlations were found for the Moral Distress Thermometer with Adult Moral Distress Scale 2009 and Pediatric Moral Distress Scale 2009 and higher Moral Distress Thermometer, Adult Moral Distress Scale 2009 and Pediatric Moral Distress Scale 2009 means for participants who had left or who considered leaving a position because of moral distress. Conclusion. These findings provide support for the validity of the Moral Distress Thermometer.

AB - Aim. To report the development and psychometric testing of the Moral Distress Thermometer. The Moral Distress Thermometer is a new screening tool to measure moral distress in nurses who practise in the hospital setting. Background. Moral distress occurs when one knows the ethically correct thing to do, but is prevented from acting on that perceived obligation. It is a well documented phenomenon with negative consequences that may be experienced by nurses. Creating an instrument to effectively and efficiently measure moral distress in a timely way has been identified as a priority for nursing. Design. This study used a cross-sectional survey design. Methods. Data collection for this research occurred in 2009. Participants simultaneously completed either the adult or pediatric version of the Moral Distress Scale version 2009 and the Moral Distress Thermometer. A total of 529 participants from various clinical areas completed both tools. Results. Coefficients alpha were adequate for both Adult (0·90) and Pediatric (0·92) Moral Distress Scale 2009 scales. Statistically significant Pearson correlations were found for the Moral Distress Thermometer with Adult Moral Distress Scale 2009 and Pediatric Moral Distress Scale 2009 and higher Moral Distress Thermometer, Adult Moral Distress Scale 2009 and Pediatric Moral Distress Scale 2009 means for participants who had left or who considered leaving a position because of moral distress. Conclusion. These findings provide support for the validity of the Moral Distress Thermometer.

KW - Ethics

KW - Instrument development

KW - Moral distress

KW - Nursing

UR - http://www.scopus.com/inward/record.url?scp=84871347487&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84871347487&partnerID=8YFLogxK

U2 - 10.1111/j.1365-2648.2012.06036.x

DO - 10.1111/j.1365-2648.2012.06036.x

M3 - Article

C2 - 22607094

AN - SCOPUS:84871347487

VL - 69

SP - 167

EP - 174

JO - Journal of Advanced Nursing

JF - Journal of Advanced Nursing

SN - 0309-2402

IS - 1

ER -