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Area of Science:

  • Nursing Ethics
  • Healthcare Professional Attitudes
  • Psychometrics

Background:

  • Conscientious objection in nursing presents ethical challenges, impacting patient care access.
  • No existing tools measure nurses' conscientious objection attitudes.
  • Understanding these attitudes is crucial for ethical healthcare practice.

Purpose of the Study:

  • To develop and validate a measurement tool for nurses' conscientious objection attitudes.
  • To provide a psychometrically sound instrument for research and practice.

Main Methods:

  • Methodological study with 261 nurses in Turkiye.
  • Content validity assessed by 10 experts; a 29-item draft scale developed.
  • Exploratory and confirmatory factor analyses, reliability (Spearman-Brown, ICC, Bland Altman), and internal consistency (Cronbach's alpha) were performed.

Main Results:

  • The Nurses' Conscientious Objection Attitude Scale (COAS-N) was developed, containing 29 items.
  • The scale has three sub-dimensions: prioritizing professional values, personal values, and requesting the right to object.
  • The scale demonstrated good internal consistency (Cronbach's alpha = 0.81).

Conclusions:

  • The COAS-N is a valid and reliable instrument for measuring nurses' conscientious objection attitudes.
  • This scale can be used to further investigate nurses' ethical considerations in practice.
  • The findings support the use of the COAS-N in research and clinical settings.