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

Girela-López, Eloy; Beltrán-Aroca, Cristina M.; Boceta-Osuna, Jaime; Aguilera-Lopez, Dolores; Gomez-Carranza, Alejandro; García-Linares, Miguel; Llergo-Muñoz, Antonio; Romero-Saldaña, Manuel

doi:10.3390/ijerph192315649

Cited by 4 publications

(5 citation statements)

References 30 publications

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“…In our study, MD was present in all health professionals with a median of MMD-HP-SPA similar to the latest studies carried out in Spain 14 and Sweden. 15 …”

Section: Discussionsupporting

confidence: 89%

“…Regarding these potential negative consequences, the probable association between MD and the propensity to leave a job has been discussed, 14 being relevant that in our sample, more than a third of the doctors and more than half of the nurses considered quit or left their position in the past because of this distress. In addition, a notable percentage of doctors and nursing staff who had needed or thought they needed temporary medical leave due to MD was obtained.…”

Section: Discussionmentioning

confidence: 97%

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Moral Distress Healthcare Providers in Spain: Observational Study

Mellides González,

Losa Iglesias,

Corral-Liria

et al. 2024

RMHP

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“…In our study, MD was present in all health professionals with a median of MMD-HP-SPA similar to the latest studies carried out in Spain 14 and Sweden. 15 …”

Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 97%

Moral Distress Healthcare Providers in Spain: Observational Study

Mellides González,

Losa Iglesias,

Corral-Liria

et al. 2024

RMHP

View full text Add to dashboard Cite

“…However, Fuji et al found similar psychometric structure in their translation of the scale into Japanese, where they found CFI was 0.91, CFI/TLI 1.02 and RMSEA 0.061 [ 37 ], in line with our translation. Also, in the Spanish version, Girela-Lopez [ 48 ] found a goodness of fit with a CFI at 0.844 and RMSEA at 0.086.…”

Section: Discussionmentioning

confidence: 99%

Psychometric testing of the Swedish version of the measure of moral distress for healthcare professionals (MMD-HP)

2023

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Background Moral distress has been described as moral constraints and uncertainty connected with guilty feelings of being unable to give care in accordance with one’s values for good care. Various instruments to measure moral distress have been developed. The instrument measure of moral distress for healthcare professionals (MMD-HP) was developed to capture the experience and frequency of moral distress among various healthcare professionals. The MMD-HP has been translated and culturally adapted into the Swedish language and context; however, the translation has not been validated. Therefore, this study aimed to evaluate the validity and reliability of the Swedish version of the measure of moral distress for healthcare professionals (MMD-HP). Methods Eighty-nine staff from various professions at a hospital in northern Sweden participated in the study. A confirmatory factor analysis was performed to check for consistency with the original version of the MMD-HP. To evaluate internal consistency, Cronbach’s alpha was calculated for each domain and for the scale as a whole. Results The scale as a whole showed a Cronbach’s alpha of 0.96, with a range between 0.84 and 0.90 between the different subscales. A confirmatory factor analysis based on the original four-factor structure showed good fit indices with a χ2/df of 0.67, CFI at 1.00, TLI at 1.02 and NFI at 0.97. RMSEA was at 0.00, and SRMR was at 0.08. A comparison of the total score between three equally large groups of years of experience at the present workplace showed no significant differences (F = 0.09, df = 2, p = 0.912). Conclusions We found that the Swedish version of the MMD-HP has shown validity and reliability for use in a Swedish context for measuring moral distress among health personnel.

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“…The five dimensions of the scale proposed by Girela-López et al were used: i) Health care, ii) Therapeutic obstinacy-futility, iii) Interpersonal relations of the Health Care Team, iv) External pressure, v) Covering up medical malpractice [ 22 ].…”

Section: Methodsmentioning

confidence: 99%

“…Epstein et al [ 19 ] designed a 27-item MD scale (Measure of Moral Distress for Healthcare Professionals, MMD-HP), revising the earlier MDS-R scale developed by Hamric et al [ 4 ] This instrument has proved its worth in measuring MD and has been validated first in the USA and later in Japan [ 20 ] and Spain [ 21 , 22 ].…”

Section: Introductionmentioning

confidence: 99%

Measuring moral distress in health professionals using the MMD-HP-SPA scale

Girela-Lopez,

Beltran-Aroca,

Boceta-Osuna

et al. 2024

BMC Med Ethics

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Background Moral distress (MD) is the psychological damage caused when people are forced to witness or carry out actions which go against their fundamental moral values. The main objective was to evaluate the prevalence and predictive factors associated with MD among health professionals during the pandemic and to determine its causes. Methods A regional, observational and cross-sectional study in a sample of 566 professionals from the Public Health Service of Andalusia (68.7% female; 66.9% physicians) who completed the MMD-HP-SPA scale to determine the level of MD (0-432 points). Five dimensions were used: i) Health care; ii) Therapeutic obstinacy-futility, iii) Interpersonal relations of the Healthcare Team, iv) External pressure; v) Covering up of medical malpractice. Results The mean level of MD was 127.3 (SD=66.7; 95% CI 121.8-132.8), being higher in female (135 vs. 110.3; p<0.01), in nursing professionals (137.8 vs. 122; p<0.01) and in the community setting (136.2 vs. 118.3; p<0.001), with these variables showing statistical significance in the multiple linear regression model (p<0.001; r2=0.052). With similar results, the multiple logistic regression model showed being female was a higher risk factor (OR=2.27; 95% CI 1.5-3.4; p<0.001). 70% of the sources of MD belonged to the dimension "Health Care" and the cause "Having to attend to more patients than I can safely attend to" obtained the highest average value (Mean=9.8; SD=4.9). Conclusions Female, nursing professionals, and those from the community setting presented a higher risk of MD. The healthcare model needs to implement an ethical approach to public health issues to alleviate MD among its professionals.

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

Cited by 4 publications

References 30 publications

Moral Distress Healthcare Providers in Spain: Observational Study

Moral Distress Healthcare Providers in Spain: Observational Study

Psychometric testing of the Swedish version of the measure of moral distress for healthcare professionals (MMD-HP)

Measuring moral distress in health professionals using the MMD-HP-SPA scale

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