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Am J Occup Ther. 2016 Jul-Aug;70(4):7004300020. doi: 10.5014/ajot.2015.018358.

Moral Distress Scale for Occupational Therapists: Part 1. Instrument Development and Content Validity.

The American journal of occupational therapy : official publication of the American Occupational Therapy Association

Neil H Penny, Samantha J Bires, Elizabeth A Bonn, Alisha N Dockery, Nicole L Pettit

Affiliations

  1. Neil H. Penny, EdD, OTR/L, is Chair, Occupational Therapy Department, Alvernia University, Reading, PA; [email protected].
  2. Samantha J. Bires, MSOT, OTR/L, is Clinical Occupational Therapist, Amedisys Home Health Care, Lancaster, PA.
  3. Elizabeth A. Bonn, MSOT, OTR/L, is Clinical Occupational Therapist, PinnacleHealth Community General Osteopathic Hospital, Harrisburg, PA.
  4. Alisha N. Dockery, MSOT, OTR/L, is Clinical Occupational Therapist, Theraplay, Inc., Limerick, PA.
  5. Nicole L. Pettit, MSOT, OTR/L, is Clinical Occupational Therapist, Lancaster Rehabilitation Hospital, Lancaster, PA.

PMID: 27294997 DOI: 10.5014/ajot.2015.018358

Abstract

OBJECTIVE: We describe the development of an instrument to measure moral distress experienced by occupational therapists and show how its content validity was established.

METHOD: Written comments (n = 78) from a previous survey using the Moral Distress Scale-Revised-Other Health Provider Adult were used to modify that instrument and create the Moral Distress Scale-Revised-Occupational Therapy-Adult Settings (MDS-R-OT[A]). The MDS-R-OT[A] was distributed to a nationwide random sample of 400 occupational therapists who rated the relevance of each item to their clinical practice.

RESULTS: A scale content validity index of 81.8% was found (geriatric = 81.5%, physical disability = 80.8%, combination of the two = 85.7%).

CONCLUSION: The MDS-R-OT[A] possesses acceptable content validity and is appropriate for use with occupational therapists working in geriatric or physical disability settings.

Copyright © 2016 by the American Occupational Therapy Association, Inc.

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