Translation and validation of the revised “Rushton Moral Resilience Scale” in Greek

Katsiroumpa, Aglaia; Moisoglou, Ioannis; Konstantakopoulou, Olympia; Tapaskou, Theodosia; Gallos, Parisis; Tsiachri, Maria; Tsakalaki, Anastasia; Galanis, Petros

doi:10.21203/rs.3.rs-3611441/v1

Cited by 3 publications

(1 citation statement)

References 28 publications

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“…In particular, we used the MISS-HP to measure levels of moral distress (Mantri et al, 2020), the RMRS to measure moral resilience (Rushton et al, 2023), the QQS to measure levels of quiet quitting (Galanis et al, 2023e, a), and the single item measure to measure job burnout (Galanis et al, 2023b;Hansen & Pit, 2016). We used the validated Greek versions of the MISS-HP (Moisoglou et al, 2023) and the RMRS (Katsiroumpa et al, 2023) in our study.…”

Section: Methodsmentioning

confidence: 99%

Moral distress thermometer: Translation and validation in Greek

Katsiroumpa,

Moisoglou,

Konstantakopoulou

et al. 2023

Preprint

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Background Moral distress occurs when people’s moral integrity is compromised by external factors. Healthcare workers experience difficult situations that can increase their moral distress. Aim To translate and validate the “Moral Distress Thermometer” (MDT) in Greek. Methods Our study included 142 nurses in Greece. We collected our data during September 2023. We employed the forward-backward method to translate and adapt the MDT in Greek. We examined the concurrent validity of the MDT using the “Moral Injury Symptom Scale-Healthcare Professionals” (MISS-HP), the revised “Rushton Moral Resilience Scale” (RMRS), the “Quiet Quitting Scale” (QQS), and the single item burnout measure. Moreover, we performed a test-retest study to examine the reliability of the MDT. Results The MDT showed very good psychometric properties. Concurrent validity of the Greek version of the MDT was exceptional. We found statistically significant correlations between the MDT and MISS-HP (r = 0.51, p < 0.001), RMRS (r = -0.33, p < 0.001), QQS (r = 0.41, p < 0.001), and the single item burnout measure (r = 0.40, p < 0.001). We found that the MDT had excellent reliability since the intraclass correlation coefficient in test-rest reliability analysis was 0.994 (95% confidence interval = 0.991 to 0.996, p-value < 0.001). Conclusions The “Moral Distress Thermometer” is a reliable and valid tool to measure moral distress among healthcare workers.

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Section: Methodsmentioning

confidence: 99%

Moral distress thermometer: Translation and validation in Greek

Katsiroumpa,

Moisoglou,

Konstantakopoulou

et al. 2023

Preprint

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Development of the Japanese Version of Rushton Moral Resilience Scale (RMRS) for Healthcare Professionals: Assessing Reliability and Validity

Wataya,

Ujihara,

Kawashima

et al. 2024

Journal of Nursing Management

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Aim: To translate the Rushton Moral Resilience Scale (RMRS) into Japanese and validate its applicability among Japanese healthcare professionals.Background: To overcome daily challenges in the field of healthcare, in which moral difficulties are routinely encountered, the development of intervention methods to address moral suffering and moral distress is crucial.Methods: We conducted a cross‐sectional survey using a web‐based questionnaire. The RMRS‐16 was translated into Japanese and confirmed through back‐translation. Reliability analyses (Cronbach’s alpha and intraclass correlation coefficient [ICC]), confirmatory factor analyses (CFAs), correlation analyses, t‐tests, and analysis of variance (ANOVA) were used to assess the validity of the scale.Results: Participants comprised 1295 healthcare professionals, including 498 nurses. All subscales and the total scale had acceptable reliability values (α ≥ 0.70). CFA supported the original four‐factor structure (response to moral adversity, personal integrity, relational integrity, and moral efficacy), with acceptable fit indices. The ANOVA results suggested that, among Japanese healthcare professionals, nurses and individuals from other professions showed lower average moral resilience scores compared to physicians, consistent with previous research on mental health and moral distress. In addition, women scored lower for moral resilience than men. However, the ICC values for the subscales of the RMRS were below acceptable levels, and the results of the standardized residual covariances also suggested a model misfit.Conclusion and Implications: The reliability, validity, and utility of the Japanese version of the RMRS were generally supported. However, there were areas at the item level that required structural examination. The current findings suggest that there are cultural differences in the concept of moral resilience. Therefore, for future cultural comparisons, the original four‐factor structure was maintained in the Japanese version without modifications. Further conceptual development of moral resilience is needed in Japanese healthcare.

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Moral Resilience Reduces Levels of Quiet Quitting, Job Burnout, and Turnover Intention among Nurses: Evidence in the Post COVID-19 Era

Galanis,

Moisoglou,

Katsiroumpa

et al. 2024

Nursing Reports

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The aim of the study was to examine the impact of moral resilience on quiet quitting, job burnout, and turnover intention among nurses. A cross-sectional study was implemented in Greece in November 2023. The revised Rushton Moral Resilience Scale was used to measure moral resilience among nurses, the Quiet Quitting Scale to measure levels of quiet quitting, and the single-item burnout measure to measure job burnout. Moreover, a valid six-point Likert scale was used to measure turnover intention. All multivariable models were adjusted for the following confounders: gender, age, understaffed department, shift work, and work experience. The multivariable analysis identified a negative relationship between moral resilience and quiet quitting, job burnout, and turnover intention. In particular, we found that increased response to moral adversity and increased moral efficacy were associated with decreased detachment score, lack of initiative score, and lack of motivation score. Additionally, personal integrity was associated with reduced detachment score, while relational integrity was associated with reduced detachment score, and lack of initiative score. Moreover, response to moral adversity was associated with reduced job burnout. Also, increased levels of response to moral adversity were associated with lower probability of turnover intention. Moral resilience can be an essential protective factor against high levels of quiet quitting, job burnout, and turnover intention among nurses. This study was not registered.

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Translation and validation of the revised “Rushton Moral Resilience Scale” in Greek

Cited by 3 publications

References 28 publications

Moral distress thermometer: Translation and validation in Greek

Moral distress thermometer: Translation and validation in Greek

Development of the Japanese Version of Rushton Moral Resilience Scale (RMRS) for Healthcare Professionals: Assessing Reliability and Validity

Moral Resilience Reduces Levels of Quiet Quitting, Job Burnout, and Turnover Intention among Nurses: Evidence in the Post COVID-19 Era

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