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7 [SD, 61.3] vs. 86.1 [56.6], t-test p 0.001). The confirmatory factor analysis and Cronbach's alpha confirmed the validity (chi-square, 661.9; CMIN/df, 2.14; GFI, 0.86; CFI, 0.88; CFI/TLI, 1.02; RMSEA, 0.061 [90%CI, 0.055-0.067]) and reliability (0.91 [95%CI, 0.89-0.92]) of the instrument. The translated Japanese version of the MMD-HP is a reliable and valid instrument to assess moral distress among physicians and nurses. The translated Japanese version of the MMD-HP is a reliable and valid instrument to assess moral distress among
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