Assuntos
Betacoronavirus/isolamento & purificação , Infecções por Coronavirus/mortalidade , Diagnóstico Tardio/estatística & dados numéricos , Neoplasias Hematológicas/mortalidade , Pediatria/normas , Pneumonia Viral/mortalidade , Guias de Prática Clínica como Assunto/normas , COVID-19 , Criança , Infecções por Coronavirus/complicações , Infecções por Coronavirus/virologia , Neoplasias Hematológicas/diagnóstico , Neoplasias Hematológicas/virologia , Humanos , Pandemias , Pneumonia Viral/complicações , Pneumonia Viral/virologia , SARS-CoV-2 , Taxa de SobrevidaAssuntos
Fissura Palatina/cirurgia , Equimose/etiologia , Perfuração Intestinal/etiologia , Laparoscopia/métodos , Procedimentos de Cirurgia Plástica/métodos , Inconsciência/etiologia , Antibioticoprofilaxia , Diagnóstico Diferencial , Duodeno/fisiopatologia , Duodeno/cirurgia , Equimose/diagnóstico , Feminino , Humanos , Lactente , Unidades de Terapia Intensiva , Perfuração Intestinal/diagnóstico , Perfuração Intestinal/cirurgia , Macroglossia/diagnóstico , Macroglossia/etiologia , Complicações Pós-Operatórias/fisiopatologia , Complicações Pós-Operatórias/terapia , Procedimentos de Cirurgia Plástica/efeitos adversos , Resultado do Tratamento , Umbigo/fisiopatologia , Inconsciência/fisiopatologiaAssuntos
Duodenopatias/cirurgia , Equimose/diagnóstico , Perfuração Intestinal/diagnóstico , Laparoscopia/métodos , Parede Abdominal/fisiopatologia , Fissura Palatina/cirurgia , Diagnóstico Diferencial , Duodenopatias/etiologia , Equimose/etiologia , Feminino , Seguimentos , Humanos , Recém-Nascido , Perfuração Intestinal/etiologia , Perfuração Intestinal/cirurgia , Macroglossia/etiologia , Macroglossia/fisiopatologia , Procedimentos de Cirurgia Plástica/efeitos adversos , Procedimentos de Cirurgia Plástica/métodos , Resultado do Tratamento , Inconsciência/diagnósticoRESUMO
BACKGROUND: Although Moral Distress (MD) is a matter of concern within the Pediatric Intensive Care Unit (PICU), there is no validated Italian instrument for measuring the phenomenon in nurses and physicians who care for pediatric patients in Intensive Care. The authors of the Italian Moral Distress Scale-Revised (Italian MDS-R), validated for the adult setting, in 2017, invited further research to evaluate the generalizability of the scale to clinicians working in other fields. Our study aims to reduce this knowledge gap by developing and validating the pediatric version of the Italian MDS-R. METHODS: We evaluated the new instrument for construct validity, then we administered it in a multicenter, web-based survey that involved healthcare providers of three PICUs and three adult ICUs admitting children in northern, central, and southern Italy. Finally, we tested it for internal consistency, confirmatory factorial validity, convergent validity, and differences between groups analysis. RESULTS: The 14-item, three-factor model best fit the data. The scale showed good reliability (a = 0.87). Still, it did not correlate with the Emotional Exhaustion and Depersonalization sub-scales of the Maslach Burnout Inventory (MBI) or with the 2-item Connor-Davidson Resilience Scale (CD-RISC 2) or the Satisfaction with Life Scale (SWLS). A mild correlation was found between the Italian Pediatric MDS-R score and intention to resign from the job. No correlation was found between MD and years of experience. Females, nurses, and clinicians who cared for COVID-19 patients had a higher MD score. CONCLUSIONS: The Italian Pediatric MDS-R is a valid and reliable instrument for measuring MD among Italian health workers who care for critically ill children. Further research would be helpful in better investigating its applicability to the heterogeneous scenario of Italian Pediatric Critical Care Medicine.