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Development of the ethical decision-making competence scale.
Hsiang-Chu Pai1, Lien-Jen Hwu1
1Chung Shan Medical University; Chung Shan Medical University Hospital.
Nursing Ethics
|February 29, 2024
Summary
A new scale effectively measures nursing students' ethical decision-making competence. This tool aids in evaluating and enhancing ethical care abilities in future nurses.
Area of Science:
- Nursing Education
- Bioethics
- Psychometrics
Background:
- Ethical decision-making is crucial for nursing practice.
- No existing tool specifically assesses nursing students' ethical decision-making competence.
Purpose of the Study:
- To develop and validate the Ethical Decision-Making Competence Scale (EDM-CS).
- To provide a reliable instrument for assessing ethical care decision-making skills in nursing students.
Main Methods:
- Scale development using focus groups and Delphi method.
- Cross-sectional design with 498 nursing students.
- Exploratory and confirmatory factor analyses (EFA & CFA) for validity and reliability.
- Assessed convergent validity using the Scale of Protective Factor-24.
Main Results:
- The final 18-item EDM-CS demonstrated a robust four-factor structure.
- The scale explained 60.97% of the total variance.
- High reliability (Cronbach's alpha = 0.90) and good convergent validity were confirmed.
Conclusions:
- The EDM-CS is a validated instrument for assessing nursing students' ethical decision-making competence.
- The scale can inform educational strategies to improve ethical care in nursing.
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