{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T19:37:55Z","timestamp":1768419475805,"version":"3.49.0"},"reference-count":39,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2017,6,2]],"date-time":"2017-06-02T00:00:00Z","timestamp":1496361600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior","doi-asserted-by":"publisher","award":["1050-13-3"],"award-info":[{"award-number":["1050-13-3"]}],"id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Nurs Ethics"],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:sec><jats:title>Background:<\/jats:title><jats:p> Moral distress is a kind of suffering that nurses may experience when they act in ways that are considered inconsistent with moral values, leading to a perceived compromise of moral integrity. Consequences are mostly negative and include physical and psychological symptoms, in addition to organizational implications. <\/jats:p><\/jats:sec><jats:sec><jats:title>Objective:<\/jats:title><jats:p> To psychometrically test the Moral Distress Risk Scale. <\/jats:p><\/jats:sec><jats:sec><jats:title>Research design:<\/jats:title><jats:p> A methodological study was realized. Data were submitted to exploratory factorial analysis through the SPSS statistical program. <\/jats:p><\/jats:sec><jats:sec><jats:title>Participants and research context:<\/jats:title><jats:p> In total, 268 nurses from hospitals and primary healthcare settings participated in this research during the period of March to June of 2016. <\/jats:p><\/jats:sec><jats:sec><jats:title>Ethical considerations:<\/jats:title><jats:p> This research has ethics committee approval. <\/jats:p><\/jats:sec><jats:sec><jats:title>Findings:<\/jats:title><jats:p> The Moral Distress Risk Scale is composed of 7 factors and 30 items; it shows evidence of acceptable reliability and validity with a Cronbach\u2019s \u03b1 = 0.913, a total variance explained of 59%, a Kaiser\u2013Meyer\u2013Olkin = 0.896, and a significant Bartlett &lt;0.001. <\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion:<\/jats:title><jats:p> Concerns about moral distress should be beyond acute care settings, and a tool to help clarify critical points in other healthcare contexts may add value to moral distress speech. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion:<\/jats:title><jats:p> Psychometric results reveal that the Moral Distress Risk Scale can be applied in different healthcare contexts. <\/jats:p><\/jats:sec>","DOI":"10.1177\/0969733017707347","type":"journal-article","created":{"date-parts":[[2017,6,2]],"date-time":"2017-06-02T10:21:45Z","timestamp":1496398905000},"page":"434-442","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":18,"title":["Psychometric evaluation of the Moral Distress Risk Scale: A methodological study"],"prefix":"10.1177","volume":"26","author":[{"given":"Rafaela","family":"Schaefer","sequence":"first","affiliation":[{"name":"Catholic University of Portugal, Portugal"}]},{"given":"Elma LCP","family":"Zoboli","sequence":"additional","affiliation":[{"name":"University of S\u00e3o Paulo, 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