Browsing by Author "Zoboli, Elma"
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- Elements and strategies for ethical decision-making in nursingPublication . Nora, Carlise Rigon Dalla; Deodato, Sérgio; Vieira, Margarida; Zoboli, ElmaThis study aimed to identify the elements and strategies that facilitate the ethical decision-making of nurses faced with ethical problems, from publications on the theme. An integrative literature review was carried out. Data collection was performed between the months of April and May 2014, in the databases: SciELO, CINAHL, LILACS and MEDLINE. Original, theoretical and case study articles, with a health team that included nurses, published in Portuguese, English and Spanish were included. A total of 19 studies were selected, the analysis of which resulted in three categories: external factors of ethical decision-making in nursing, individual factors of ethical decision-making in nursing and facilitating strategies of ethical decision-making in nursing. It was concluded that nurses need to use strategies that develop sensitivity, ability and ethical competence, in order to make prudent ethical decisions, contributing to the quality of health care.
- Psychometric evaluation of the Moral Distress Risk Scale: a methodological studyPublication . Schaefer, Rafaela; Zoboli, Elma; Vieira, MargaridaBackground: Moral distress is a kind of suffering that nurses may experience when they act in ways that are considered inconsistent with moral values, leading to a perceived compromise of moral integrity. Consequences are mostly negative and include physical and psychological symptoms, in addition to organizational implications. Objective: To psychometrically test the Moral Distress Risk Scale. Research design: A methodological study was realized. Data were submitted to exploratory factorial analysis through the SPSS statistical program. Participants and research context: In total, 268 nurses from hospitals and primary healthcare settings participated in this research during the period of March to June of 2016. Ethical considerations: This research has ethics committee approval. Findings: The Moral Distress Risk Scale is composed of 7 factors and 30 items; it shows evidence of acceptable reliability and validity with a Cronbach’s α = 0.913, a total variance explained of 59%, a Kaiser–Meyer–Olkin = 0.896, and a significant Bartlett <0.001. Discussion: Concerns about moral distress should be beyond acute care settings, and a tool to help clarify critical points in other healthcare contexts may add value to moral distress speech. Conclusion:Psychometric results reveal that the Moral Distress Risk Scale can be applied in different healthcare contexts.
- Sensibilidade moral dos enfermeiros avaliada por scoping reviewPublication . Nora, Carlise Rigon Dalla; Zoboli, Elma; Vieira, Margarida MariaEsse estudo tem como objetivo identificar os fatores que influenciam a sensibilidade moral dos enfermeiros nos serviços de saúde, a partir de publicações sobre a temática. Para tanto, realizou-se uma scoping review no período de agosto a dezembro de 2015 em bases de dados da literatura em saúde. Foram incluídos artigos teóricos e originais realizados com estudantes de Enfermagem e equipes de saúde com enfermeiros, publicados em inglês, espanhol e português. A amostra foi de 28 estudos. Da análise, resultaram duas categorias: “fatores pessoais” e “fatores contextuais” da sensibilidade moral. Conclui-se que o fator que tem maior peso na formação/expressão da sensibilidade moral dos enfermeiros são os “fatores pessoais”. A sensibilidade moral tem uma natureza multidimensional, e que precisa ser complementada com uma preparação do enfermeiro para identificar e lidar de forma responsável e prudente com os problemas éticos da prática.
- Validação da Escala de Risco de Sofrimento MoralPublication . Schaefer, Rafaela; Zoboli, Elma; Vieira, Margarida
- Validação da versão brasileira do Questionário de Sensibilidade Moral (MSQ)Publication . Nora, Carlise Rigon Dalla; Vieira, Margarida; Zoboli, Elma
- Validation by experts: importance in translation and adaptation of instrumentsPublication . Nora, Carlise Rigon Dalla; Zoboli, Elma; Vieira, Margarida M.Objective: To present the content validation by experts as an essential step in validation, translation and cultural adaptation of psychometric instruments, having the example of the questionnaire of moral sensitivity in Portugal and Brazil. Method: This is a methodological study, with a committee of twelve experts, seven from Brazil and five from Portugal. The data collection and analysis occurred in 2015, between the months of September and October in Portugal and November and December in Brazil. Results: Of the 30 items presented to the experts, 20 had adaptation suggestions. Some adjustments were necessary so that the items were clear and easily comprehensible. The final version remained with 28 items. Conclusion: The content validation of psychometry instruments by a committee of experts is essential for researchers and nurses, who are increasingly concerned about the use of reliable and appropriate measures for research and evaluation of care.