Translation and Validation of the "Moral Injury Symptom Scale- Healthcare Professionals" in Greek

Background: Stressful events occur several times during work among healthcare professionals. Especially, during the COVID-19 pandemic, healthcare professionals have had to deal with a variety of ethical dilemmas causing high levels of moral injury. Aim: To translate and validate the Moral Injury Symptom Scale-Healthcare Professionals (MISS-HP) in Greek. Methods: We conducted our study with 345 nurses in Greece during August 2023. We employed the forward-backward method to translate the MISS-HP in Greek. We examined the construct validity of the MISS-HP by performing confirmatory factor analysis. We estimated concurrent validity of the HP by it with the Moral Distress Thermometer (MDT), the Quiet Quitting Scale (QQS), and single item burnout measure. Results: We found that the MISS-HP had exceptional reliability since all intraclass correlation coefficients in test-rest reliability analysis were higher than 0.990. Moreover, all correlations were statistically significant (p