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Inventory of ethical problems in mobile pre-hospital care
Simone da Silva Oliveira1, Mariana Oliveira Antunes Ferraz2, Darci de Oliveira Santa Rosa1
1Universidade Federal da Bahia. Salvador, Bahia, Brazil.
Revista Brasileira De Enfermagem
|January 15, 2025
Summary
This study developed and validated an inventory to identify ethical problems faced by nurses in mobile pre-hospital care. The validated instrument offers a reliable tool for improving nursing practice in emergency settings.
Area of Science:
- Nursing Ethics
- Bioethics
- Pre-hospital Care
Background:
- Nurses in mobile pre-hospital care encounter unique ethical challenges.
- A validated instrument is needed to systematically identify these ethical issues.
- Understanding these problems is crucial for professional development and patient safety.
Purpose of the Study:
- To construct and validate an inventory of ethical problems experienced by nurses in mobile pre-hospital care.
- To develop a psychometrically sound tool for assessing ethical dilemmas in this setting.
Main Methods:
- A psychometric approach was employed, including instrument construction via a theoretical matrix, scoping review, and qualitative research.
- Content validity was established through expert judges and pre-testing with nurses.
- The Content Validity Ratio (CVR) was used to assess validity.
Main Results:
- The final instrument comprises 44 items across four dimensions.
- Evidence of content validity was demonstrated for the constructed instrument.
- The inventory showed good psychometric properties.
Conclusions:
- The developed inventory is a valid and reliable tool for assessing ethical problems in pre-hospital nursing.
- This instrument can support nurses' ethical practice in mobile emergency care.
- The findings contribute to the body of knowledge on nursing ethics in emergency services.
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