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Development and validation of a questionnaire to measure moral distress in community pharmacists

Overview of attention for article published in International Journal of Clinical Pharmacy, December 2016
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Title
Development and validation of a questionnaire to measure moral distress in community pharmacists
Published in
International Journal of Clinical Pharmacy, December 2016
DOI 10.1007/s11096-016-0413-3
Pubmed ID
Authors

Jayne L. Astbury, Cathal T. Gallagher

Abstract

Background Pharmacists work within a highly-regulated occupational sphere, and are bound by strict legal frameworks and codes of professional conduct. This regulatory environment creates the potential for moral distress to occur due to the limitations it places on acting in congruence with moral judgements. Very little research regarding this phenomenon has been undertaken in pharmacy: thus, prominent research gaps have arisen for the development of a robust tool to measure and quantify moral distress experienced in the profession. Objective The aim of this study was to develop an instrument to measure moral distress in community pharmacists. Setting Community pharmacies in the United Kingdom. Method This study adopted a three-phase exploratory sequential mixed-method design. Three semi-structured focus groups were then conducted to allow pharmacists to identify and explore scenarios that cause moral distress. Each of the identified scenarios were developed into a statement, which was paired with twin seven-point Likert scales to measure the frequency and intensity of the distress, respectively. Content validity, reliability, and construct validity were all tested, and the questionnaire was refined. Main outcome measure The successful development of the valid instrument for use in the United Kingdom. Results This research has led to the development of a valid and reliable instrument to measure moral distress in community pharmacists in the UK. The questionnaire has already been distributed to a large sample of community pharmacists. Conclusion Results from this distribution will be used to inform the formulation of coping strategies for dealing with moral distress.

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Mendeley readers

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The data shown below were compiled from readership statistics for 39 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 39 100%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 8 21%
Student > Master 6 15%
Researcher 5 13%
Student > Doctoral Student 3 8%
Professor > Associate Professor 3 8%
Other 9 23%
Unknown 5 13%
Readers by discipline Count As %
Medicine and Dentistry 7 18%
Nursing and Health Professions 6 15%
Social Sciences 6 15%
Pharmacology, Toxicology and Pharmaceutical Science 4 10%
Business, Management and Accounting 2 5%
Other 6 15%
Unknown 8 21%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 22 December 2016.
All research outputs
#19,280,634
of 23,866,543 outputs
Outputs from International Journal of Clinical Pharmacy
#968
of 1,158 outputs
Outputs of similar age
#315,827
of 425,301 outputs
Outputs of similar age from International Journal of Clinical Pharmacy
#16
of 22 outputs
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We're also able to compare this research output to 22 others from the same source and published within six weeks on either side of this one. This one is in the 9th percentile – i.e., 9% of its contemporaries scored the same or lower than it.