Using the demoralization scale for the early detection of demoralization in health professionals

[[abstract]]Demoralization is a marker of existential distress and loss of meaning and purpose in patients suffering from advanced diseases. However, health professionals can also suffer from demoralization. There is little education for health professionals to prevent demoralization. The Demoralization Scale is a tool to test the severity of demoralization. The aim of this study was to evaluate the applicability of the demoralization scale to doctors and nurses. The participants were medical and nursing staff of the Mackay Memorial Hospital, a large hospital in Taiwan with a high proportion of cancer patients. All participants used the Mandarin version of the Demoralization Scale (DS-MV). For the reliability tests, we used factor analysis and internal consistency calculated by Cronbach's alpha, using SPSS 18.0. Acceptable reliability of factor analysis in the DS-MV was found for both doctors and nurses. The Cronbach's alpha value of the total score was 0.95 for doctors and 0.94 for nurses. This suggests that the Demoralization Scale is a suitable tool not only for evaluating the severity of demoralization amongst doctors and nurses, but also for examining the outcomes of continuing educations in health professionals