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Moral Injury Symptom Scale/Moral Injury Outcome Scale

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

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT04261751
Acronym
MISS MIOS
Enrollment
483
Registered
2020-02-10
Start date
2019-11-01
Completion date
2023-02-07
Last updated
2023-10-06

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Anxiety, Burn-Out, Depression, Moral Injury

Brief summary

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).

Interventions

Nurses will take the Clinician Questionnaire electronically

Sponsors

AdventHealth
Lead SponsorOTHER

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes

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

Design outcomes

Primary

MeasureTime frameDescription
Moral Injury1 Daymeasured 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.

Secondary

MeasureTime frameDescription
Social involvement/Social Support1 Daymeasured by 1 social support/social involvement item
Depression1 daymeasured by the PhQ-9 Depression scale (9 items)
Burnout1 Daymeasured by Stanford Professional Fulfillment Index (16 items), and the MBI (22 items)
Anxiety1 Daymeasured by GAD-7 (7 items)
Spiritual Well Being1 Daymeasured by FACIT-SP (12 items)
Moral injury1 Daymeasured by the Moral Injury Events Scale (9 items) and the Expressions of Moral Injury Scale (17 items)
Spiritual Wholeness1 Daymeasured by Spiritual Wholeness Screening 4 items (yes/no)
Post-traumatic growth1 Daymeasured by Post-Traumatic Growth Inventory (21 items0
Nurse Job Satisfaction1 Daymeasured by the Nurse Job Satisfaction Scale (10 items)
Satisfaction with care/time demands1 Daymeasured by 1 item
Prevalence of aggression1 Daymeasured by Perception of Prevalence of Aggression Scale (adapted) 11 items
Discrimination1 Daymeasured by Everyday Discrimination Scale (10 items)
PTSD1 Daymeasured by PCL-5 (20 items)

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026