Validation of an instrument to measure moral distress within the Australian residential and community care environments

Journal article


Burston, Adam, Eley, Robert, Parker, Deborah and Tuckett, Anthony. (2017) Validation of an instrument to measure moral distress within the Australian residential and community care environments. International Journal of Older People Nursing. 12(2), pp. 1 - 10. https://doi.org/10.1111/opn.12144
AuthorsBurston, Adam, Eley, Robert, Parker, Deborah and Tuckett, Anthony
Abstract

Aim and objectives: The aim of this study was to gain insight into the experience of moral distress within the aged care workforce. The objective of this study was to use and validate an existing instrument to measure moral distress within the aged care setting. Background: Moral distress, a phenomenon associated with worker satisfaction and retention, is common within nursing. Instruments to measure moral distress exist; however, there are no validated instruments to measure moral distress within an aged care setting. Design and method: An existing instrument, the Moral Distress Scale (Revised) was identified and amended. Amendments were subject to expert review for face and content validity. Data were collected from aged care nurses working in residential and community aged care, in Australia. Reliability was assessed using Cronbach's alpha with exploratory factor analysis undertaken for construct validity. Results: 106 participants completed the survey, 93 (87.7%) identified as female and 13 (12.3%) male. Participants ranged in age from 21 to 73 years, with a mean time working in nursing of 20.6 years. The frequency component of the instrument demonstrated an alpha of 0.89, the intensity component 0.95 and the instrument as a whole 0.94. Three factors were identified and labelled as: Quality of Care, Capacity of Team and Professional Practice. Mean scores indicate a low occurrence of moral distress, but this distress, when experienced, was felt with a moderate level of intensity. Primary causes of moral distress were insufficient staff competency levels, poor quality care because of poor communication and delays in implementing palliation. Conclusion: The instrument demonstrates validity and reliability within the Australian aged care setting. Further analysis with larger populations is required to support these findings. Implications for practice: Australian aged care workers do experience moral distress. They suffer adverse consequences of this distress and quality of care is negatively impacted. This newly validated instrument can be used to quantify the occurrence of moral distress and to inform targeted interventions to reduce the occurrence and intensity of the experience.

Keywordsaged care; instrument validation; moral distress; nursing
Year2017
JournalInternational Journal of Older People Nursing
Journal citation12 (2), pp. 1 - 10
PublisherWiley-Blackwell
ISSN1748-3735
Digital Object Identifier (DOI)https://doi.org/10.1111/opn.12144
Scopus EID2-s2.0-85007289145
Page range1 - 10
Research GroupSchool of Nursing, Midwifery and Paramedicine
Place of publicationUnited States of America
Permalink -

https://acuresearchbank.acu.edu.au/item/85zx0/validation-of-an-instrument-to-measure-moral-distress-within-the-australian-residential-and-community-care-environments

Restricted files

Publisher's version

  • 3
    total views
  • 0
    total downloads
  • 0
    views this month
  • 0
    downloads this month
These values are for the period from 19th October 2020, when this repository was created.

