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Design and Psychometrics of the Nursing Educators' Moral Sensitivity Scale: A Mixed-Methods Study
Sedigheh Modanloo1, Abbas Abbaszadeh2, Abbas Ebadi3
1Department of Psychiatric Nursing, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Journal of Nursing Measurement
|May 11, 2026
Summary
A new 31-item Moral Sensitivity Questionnaire was developed and validated for nursing educators. This reliable tool assesses moral sensitivity, crucial for ethical nursing practice and education.
Area of Science:
- Nursing Education
- Bioethics
- Psychometrics
Background:
- Educators are vital for developing students' moral competence.
- Moral sensitivity is a critical competency for nursing educators.
- A valid scale is needed to measure nursing educators' moral sensitivity.
Purpose of the Study:
- To design and psychometrically evaluate a questionnaire for measuring moral sensitivity in nursing educators.
- To develop a culturally grounded instrument for assessing ethical sensitivity.
Main Methods:
- Mixed-methods sequential exploratory design.
- Qualitative phase: Hybrid concept analysis (literature review, expert interviews).
- Quantitative phase: Psychometric evaluation (validity, reliability).
Main Results:
- Qualitative data identified key attributes, antecedents, and consequences of moral sensitivity.
- Exploratory factor analysis yielded a 31-item questionnaire with five factors.
- The questionnaire demonstrated excellent reliability (Cronbach's alpha = .92, ICC = .91).
Conclusions:
- The Moral Sensitivity Questionnaire possesses strong psychometric properties.
- This culturally grounded scale can assess and promote ethical sensitivity among nursing educators.
- The instrument supports the development of moral competence in nursing students.
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