Psychometric properties of the moral injury symptom scale among Chinese health professionals during the COVID-19 pandemic.
Psychometric properties of the moral injury symptom scale among Chinese health professionals during the COVID-19 pandemic.
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DOI：
10.1186/s12888-020-02954-w
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发表时间：
2020-11-25
期刊：
影响因子：
4.4
通讯作者：
Guangtian L
中科院分区：
文献类型：
--
作者：
Zhizhong W;Koenig HG;Yan T;Jing W;Mu S;Hongyu L;Guangtian L
医生和其他卫生专业人员的道德伤害是主流文献关注的焦点，本研究旨在评估10项道德伤害症状量表（MISS-HP）在中国卫生专业人员中的心理测量学特征。从中国大陆招募了583名护士和2423名医生。于2020年3月27日至4月26日（COVID-19大流行期间）使用中文版MISS-HP进行了一项在线调查。信度采用内部一致性信度和重测信度。探索性因素分析（EFA）和验证性因素分析（CFA），以确定量表的结构。两个样本的量表的Cronbach α是可以接受的（护士为0.71，医生为0.70），重测信度也是可以接受的（单个项目的ICC范围为0.41至0.74，医生的总体量表为0.77）。EFA提出了三个因素，CFA表明与数据拟合良好。收敛效度证明与4项表达的道德伤害量表（r = 0.45的医生，r = 0.43的护士）。判别效度通过与倦怠和幸福感的相关性（r = 0.34-0.47）得到证实，同时效度通过与抑郁和焦虑症状的相关性（r = 0.37-0.45）得到证实。已知群体的有效性在那些暴露于工作场所暴力的人中得分较高（B = 4.16，95%CI：3.21-5.10，p < 0.001）。MISS-HP在中国大陆医生和护士的大样本中显示了可接受的可靠性和有效性，支持其作为COVID-19大流行期间该国压力越来越大的卫生专业人员的道德伤害症状的筛查措施。在线版本包含补充材料，可通过10.1186/s12888-020-02954-w获得。
Moral injury among physicians and other health professionals has attracted attention in the mainstream literature, this study aim to assess the psychometric properties of the 10-item Moral Injury Symptoms Scale-Health Professional (MISS-HP) among healthcare professionals in China. A total of 583 nurses and 2423 physicians were recruited from across mainland China. An online survey was conducted from March 27 to April 26, 2020 (during the middle of the COVID-19 pandemic) using the Chinese version of the MISS-HP. Reliability was assessed by internal consistency reliability and test-retest reliability. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were performed to determine scale structure. Cronbach’s α of the scale for both samples was acceptable (0.71 for nurses and 0.70 for physicians), as was test-retest reliability (ICCs for the individual items ranged from 0.41 to 0.74, with 0.77 for the overall scale in physicians). EFA suggested three factors, and the CFA indicated good fit to the data. Convergent validity was demonstrated with the 4-item Expressions of Moral Injury Scale (r = 0.45 for physicians, r = 0.43 for nurses). Discriminant validity was demonstrated by correlations with burnout and well-being (r = 0.34–0.47), and concurrent validity was suggested by correlations with depression and anxiety symptoms (r = 0.37–0.45). Known groups validity was indicated by a higher score in those exposed to workplace violence (B = 4.16, 95%CI: 3.21–5.10, p < 0.001). The MISS-HP demonstrated acceptable reliability and validity in a large sample of physicians and nurses in mainland China, supporting its use as a screening measure for moral injury symptoms among increasingly stressed health professionals in this country during the COVID-19 pandemic. The online version contains supplementary material available at 10.1186/s12888-020-02954-w.
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DOI：
10.1080/10705519909540118
发表时间：
1999-01-01
影响因子：
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作者：
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通讯作者：
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影响因子：
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