A Study of Moral Distress, Moral Injury and Post-Traumatic Stress for Nurses

N/AEnrolling By InvitationNCT07455370

Mayo Clinic21,300 enrolled

Overview

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: 1. Determine the levels of MD, MI, and PTS symptoms experienced by nurses who participate in the study. 2. Evaluate differences in MD, MI, and PTS symptoms by setting, specialties, and geographic locations. 3. Examine demographic and professional characteristics that are associated with high levels of MD, MI and PTS.

Study Type

OBSERVATIONAL

Enrollment

21,300

Conditions

Moral Injury Moral Distress Post-Traumatic Stress Nurse Well-being Wellbeing Wellness, Psychological Wellness Nurses

Interventions

SurveysOTHER

Participants will complete an electronic survey containing the Measure of Moral Distress- Healthcare Professionals (MMD-HP), Moral Injury Outcome Scale (MIOS) including functional outcome measures adapted from the Brief Inventory of Psychosocial Functioning, The PCL-5 Checklist for DSM-5 (Post-Traumatic Stress Disorder (PSTD) Checklist for the Diagnostic and Statistical Manual of Mental Disorders-5 (DSM-5)) (PCL-5), and the Well-Being Index (WBI), additionally including a demographic questionnaire with wellbeing questions.

Eligibility

Sex: ALL

Medical Language ↔ Plain English

Inclusion Criteria: • 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) Exclusion Criteria: * 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

Locations (3)

Mayo Clinic

Phoenix, Arizona, United States

Mayo Clinic

Jacksonville, Florida, United States

Mayo Clinic

Rochester, Minnesota, United States

Outcomes

Primary Outcomes

Measure of Moral Distress-Healthcare Professionals (MMD-HP) Score

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.

Time frame: Baseline

Moral Injury Outcome Scale (MIOS) score

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.

Time frame: Baseline

Post-Traumatic Stress Disorder (PCL-5) score

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.

Time frame: Baseline