Moral Injury Symptom Scale/Moral Injury Outcome Scale

Study Overview
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Brief Summary
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The purpose of this research is to validate the moral injury symptom scale clinician version short form and the Moral Injury Outcome Scale in nurses. Participants will be recruited in accordance with AdventHealth Policy # 400.120: Selection and Enrollment of AdventHealth Employees, Physicians, and Volunteers for research Studies. Employee participants will be assured participation in this study will not affect performance evaluation or employment-related decisions by peers or supervisors. No employees will be recruited by a direct supervisor. Recruitment of potential employees as participants will occur without coercion by the Principal Investigator (PI), by bulletin board advertisements, or through a third party unassociated in a power/supervisory relationship with the employee (i.e., researchers from Center for Whole-Person Research).

Official Title
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Validation of the Moral Injury Symptom Scale Clinician Version Short Form and Moral Injury Outcome Scale in Nurses

Conditions
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Moral Injury, Anxiety, Depression, Burn-Out

Intervention / Treatment
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* Other: Clinician Questionnaire


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Currently working as a registered nurse (Licensed Practical Nurse, Registered Nurse, Assistant Nurse Manager, Nurse Manager, Nurse Educator) at identified hospital within the state of Florida Access to computer or mobile device to complete the survey Ability to read and understand English Exclusion Criteria: 1. Any employee at identified hospitals who is not a licensed nurse

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Nurses<br>Nurses will be taking the Clinician Questionnaire electronically. | Other: Clinician Questionnaire<br>* Nurses will take the Clinician Questionnaire electronically<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Moral Injury | measured by the Moral Injury Outcome Scale & functional outcomes (23 items), and the Moral Injury Symptom Scale - Clinician Version - Short Form (MISS-CV-SF) 11 items. The scale is 10 - 100 with the higher number being worse. | 1 Day | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Spiritual Wholeness | measured by Spiritual Wholeness Screening 4 items (yes/no) | 1 Day | 
| Social involvement/Social Support | measured by 1 social support/social involvement item | 1 Day | 
| Depression | measured by the PhQ-9 Depression scale (9 items) | 1 day | 
| Burnout | measured by Stanford Professional Fulfillment Index (16 items), and the MBI (22 items) | 1 Day | 
| Anxiety | measured by GAD-7 (7 items) | 1 Day | 
| Spiritual Well Being | measured by FACIT-SP (12 items) | 1 Day | 
| Moral injury | measured by the Moral Injury Events Scale (9 items) and the Expressions of Moral Injury Scale (17 items) | 1 Day | 
| PTSD | measured by PCL-5 (20 items) | 1 Day | 
| Post-traumatic growth | measured by Post-Traumatic Growth Inventory (21 items0 | 1 Day | 
| Nurse Job Satisfaction | measured by the Nurse Job Satisfaction Scale (10 items) | 1 Day | 
| Satisfaction with care/time demands | measured by 1 item | 1 Day | 
| Prevalence of aggression | measured by Perception of Prevalence of Aggression Scale (adapted) 11 items | 1 Day | 
| Discrimination | measured by Everyday Discrimination Scale (10 items) | 1 Day |