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Development and Psychometric Testing of the Nurses' Professional Dignity Scale
Michela Piredda1, Maddalena De Maria2, Rosario Caruso3
1Research Unit of Nursing Science, Department of Medicine and Surgery, Campus Bio-Medico di Roma University, 00128 Rome, Italy.
Nursing Reports (Pavia, Italy)
|May 7, 2025
Summary
A new scale, the Nurses
Area of Science:
- Nursing
- Ethics
- Psychometrics
Background:
- Human dignity is a fundamental ethical principle, with professional dignity crucial for nursing self-esteem, job satisfaction, and care quality.
- A validated tool to measure nurses' professional dignity in English-speaking contexts was lacking.
Purpose of the Study:
- To develop and psychometrically test the Nurses' Professional Dignity Scale (NPDS).
Main Methods:
- Scale development guided by meta-synthesis, with expert consensus identifying three dimensions: Respect, Professional Value, and Appreciation.
- Initial 19 items refined through validity assessments (I-CVIs ≥ 0.80, S-CVI/Ave = 0.92).
- Confirmatory factor analysis (CFA) conducted with 227 US nurses to validate a three-factor model.
Main Results:
- CFA confirmed a three-factor model with acceptable fit indices (CFI=0.938, TLI=0.923, RMSEA=0.069), retaining 15 items.
- The scale demonstrated excellent reliability: composite reliability coefficients ranged from 0.82 to 0.93 for subscales and 0.91 for the overall scale.
Conclusions:
- The NPDS is a valid and reliable instrument for measuring nurses' professional dignity, encompassing respect, professional value, and appreciation.
- The scale addresses both status and condition dignity, offering a multidimensional assessment valuable for nursing research and practice.
- Findings support the NPDS's utility in improving workplace dignity, job satisfaction, and fostering supportive environments for nurses.
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