Turkish Adaptation of the Moral Distress Scale-Revised for Pediatric Nurses: A Validity and Reliability Study


Journal of nursing measurement, vol.31, no.3, pp.336-346, 2023 (ESCI) identifier identifier

  • Publication Type: Article / Article
  • Volume: 31 Issue: 3
  • Publication Date: 2023
  • Doi Number: 10.1891/jnm-2021-0056
  • Journal Name: Journal of nursing measurement
  • Journal Indexes: Emerging Sources Citation Index (ESCI), Scopus, ASSIA, CINAHL, MEDLINE, Psycinfo
  • Page Numbers: pp.336-346
  • Keywords: ethics, moral distress, pediatric nursing, pediatrics, reliability, validity
  • Hacettepe University Affiliated: Yes


Background and Purpose: Recent studies have demonstrated the adverse effects that moral distress experienced by nurses has on nurses, patients, and the healthcare system. This study aims to analyze the validity and reliability of the Turkish version of the Moral Distress Scale-Revised (MDS-R, pediatric). Methods: This study was conducted with 210 pediatric nurses. Results: Explanatory factor analysis was conducted, and a five-factor structure emerged. The Cronbach's α value of the scale was found to be 0.865, and the correlation-based item analysis showed that the values were within the acceptable range, and the discrimination of the items was adequate. Conclusions: Analyses conducted revealed that the Turkish version of the MDS-R (pediatric), consisting of 21 items and five subdimensions, is a valid and reliable measurement tool for the Turkish culture and language.