Export as

Related outputs

Patients' and family members' views on how clinicians enact and how they should enact incident disclosure :the "100 patient stories" qualitative study
Iedema, R, Allen, Suellen, Britton, K, Piper, D, Baker, A, Grbich, C, Allan, Alfred, Jones, Liz, Tuckett, Anthony Gerrard, Williams, Allison, Manias, Elizabeth and Gallagher, T. (2011) Patients' and family members' views on how clinicians enact and how they should enact incident disclosure :the "100 patient stories" qualitative study. BMJ (Clinical Research Edition). 343, pp. 1 - 9. https://doi.org/10.1136/bmj.d4423
Access to and support for continuing professional education amongst Queensland nurses: 2004 and 2007
Hegney, Desley, Tuckett, Anthony, Parker, David and Robert, E. (2010) Access to and support for continuing professional education amongst Queensland nurses: 2004 and 2007. Nurse Education Today. 30(2), pp. 142 - 149. https://doi.org/10.1016/j.nedt.2009.06.015
A systematic review: Students with mental health problems-A growing problem
Storrie, K., Ahern, Kathy and Tuckett, Anthony. (2010) A systematic review: Students with mental health problems-A growing problem. International Journal of Nursing Practice. 16(1), pp. 1 - 6. https://doi.org/10.1111/j.1440-172X.2009.01813.x
Career breaks and intentions for retirement by Queensland's nurses-A sign of the times?
Eley, R., Parker, David, Tuckett, Anthony and Hegney, Desley. (2010) Career breaks and intentions for retirement by Queensland's nurses-A sign of the times? Collegian. 17(1), pp. 38 - 42. https://doi.org/10.1016/j.colegn.2009.10.004
Construct validity and reliability of the Practice Environment Scale of the Nursing Work index for Queensland nurses
Parker, David, Tuckett, Anthony, Eley, R. and Hegney, Desley. (2010) Construct validity and reliability of the Practice Environment Scale of the Nursing Work index for Queensland nurses. International Journal of Nursing Practice. 16(4), pp. 352 - 358. https://doi.org/10.1111/j.1440-172X.2010.01851.x
Workplace violence: Differences in perceptions of nursing work between those exposed and those not exposed: A cross-sector analysis
Hegney, Desley, Tuckett, Anthony, Parker, David and Eley, R. (2010) Workplace violence: Differences in perceptions of nursing work between those exposed and those not exposed: A cross-sector analysis. International Journal of Nursing Practice. 16(2), pp. 188 - 202. https://doi.org/10.1111/j.1440-172X.2010.01829.x
Cohort profile: The Nurses and Midwives e-Cohort Study - A novel electronic longitude study
Turner, Catherine, Bain, Chris, Schluter, Philip J., Yorkston, Emily, Bogassian, Fiona, McClurre, Rod, Hungtington, Annette, Tuckett, Anthony Gerrard, Hegney, Desley, Thompson, David Robert and Stewart, Simon. (2009) Cohort profile: The Nurses and Midwives e-Cohort Study - A novel electronic longitude study. International Journal of Epidemiology. 38(1), pp. 53 - 60. https://doi.org/10.1093/ije/dym294
Regional differences among employed nurses: A Queensland study
Henwood, T., Eley, R., Parker, David, Tuckett, Anthony and Hegney, Desley. (2009) Regional differences among employed nurses: A Queensland study. Australian Journal of Rural Health. 17(4), pp. 201 - 207. https://doi.org/10.1111/j.1440-1584.2009.01072.x
Learning style and learning needs of heart failure patients
Boyde, Mary, Tuckett, Anthony Gerrard, Peters, Robyn, Thompson, David Robert, Turner, Catherine and Stewart, Simon. (2009) Learning style and learning needs of heart failure patients. European Journal of Cardiovascular Nursing. 8(5), pp. 316 - 322. https://doi.org/10.1016/j.ejcnurse.2009.05.003
Caring in residential aged-care. Qualitative findings from an e-cohort sub-study
Tuckett, Anthony Gerrard, Hughes, Karen, Gilmour, Jean, Hegney, Desley, Huntington, Annette and Turner, Catherine. (2009) Caring in residential aged-care. Qualitative findings from an e-cohort sub-study. Journal of Clinical Nursing. 18(18), pp. 2604 - 2612. https://doi.org/10.1111/j.1365-2702.2008.02735.x
Validation of CARE-Q in residential aged-care: Rating of importance of caring behaviours from an e-cohort sub-study
Tuckett, Anthony Gerrard, Hughes, Karen, Schluter, Philip J. and Turner, Catherine. (2009) Validation of CARE-Q in residential aged-care: Rating of importance of caring behaviours from an e-cohort sub-study. Journal of Clinical Nursing. 18(10), pp. 1501 - 1509. https://doi.org/10.1111/j.1365-2702.2008.02723.x
The internet as a research site: Establishment of a web-based longitudinal study of the nursing and midwifery workforce in three countries
Huntington, A, Gilmour, Jean, Schluter, Philip, Tuckett, Anthony Gerrard, Bogossian, Fiona Elizabeth and Turner, Catherine. (2009) The internet as a research site: Establishment of a web-based longitudinal study of the nursing and midwifery workforce in three countries. Journal of Advanced Nursing. 65(6), pp. 1309 - 1317. https://doi.org/10.1111/j.1365-2648.2009.04995.x
Learning for heart failure patients (the L-HF patient study)
Boyde, Mary, Tuckett, Anthony Gerrard, Peters, Robyn, Thompson, David Robert, Turner, Catherine and Stewart, Simon. (2009) Learning for heart failure patients (the L-HF patient study). Journal of Clinical Nursing. 18(14), pp. 2030 - 2039. https://doi.org/10.1111/j.1365-2702.2008.02716.x
The National Open Disclosure Pilot: Evaluation of a policy implementation initiative
Iedema, Rick, Mallock, N., Sorensen, R., Manias, Elizabeth, Tuckett, Anthony, Williams, Allison, Perrott, Bruce, Brownhill, S H., Piper, D, Hor, S, Hegney, Desley, Scheeres, H B. and Jorm, C M.. (2008) The National Open Disclosure Pilot: Evaluation of a policy implementation initiative. Medical Journal of Australia. 188(7), pp. 397 - 400.
Patients' and family members' experiences of open disclosure following adverse events
Iedema, Rick, Sorensen, R., Manias, Elizabeth, Tuckett, Anthony, Piper, D, Mallock, N, Williams, Allison and Jorm, C M.. (2008) Patients' and family members' experiences of open disclosure following adverse events. International Journal for Quality in Health Care. 20(6), pp. 421 - 432. https://doi.org/10.1093/intqhc/mzn043
Part ii: Group discussion as a method: Experience; rationale and limitations
Tuckett, Anthony and Stewart, Don. (2004) Part ii: Group discussion as a method: Experience; rationale and limitations. Contemporary Nurse. 16(3), pp. 240 - 251.
Qualitative research sampling: The very real complexities
Tuckett, Anthony G.. (2004) Qualitative research sampling: The very real complexities. Nurse Researcher. 12(1), pp. 47 - 61. https://doi.org/10.7748/nr2004.07.12.1.47.c5930
Truth-telling in clinical practice and the arguments for and against: A review of the literature
Tuckett, Anthony G.. (2004) Truth-telling in clinical practice and the arguments for and against: A review of the literature. Nursing Ethics. 11(5), pp. 500 - 513. https://doi.org/10.1191/0969733004ne728oa
Collecting qualitative data: Part 1 journal as a method: Experience; rationale and limitations
Tuckett, Anthony and Stewart, Don. (2003) Collecting qualitative data: Part 1 journal as a method: Experience; rationale and limitations. Contemporary Nurse. 16(February), pp. 104 - 113.