ArticleBMC medical ethics2023
Psychometric testing of the Swedish version of the measure of moral distress for healthcare professionals (MMD-HP).
Article in BMC medical ethics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Effects of ethics communication in health care: a cluster randomised controlled trial.BMC medical ethics · 2025Trial
- Assessing ethical competence and ethical climate: development and psychometric testing of the Clinical Ethics Support Measurement Instrument (CES-MI).BMC medical ethics · 2026Article
- Linking Work Environment to Turnover Intention: The Mediating Role of Moral Distress Among Emergency Nurses.Nursing reports (Pavia, Italy) · 2026Article
- Linguistic and psychometric validation of a German version of the measure of moral distress for healthcare professionals (MMD-HP GER): results of a study with intensive care nurses.BMC medical ethics · 2026Article
- Moral distress of primary health care workers during the global pandemic.Scientific reports · 2026Article
- Moral Distress and Emotional Exhaustion in Healthcare Professionals: A Systematic Review and Meta-Analysis.Healthcare (Basel, Switzerland) · 2025Review
- Moral distress thermometer: Swedish translation, cultural adaptation and validation.Nursing ethics · 2024Article
- Measuring moral distress in health professionals using the MMD-HP-SPA scale.BMC medical ethics · 2024Article
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3 authors.
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Abstract
backgroundMoral distress has been described as moral constraints and uncertainty connected with guilty feelings of being unable to give care in accordance with one's values for good care. Various instruments to measure moral distress have been developed. The instrument measure of moral distress for healthcare professionals (MMD-HP) was developed to capture the experience and frequency of moral distress among various healthcare professionals. The MMD-HP has been translated and culturally adapted into the Swedish language and context; however, the translation has not been validated. Therefore, this study aimed to evaluate the validity and reliability of the Swedish version of the measure of moral distress for healthcare professionals (MMD-HP).
methodsEighty-nine staff from various professions at a hospital in northern Sweden participated in the study. A confirmatory factor analysis was performed to check for consistency with the original version of the MMD-HP. To evaluate internal consistency, Cronbach's alpha was calculated for each domain and for the scale as a whole.
resultsThe scale as a whole showed a Cronbach's alpha of 0.96, with a range between 0.84 and 0.90 between the different subscales. A confirmatory factor analysis based on the original four-factor structure showed good fit indices with a χ
conclusionsWe found that the Swedish version of the MMD-HP has shown validity and reliability for use in a Swedish context for measuring moral distress among health personnel.
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