Validation of the Moral Injury Outcome Scale in acute care nurses
IntroductionMoral injury, predominantly studied in military populations, has garnered increased attention in the healthcare setting, in large part due to the psychological and emotional consequences of the COVID-19 pandemic. The measurement of moral injury with instrumentation adapted from military...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-11-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1279255/full |
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| author | Hong Tao Jason A. Nieuwsma Jason A. Nieuwsma Keith G. Meador Keith G. Meador Keith G. Meador Keith G. Meador Stephanie L. Harris Patricia S. Robinson |
| author_facet | Hong Tao Jason A. Nieuwsma Jason A. Nieuwsma Keith G. Meador Keith G. Meador Keith G. Meador Keith G. Meador Stephanie L. Harris Patricia S. Robinson |
| author_sort | Hong Tao |
| collection | DOAJ |
| description | IntroductionMoral injury, predominantly studied in military populations, has garnered increased attention in the healthcare setting, in large part due to the psychological and emotional consequences of the COVID-19 pandemic. The measurement of moral injury with instrumentation adapted from military settings and validated by frontline healthcare personnel is essential to assess prevalence and guide intervention. This study aimed to validate the Moral Injury Outcome Scale (MIOS) in the population of acute care.MethodsA sample of 309 acute care nurses completed surveys regarding moral injury, depression, anxiety, burnout, professional fulfillment, spiritual wellbeing, and post-traumatic stress disorder symptoms. Confirmatory factor analysis was conducted as well as an assessment of reliability and validity.ResultsThe internal consistency of the 14-item MIOS was 0.89. The scale demonstrated significant convergent and discriminant validity, and the test of construct validity confirmed the two-factor structure of shame and trust violations in this clinical population. Regression analysis indicated age, race, and marital status-related differences in the experience of moral injury.DiscussionThe MIOS is valid and reliable in acute care nursing populations and demonstrates sound psychometric properties. Scores among nurses diverge from those of military personnel in areas that may inform distinctions in interventions to address moral injury in these populations. |
| first_indexed | 2024-03-09T14:14:20Z |
| format | Article |
| id | doaj.art-fd01f9cf66bc4131b80d803dd647a42b |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-03-09T14:14:20Z |
| publishDate | 2023-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-fd01f9cf66bc4131b80d803dd647a42b2023-11-29T05:19:00ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402023-11-011410.3389/fpsyt.2023.12792551279255Validation of the Moral Injury Outcome Scale in acute care nursesHong Tao0Jason A. Nieuwsma1Jason A. Nieuwsma2Keith G. Meador3Keith G. Meador4Keith G. Meador5Keith G. Meador6Stephanie L. Harris7Patricia S. Robinson8Center for Nursing, Whole-Person, and Academic Research, AdventHealth Research Institute, AdventHealth, Orlando, FL, United StatesIntegrative Mental Health, Mental Illness Research, Education and Clinical Centers MIRECC (VA), Durham, NC, United StatesDepartment of Psychiatry and Behavioral Sciences, School of Medicine, Duke University, Durham, NC, United StatesIntegrative Mental Health, Mental Illness Research, Education and Clinical Centers MIRECC (VA), Durham, NC, United StatesDepartment of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center, Nashville, TN, United StatesCenter for Biomedical Ethics and Society, Vanderbilt University Medical Center, Nashville, TN, United StatesGraduate Department of Religion, Vanderbilt Divinity School, Nashville, TN, United StatesCenter for Nursing, Whole-Person, and Academic Research, AdventHealth Research Institute, AdventHealth, Orlando, FL, United StatesCenter for Nursing, Whole-Person, and Academic Research, AdventHealth Research Institute, AdventHealth, Orlando, FL, United StatesIntroductionMoral injury, predominantly studied in military populations, has garnered increased attention in the healthcare setting, in large part due to the psychological and emotional consequences of the COVID-19 pandemic. The measurement of moral injury with instrumentation adapted from military settings and validated by frontline healthcare personnel is essential to assess prevalence and guide intervention. This study aimed to validate the Moral Injury Outcome Scale (MIOS) in the population of acute care.MethodsA sample of 309 acute care nurses completed surveys regarding moral injury, depression, anxiety, burnout, professional fulfillment, spiritual wellbeing, and post-traumatic stress disorder symptoms. Confirmatory factor analysis was conducted as well as an assessment of reliability and validity.ResultsThe internal consistency of the 14-item MIOS was 0.89. The scale demonstrated significant convergent and discriminant validity, and the test of construct validity confirmed the two-factor structure of shame and trust violations in this clinical population. Regression analysis indicated age, race, and marital status-related differences in the experience of moral injury.DiscussionThe MIOS is valid and reliable in acute care nursing populations and demonstrates sound psychometric properties. Scores among nurses diverge from those of military personnel in areas that may inform distinctions in interventions to address moral injury in these populations.https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1279255/fullmoral injuryMIOSnursesinstrument validationacute caremental health |
| spellingShingle | Hong Tao Jason A. Nieuwsma Jason A. Nieuwsma Keith G. Meador Keith G. Meador Keith G. Meador Keith G. Meador Stephanie L. Harris Patricia S. Robinson Validation of the Moral Injury Outcome Scale in acute care nurses Frontiers in Psychiatry moral injury MIOS nurses instrument validation acute care mental health |
| title | Validation of the Moral Injury Outcome Scale in acute care nurses |
| title_full | Validation of the Moral Injury Outcome Scale in acute care nurses |
| title_fullStr | Validation of the Moral Injury Outcome Scale in acute care nurses |
| title_full_unstemmed | Validation of the Moral Injury Outcome Scale in acute care nurses |
| title_short | Validation of the Moral Injury Outcome Scale in acute care nurses |
| title_sort | validation of the moral injury outcome scale in acute care nurses |
| topic | moral injury MIOS nurses instrument validation acute care mental health |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1279255/full |
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