Moral sensitivity of nursing students. Adaptation and validation of the moral sensitivity questionnaire in Spain

Herrera, María; Font‐Jimenez, Isabel; Bazo-Hernández, Leticia; Roldán‐Merino, Juan; Biurrún-Garrido, Ainoa; Hurtado‐Pardos, Bárbara

doi:10.1371/journal.pone.0270049

Cited by 8 publications

(3 citation statements)

References 39 publications

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“…1 New ethical conflicts challenge healthcare professionals, with the advancements in health sciences and healthcare technologies. 2,3 Professional nurses encounter ethical conflicts more frequently than other healthcare professionals because they must balance more issues related to obligations and commitments, such as equality and reciprocity in patient care, protection of patient privacy and confidentiality, and relationships with patients and other healthcare professionals. 4 Therefore, nursing is an “ethical laden practice.” 5 When ethical conflicts ensue and are left unresolved, healthcare professionals encounter a variety of moral suffering, such as moral distress and injury, and moral residue, 6,7 which can lead to workplace fatigue and professional burnout.…”

Section: Introductionmentioning

confidence: 99%

Moral resilience in registered nurses: Cultural adaption and validation study

Tian,

He,

Liu

et al. 2023

Nurs Ethics

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Background Healthcare professionals, especially professional nurses, experience various types of moral suffering due to inevitable ethical conflicts. Moral resilience is recently proposed as a resource to address moral suffering. However, there is no tool to measure moral resilience in Chinese professional nurses. Aim This study aimed to translate the Rushton Moral Resilience Scale (RMRS) into Chinese and evaluate the psychometric properties of the Chinese version of RMRS (Chi-RMRS). Research design A methodological and descriptive research design. Participants and research context A convenience sample of 411 Chinese professional nurses was recruited through an online survey platform between February and March 2023. Ethical considerations This study was approved by the Research Ethics Committees of the University and hospitals involved. Results The RMRS was translated and culturally adapted into a Chinese version. Neither floor nor ceiling effects were observed. The scale-level content validity index (CVI) was 0.922 with the item-level CVIs ranging from 0.833 to 1.000. The explanatory factor analysis (EFA) generated a three-factor structure for the Chi-RMRS, and the confirmatory factor analysis (CFA) demonstrated the three-factor structure with factor loadings for each item ranging from 0.42 to 0.80. The scale-level Cronbach’s α coefficient was 0.811 with each dimension ranging from 0.717 to 0.821, and composite reliability (CR) coefficient for the overall scale was 0.920, with each dimension varying from 0.739 to 0.824. The standard error of measurement (SEM) and smallest detectable change (SDC) were 3.522 and 9.763, respectively. Discussion The Chi-RMRS is able to measure moral resilience of Chinese professional nurses, and has good validity and reliability. It can be used in research and practice to determine the level of moral resilience, thus helping nursing managers to monitor the status of Chinese professional nurses, then develop interventions to maintain the well-being of professional nurses and to ensure quality of care.

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Section: Introductionmentioning

confidence: 99%

Moral resilience in registered nurses: Cultural adaption and validation study

Tian,

He,

Liu

et al. 2023

Nurs Ethics

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“…Of these, 174 (93%) were rejected as they clearly did not meet the inclusion criteria. Based on titles and abstracts, 13 (7%) articles were selected for full text screening; 7 (53.8%) out of these 13 [46][47][48][49][50][51][52] were discarded for various reasons (see Supplementary Material S4). A total of six publications (46.2%) were included in the end [53][54][55][56][57][58].…”

Section: Search Results/characteristics Of Included Studiesmentioning

confidence: 99%

Digital Technologies to Provide Humanization in the Education of the Healthcare Workforce: A Systematic Review

et al. 2023

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Objectives: The need to incentivize the humanization of healthcare providers coincides with the development of a more technological approach to medicine, which gives rise to depersonalization when treating patients. Currently, there is a culture of humanization that reflects the awareness of health professionals, patients, and policy makers, although it is unknown if there are university curricula incorporating specific skills in humanization, or what these may include. Therefore, the objectives of this study are as follows: (1) to identify what type of education in humanization is provided to university students of Health Sciences using digital technologies; and (2) determine the strengths and weaknesses of this education. The authors propose a curriculum focusing on undergraduate students to strengthen the humanization skills of future health professionals, including digital health strategies. Methods: A systematic review, based on the scientific literature published in EBSCO, Ovid, PubMed, Scopus, and Web of Science, over the last decade (2012–2022), was carried out in November 2022. The keywords used were “humanization of care” and “humanization of healthcare” combined both with and without “students”. Results: A total of 475 articles were retrieved, of which 6 met the inclusion criteria and were subsequently analyzed, involving a total of 295 students. Three of them (50%) were qualitative studies, while the other three (50%) involved mixed methods. Only one of the studies (16.7%) included digital health strategies to train humanization. Meanwhile, another study (16.7%) measured the level of humanization after training. Conclusions: There is a clear lack of empirically tested university curricula that combine education in humanization and digital technology for future health professionals. Greater focus on the training of future health professionals is needed, in order to guarantee that they begin their professional careers with the precept of medical humanities as a basis.

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“…Because of this situation, some questions arise and one of them is the following: Has reality changed the course of our moral compass? And in order to respond to it, I have directed my research and reflections during the last few years, starting from the perception of nursing students during their training process and validating an instrument that allows them to assess moral sensitivity as well as being able to design interventions that subsequently increase the moral sense of care [2].…”

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confidence: 99%