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Moral Distress (MD) and burnout in mental health nurses: a multicenter survey by Fabiana Delfrate; Paolo Ferrara; Daniela Spotti; Stefano Terzoni; Giulia Lamiani; Eleonora Canciani; Loris Bonetti is a Medicine article available to read on EtoBox.

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## Introduction: Moral Distress (MD) is a common experience among nurses and if it is not recognised and treated, it may lead to serious consequences on nurses’ health and quality of care. MD has been studied in several healthcare contexts. However, there are only few studies on MD in psychiatry and in Italy there are no data in this field. ## Objective: To assess the presence of MD among mental health nurses in Italy and verify whether there is a relationship between MD and burnout. ## Methods: We conducted a multicentre survey among nurses of Mental Health services of four hospitals in Milan. The MD Scale for Psychiatric Nurses~Italianrevised~ (MDS-P~Itarev~) and the Maslach Burnout Inventory (MBI) were used for data collection. Factor analysis and calculation of content validity index (CVI) and Cronbach’s alpha were performed on the Italian version of the MDS-P~Ita~. Three items of the old version of the scale were removed, because judged not relevant in the Italian context. The revised scale maintained excellent CVI (0.89) and Cronbach’s alpha (0.93). ## Results: __Of 285 questionnaires distributed, 228 (80%) were returned. The median of MD was 2 (scale range 0-6); MD is correl

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Author

Fabiana Delfrate; Paolo Ferrara; Daniela Spotti; Stefano Terzoni; Giulia Lamiani; Eleonora Canciani; Loris Bonetti

Published

2018

Language

EN

Field

Medicine (Health Sciences)