Moral Injury Symptom Scale/Moral Injury Outcome Scale (MISS MIOS)

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

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).

Study Overview

• Status: Completed
• Conditions: Depression; Anxiety; Moral Injury; Burn-Out
• Intervention / Treatment: Other: Clinician Questionnaire

• Study Type: Observational
• Enrollment (Actual): 483

Contacts and Locations

Study Locations

• United States
  • Florida
    • Orlando, Florida, United States, 32804
      • AdventHealth Orlando

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: Yes

• Sampling Method: Non-Probability Sample

Study Population

Licensed nurses at identified hospital within the state of Florida

Description

Inclusion Criteria:

1. 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
2. Access to computer or mobile device to complete the survey
3. Ability to read and understand English

Exclusion Criteria:

1. Any employee at identified hospitals who is not a licensed nurse

Study Plan

How is the study designed?

Design Details

• Observational Models: Cohort
• Time Perspectives: Prospective

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
Nurses; Nurses will be taking the Clinician Questionnaire electronically.	Other: Clinician Questionnaire; Nurses will take the Clinician Questionnaire electronically

What is the study measuring?

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

Collaborators and Investigators

• Sponsor: AdventHealth
• Investigators: Principal Investigator: Hong Tao, PhD, AdventHealth

Study record dates

Study Major Dates

• Study Start (Actual): November 1, 2019
• Primary Completion (Actual): February 7, 2023
• Study Completion (Actual): February 7, 2023

Study Registration Dates

• First Submitted: February 6, 2020
• First Submitted That Met QC Criteria: February 6, 2020
• First Posted (Actual): February 10, 2020

Study Record Updates

• Last Update Posted (Actual): October 6, 2023
• Last Update Submitted That Met QC Criteria: October 5, 2023
• Last Verified: October 1, 2023

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Mental Disorders; Trauma and Stressor Related Disorders; Stress Disorders, Traumatic; Stress Disorders, Post-Traumatic; Wounds and Injuries
• Other Study ID Numbers: 1497904

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No