Moral Distress, Moral Injury and Post-Traumatic Stress Among Mayo Clinic Nurses
试验速览
- 阶段
- 不适用
- 状态
- Enrolling By Invitation
- 发起方
- Mayo Clinic
- 入组人数
- 21,300
- 试验地点
- 3
- 主要终点
- Measure of Moral Distress-Healthcare Professionals (MMD-HP) Score
研究概览
简要总结
The goal of this descriptive study is to examine levels of moral distress (MD), moral injury (MI), & post-traumatic stress (PTS) levels among nursing staff at Mayo Clinic. The main questions this study aims to answer are:
- Determine the levels of MD, MI, and PTS symptoms experienced by nurses who participate in the study.
- Evaluate differences in MD, MI, and PTS symptoms by setting, specialties, and geographic locations.
- Examine demographic and professional characteristics that are associated with high levels of MD, MI and PTS.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Cross Sectional
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Mayo Clinic Department of Nursing Staff including:
- •Registered nurses
- •Licensed practical nurses
- •Nursing support staff (including roles such as patient care assistants, patient care specialists, medical assistants, and nurse technicians)
排除标准
- •Social workers
- •Chaplains
- •Unit coordinators
- •Other staff who do not support direct patient care but are within the nursing department
- •Other employees outside the Department of Nursing
研究组 & 干预措施
Mayo Clinic Nurses
Mayo Clinic Department of Nursing staff across the enterprise including advanced practice nurses, registered nurses, licensed practical nurses, and nursing support/unlicensed staff.
干预措施: Surveys (Other)
结局指标
主要结局
Measure of Moral Distress-Healthcare Professionals (MMD-HP) Score
时间窗: Baseline
The MMD-HP (Measure of Moral Distress-Healthcare Professionals) is a 27-item moral distress scale. A composite score is computed for items 1 - 25 and is obtained by multiplying the frequency scores (0 = Never to 4 = Very Frequently scale) and the distress scores (0 = None to 4 = Very Distressing scale) for each item; the products of these can range from 0 - 16. Higher scores indicate a greater deal of moral distress.
Moral Injury Outcome Scale (MIOS) score
时间窗: Baseline
The Moral Injury Outcome Scale (MIOS) is a 14-item self-reported survey divided into two subscales-shame-related and trust-violation related. Both the shame and trust-violated subscales are seven items per subscale. Respondents are asked to indicate how strongly they agree with each statement in the past month using a 5 point Likert scale where 0 = Strongly Disagree and 4 = Strongly Agree. The total score range for each subscale is 0 - 28, and the overall score range is 0 - 56. Symptom severity is categorized as follows: 14 - 28 indicates mild moral injury, 29 - 42 indicates moderate moral injury, and 35 - 56 indicates severe moral injury.
Post-Traumatic Stress Disorder (PCL-5) score
时间窗: Baseline
The PCL - 5 (Post-Traumatic Stress Disorder (PSTD) Checklist) is a 20-item self-reported survey that assesses the 20 DSM-5 symptoms of PTSD. Respondents are asked to indicate the frequency that each item occurs on a 5 point Likert scale where 0 = Not at All and 4 = Extremely. The total score is the sum of all 20 questions, with higher scores indicating a greater likelihood of PTSD.
次要结局
未报告次要终点
研究者
Melissa A. Wilson
Senior Associate Consultant
Mayo Clinic