Table 3. Exploratory Factorial Analysis (Varimax rotation) of the instrument of moral distress in primary care nurses, presentation of four constructs. Florianópolis-SC, Brazil, 2017.
Rotary component matrix * | |||||||
Indicadotors† | Components‡ | ||||||
Right to Health/Disrespect for patient autonomy | C1 | C2 | C3 | C4 | C5 | C6 | |
55. To recognize situations of disrespect to the patient’s right to confidentiality/secrecy | 153 | 153 | 781 | 285 | 122 | 107 | |
54. To recognize situations of disrespect to the patient’s right to privacy/privacy | 270 | 206 | 758 | 215 | 221 | 024 | |
56. To recognize situations of disrespect to patients ‘and family members’ right to information | 289 | 209 | 757 | 208 | 131 | 110 | |
46. To experience care behaviors that disregard patients’ beliefs and culture | 244 | 151 | 697 | 165 | 145 | 072 | |
45. To experience or participate in unnecessary care behaviors to the patient/user’s conditions/needs | 270 | 234 | 634 | 194 | 148 | 159 | |
53. To recognize situations of disrespect/maltreatment by professionals in relation to the patient | 385 | 223 | 599 | 297 | 181 | 120 | |
Professional Ethics Competence | |||||||
24.To experience the recklessness by the nurse | 066 | 282 | 365 | 719 | 160 | 048 | |
22. To experience the recklessness by the doctor | 251 | 250 | 161 | 701 | 142 | 094 | |
4. To work with unprepared doctors | 277 | 090 | 100 | 656 | 311 | 324 | |
23. To experience the omission by the nurse | 145 | 265 | 408 | 651 | 144 | 054 | |
21. To experience the omission by the doctor | 340 | 210 | 224 | 627 | 133 | 218 | |
5. Work with unprepared nurses | 153 | 074 | 254 | 590 | 184 | 459 | |
25. To experience the omission by professionals of other categories | 174 | 443 | 328 | 590 | 233 | 010 | |
26. To experience the recklessness by professionals from other categories | 152 | 409 | 314 | 574 | 244 | 009 | |
Work conditions | |||||||
14. To recognize that the available permanent equipment/materials are inadequate | 313 | 175 | 242 | 192 | 733 | 196 | |
11. To recognize that consumer materials are insufficient | 315 | 245 | 152 | 195 | 722 | 211 | |
13. To recognize that the available permanent equipment/materials are insufficient | 311 | 248 | 246 | 152 | 721 | 259 | |
16. To recognize that the physical structure of the service is inadequate | 300 | 180 | 161 | 246 | 691 | 165 | |
12. To recognize that consumer materials are inadequate | 275 | 182 | 221 | 247 | 687 | 255 | |
15. To recognize that the physical structure of the service is insufficient | 324 | 194 | 153 | 246 | 650 | 191 | |
Work overload | |||||||
1. To work with insufficient number of professionals to demand | 256 | 346 | 098 | 064 | 259 | 657 | |
3. To experience work overload conditions | 274 | 425 | 034 | 131 | 275 | 621 | |
2. Incomplete multiprofessional health team | 297 | 253 | 105 | 137 | 350 | 620 | |
6. To work with unprepared nursing assistants and technicians | 153 | 057 | 210 | 516 | 204 | 614 | |
7.To work with professionals from other unprepared categories | 198 | 104 | 099 | 497 | 299 | 535 |
*Método de Rotação: Varimax com Normalização de Kaiser.
a. Converted rotation in 10 iterations.
† Indicators, with the questions of the instrument and their respective numbering.
‡ Components, with the value (intensity) of each construct (C1 to C6).