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Development and psychometric properties of the conscience-based nursing care scale
Homeira Khoddam1, Abbas Ebadi2, Mahnaz Modanloo1
1Nursing Research Center, Golestan University of Medical Sciences, Gorgan, Iran.
Frontiers in Psychology
|March 26, 2025
Summary
Nurses' conscience is vital for ethical decision-making and quality patient care. A new Conscience-based Nursing Care Scale (CNS) was developed and validated in Iran, proving reliable for assessing care quality.
Area of Science:
- Nursing
- Healthcare Ethics
- Psychometrics
Background:
- Nurses' conscience is crucial for professional decision-making and ensuring high-quality patient care.
- It positively influences nursing performance and promotes ethical practices in clinical environments.
Purpose of the Study:
- To develop and validate the Conscience-based Nursing Care Scale (CNS) within the Iranian clinical nursing setting.
Main Methods:
- A sequential exploratory mixed-methods study was conducted.
- Concept analysis of "conscience-based care" involved literature review and qualitative interviews with nurses.
- Psychometric properties of the newly developed scale were evaluated, including validity and reliability assessments through factor analyses.
Main Results:
- The validated CNS comprises 24 items across five factors: accountability, responsibilities, quality of care/teamwork, professional reputation/dignity, and ethics.
- Factor analyses confirmed the scale's structure, explaining 43.79% of the variance in conscience-based care.
- The scale demonstrated high reliability (ICC=0.959) and responsiveness, with minimal ceiling and floor effects.
Conclusions:
- The CNS is a reliable and valid instrument for assessing conscience-based nursing care in Iranian clinical settings.
- Nursing managers and policymakers can utilize the CNS to evaluate care quality and promote ethical nursing practices.
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