Academic Journal
Moral Distress in Healthcare Providers Who Take Care of Critical Pediatric Patients throughout Italy—Cultural Adaptation and Validation of the Italian Pediatric Instrument
| العنوان: | Moral Distress in Healthcare Providers Who Take Care of Critical Pediatric Patients throughout Italy—Cultural Adaptation and Validation of the Italian Pediatric Instrument |
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| المؤلفون: | Chiara Grasso, Davide Massidda, Karolina Maslak, Cinzia Favara-Scacco, Francesco Antonio Grasso, Carmela Bencivenga, Valerio Confalone, Elisabetta Lampugnani, Andrea Moscatelli, Marta Somaini, Simonetta Tesoro, Lamiani Giulia, Marinella Astuto |
| المساهمون: | A.A.C. Grasso, M. Davide, M. Karolina, F. Cinzia, F.A. Grasso, B. Carmela, C. Valerio, L. Elisabetta, M. Andrea, S. Marta, T. Simonetta, G. Lamiani, A. Marinella |
| بيانات النشر: | MDPI |
| سنة النشر: | 2022 |
| المجموعة: | The University of Milan: Archivio Istituzionale della Ricerca (AIR) |
| مصطلحات موضوعية: | Cultural adaptation, Italian Pediatric Intensive Care, Moral distre, Occupational well-being, Scale Validation, Settore M-PSI/08 - Psicologia Clinica, Settore MED/41 - Anestesiologia |
| الوصف: | Background: Although Moral Distress (MD) is a matter of concern within the Pediatric Intensive Care Unit (PICU), there is no validated Italian instrument for measuring the phenomenon in nurses and physicians who care for pediatric patients in Intensive Care. The authors of the Italian Moral Distress Scale-Revised (Italian MDS-R), validated for the adult setting, in 2017, invited further research to evaluate the generalizability of the scale to clinicians working in other fields. Our study aims to reduce this knowledge gap by developing and validating the pediatric version of the Italian MDS-R. Methods: We evaluated the new instrument for construct validity, then we administered it in a multicenter, web-based survey that involved healthcare providers of three PICUs and three adult ICUs admitting children in northern, central, and southern Italy. Finally, we tested it for internal consistency, confirmatory factorial validity, convergent validity, and differences between groups analysis. Results: The 14-item, three-factor model best fit the data. The scale showed good reliability (a = 0.87). Still, it did not correlate with the Emotional Exhaustion and Depersonalization sub-scales of the Maslach Burnout Inventory (MBI) or with the 2-item Connor-Davidson Resilience Scale (CD-RISC 2) or the Satisfaction with Life Scale (SWLS). A mild correlation was found between the Italian Pediatric MDS-R score and intention to resign from the job. No correlation was found between MD and years of experience. Females, nurses, and clinicians who cared for COVID-19 patients had a higher MD score. Conclusions: The Italian Pediatric MDS-R is a valid and reliable instrument for measuring MD among Italian health workers who care for critically ill children. Further research would be helpful in better investigating its applicability to the heterogeneous scenario of Italian Pediatric Critical Care Medicine. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| Relation: | info:eu-repo/semantics/altIdentifier/pmid/35409562; info:eu-repo/semantics/altIdentifier/wos/WOS:000780666900001; volume:19; issue:7; firstpage:1; lastpage:19; numberofpages:19; journal:INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH; https://hdl.handle.net/2434/920263; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85128010102 |
| DOI: | 10.3390/ijerph19073880 |
| الاتاحة: | https://hdl.handle.net/2434/920263 https://doi.org/10.3390/ijerph19073880 |
| Rights: | info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsbas.84AA8586 |
| قاعدة البيانات: | BASE |
| DOI: | 10.3390/ijerph19073880 |
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