Evidence map›Paper›PMID 42873464›Full record

ArticleJournal of religion and health2026

Cultural Adaptation, Validity, and Reliability of the Moral Distress Scale for Prehospital Emergency Health Services Employees: The Case of Türkiye.

Nurdan Kırımlıoğlu, Nilüfer Demirsoy, Ramazan Güneşer

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Article in Journal of religion and health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Nurdan KırımlıoğluDepartment of History of Medicine and Medical Ethics, Faculty of Medicine, Eskişehir Osmangazi University, Eskisehir, Turkey.ORCID http://orcid.org/0000-0003-3156-6616
Nilüfer DemirsoyDepartment of History of Medicine and Medical Ethics, Faculty of Medicine, Eskişehir Osmangazi University, Eskisehir, Turkey.ORCID http://orcid.org/0000-0002-2647-0807
Ramazan GüneşerDepartment of Medical Services and Techniques, First and Emergency Aid Program, Mehmet Tanrıkulu Vocational School of Health Services, Bolu İzzet Baysal University, Bolu, Turkey. ramazanguneser@ibu.edu.tr.ORCID http://orcid.org/0000-0001-7877-4397

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Prehospital emergency healthcare professionals, who frequently face situations requiring rapid decision-making, interventions with limited resources, and ethical dilemmas related to patient care, are at high risk of experiencing moral distress. This study aimed to conduct the Turkish cultural adaptation, validity, and reliability testing of the Moral Distress Scale in order to evaluate the moral distress experienced by prehospital emergency healthcare workers. Within the scope of the study, the 20-item, five-factor Moral Distress Scale was translated and culturally adapted into Turkish. The construct validity of the scale was evaluated using exploratory factor analysis and confirmatory factor analysis. Data were collected from 215 prehospital emergency healthcare professionals. Factor loadings ranged from 0.442 to 0.801, and item-total correlations were above 0.30. In the exploratory factor analysis, items 4 and 5 from the "Providing Care" subdimension were loaded onto the "Conflict" subdimension, while item 6 was loaded onto the "Communication" subdimension. The confirmatory factor analysis results confirmed the five-factor, the 20-item structure of the scale, and the model fit indices were found to be acceptable (χ

Indexed as

Moral distressPrehospital emergency healthcareScaleValidity and reliability

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.