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Related Experiment Videos

Development and validation of Nurses' Moral Courage Scale.

Olivia Numminen1, Jouko Katajisto1, Helena Leino-Kilpi1

  • 1University of Turku, Finland.

Nursing Ethics
|September 7, 2018
PubMed
Summary

A new scale effectively measures nurses

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Area of Science:

  • Nursing
  • Ethics
  • Psychometrics

Background:

  • Moral courage is essential for nurses at all practice levels.
  • Existing instruments for measuring nurses' moral courage are limited.
  • A validated scale is needed to assess nurses' moral courage.

Purpose of the Study:

  • To develop and psychometrically evaluate the Nurses' Moral Courage Scale (NMCS).
  • To assess the current level of nurses' self-assessed moral courage.
  • To identify socio-demographic factors associated with nurses' moral courage.

Main Methods:

  • Methodological study with a non-experimental, cross-sectional exploratory design.
  • Data collected from 482 nurses in a Finnish university hospital.
  • Statistical analysis including reliability and validity testing of the NMCS.

Main Results:

  • The 21-item, 4-sub-scale NMCS demonstrated good reliability and validity.
  • Internal consistency values exceeded recommended Cronbach's alpha (0.73–0.82 for sub-scales, 0.93 for total).
  • Factor analyses supported the scale's theoretical construct and content validity.

Conclusions:

  • The NMCS is a reliable and valid instrument for measuring nurses' self-assessed moral courage.
  • The scale can inform the development of interventions and educational programs to enhance moral courage.
  • Further international validation of the NMCS is recommended.
Keywords:
Instrument developmentinstrument validationmoral couragenursespsychometric evaluation

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