Development of the ethical behavior scale in nursing.

IF 3.1 2区医学 Q1 NURSING BMC Nursing Pub Date : 2024-11-25 DOI:10.1186/s12912-024-02529-0

Şükriye Şahin, Şule Alpar

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Abstract

Background: Studies about the evaluation of nursing care from the patient's perspective are becoming more important. Ethic is an essential element in nursing care. Every person deserves to receive nursing care according to ethical principles, regardless of language, religion, race, or gender. In this study aimed to develop an instrument to evaluate the ethical behavior of nurses.

Methods: The methodological study used a mixed research method designed in accordance with the GRAMMS criteria. Qualitative data was obtained through in-depth interviews. Quantitative data were collected using the Ethical Behavior Scale in Nursing (EBSN). This study was conducted in 4 hospitals (nurses) and 3 health faculty (intern nurses/nursing students) in 2022. There are a total of 714 participants. The construct validity of the scale was evaluated with exploratory factor analyses (EFA) and confirmatory factor analyses (CFA). Cronbach's alpha and item total analysis established the internal consistency. Pearson correlation was used for the relationship between the total scale and sub-dimensions.

Results: Cronbach's alpha coefficient of the EBSN was 0.94. EBSN had 20 items and a five-factor structure which explained 70.45% of the total variance. Principal component analysis and CFA supported the theoretical construct EBSN. Fit measurements (x²/df) was 3.33. Pearson's correlation coefficient in this data was 0.97.

Conclusion: The results of the analysis show the items constituting the scale have validity and reliability criteria that can measure the ethical behavior in nursing profession. It is thought that including activities that will enable nurses to gain positive individual and professional values on ethical issues such as patient rights and patient privacy during the education process will also positively affect their ethical sensitivities. Additionally, in order to increase nurses' ethical awareness, nursing ethics issues should be included in post-graduation continuing education programs.

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编制护理道德行为量表。

背景：从患者角度对护理进行评估的研究正变得越来越重要。伦理是护理工作的基本要素。无论语言、宗教、种族或性别如何，每个人都应得到符合伦理原则的护理。本研究旨在开发一种评估护士道德行为的工具：方法：本研究采用混合研究法，根据 GRAMMS 标准设计。定性数据通过深入访谈获得。定量数据通过护理道德行为量表（EBSN）收集。本研究于 2022 年在 4 家医院（护士）和 3 个卫生学院（实习护士/护理专业学生）进行。共有 714 名参与者。量表的建构效度通过探索性因子分析（EFA）和确认性因子分析（CFA）进行评估。Cronbach's alpha 和项目总分析确定了内部一致性。总量表与分维度之间的关系采用了皮尔逊相关分析：EBSN 的 Cronbach's alpha 系数为 0.94。EBSN 有 20 个项目，五因素结构解释了 70.45% 的总方差。主成分分析和 CFA 支持了 EBSN 的理论结构。拟合测量值（x²/df）为 3.33。该数据的皮尔逊相关系数为 0.97：分析结果表明，构成量表的项目具有有效性和可靠性标准，可以衡量护理专业的道德行为。我们认为，在教育过程中开展一些活动，使护士在患者权利和患者隐私等伦理问题上获得积极的个人和专业价值观，也会对护士的伦理敏感性产生积极影响。此外，为了提高护士的伦理意识，应将护理伦理问题纳入毕业后继续教育计划。

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来源期刊

BMC Nursing Nursing-General Nursing

CiteScore

3.90

自引率

6.20%

发文量

317

审稿时长

30 weeks

期刊介绍： BMC Nursing is an open access, peer-reviewed journal that considers articles on all aspects of nursing research, training, education and practice.