Table 2. Exploratory Factor Analysis (Varimax rotation) of the instrument of moral distress in primary care nurses, presentation of two constructs. Florianópolis, SC, Brazil, 2017.
Rotary component matrix * | |||||||
Indicators† | Components‡ | ||||||
Health policies | C1 | C2 | C3 | C4 | C5 | C6 | |
29. To recognize that the demands of continuity of patient/user care are not met | 757 | 237 | 198 | 199 | 267 | 197 | |
30. To recognize the lack of resolution of health actions due to social problems | 727 | 219 | 182 | 172 | 307 | 188 | |
32. To recognize that educational actions with the patient are insufficient | 723 | 253 | 202 | 151 | 211 | 197 | |
28. To recognize that the patient´s hosting is inappropriate | 699 | 265 | 250 | 187 | 218 | 159 | |
33. To experience on the humanized care practices advocated by public policies | 651 | 307 | 333 | 202 | 264 | 156 | |
27. To recognize insufficient access to the service for the patient | 637 | 218 | 231 | 172 | 400 | 104 | |
31. To recognize the lack of resolution of health actions due to the poor quality of care | 632 | 209 | 359 | 240 | 251 | 194 | |
37. To recognize impairments to care due to inadequate integration between services/sectors | 624 | 253 | 314 | 154 | 284 | 207 | |
34. To recognize routines and practices that are unsuitable for professional safety | 552 | 265 | 350 | 182 | 271 | 212 | |
35. To recognize routines and practices that are inappropriate for patient safety | 545 | 218 | 457 | 238 | 219 | 097 | |
44. To experience the suspension and postponement of procedures for reasons that are contrary to the needs of the patient/user | 501 | 261 | 480 | 185 | 309 | 104 | |
Professional Visibility/Nurse Autonomy | |||||||
47. Feeling disrespected by hierarchical superiors | 187 | 746 | 277 | 187 | 180 | 075 | |
17. Feeling discriminated against by other professionals | 309 | 681 | 003 | 265 | 107 | 083 | |
48. To recognize ethically incorrect attitudes of managers or superiors | 298 | 639 | 277 | 175 | 331 | 112 | |
38. To have their autonomy limited in the decision of specific behaviors of the nursing team | 197 | 638 | 305 | 205 | 210 | 185 | |
18. Feeling devalued compared to other professionals | 372 | 625 | 007 | 273 | 025 | 145 | |
41. To recognize situations of offense to the professional | 245 | 623 | 311 | 173 | 251 | 295 | |
39. To experience conflicting relationships regarding the attributions of health team members | 295 | 591 | 284 | 149 | 243 | 284 | |
49. Feeling pressured to agree or silence against fraud on behalf of the institution | 074 | 560 | 436 | 177 | 123 | 075 | |
40. Working under pressure for insufficient time to reach goals or perform tasks | 331 | 557 | 230 | 072 | 142 | 406 | |
42. To recognize situations of disrespect to the professional’s privacy | 159 | 538 | 416 | 207 | 228 | 288 |
*Rotation Method: Varimax with Kaiser Standardization. a. Converted rotation in 10 iterations.
† Indicators, indicating the issues of the instrument with their respective numbering.
‡ Components, indicating the value (intensity) of each construct (C1 to C6).