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修订后的Rushton道德性表对医疗保健工作者的可靠性和有效性
Cynda H Rushton1, Ginger C Hanson1, Danielle Boyce1
1School of Nursing, Johns Hopkins University, Baltimore, Maryland, USA.
Journal of advanced nursing
|September 29, 2023
概括
精致的Rushton道德性度量 (RMRS-16) 为面临道德逆境的医疗保健专业人员提供了可靠和有效的衡量标准. 这种较短的尺度提高了对道德性的评估,有助于研究和干预.
科学领域:
- 医疗保健伦理学 医疗保健伦理
- 心理测量 心理测量 心理测量
- 护理研究研究护理研究
背景情况:
- 医疗保健专业人员经历道德逆境,当诚信受到损害时,导致道德痛苦.
- 道德性作为一个缓冲对道德逆境的负面后果的缓冲.
- 有效可靠的测量工具对于理解道德性机制至关重要.
研究的目的:
- 将拉什顿道德性度量 (RMRS) 改进为一个更简洁的版本 (RMRS-16).
- 提高尺度的可靠性和有效性,特别是个人诚信子尺度.
- 提供进一步的证据支持修订后的尺度的心理特征.
主要方法:
- 采用了横截面调查设计.
- 项目分析和确认因素分析被用来改进从21项到16项的规模.
- 可靠性 (克朗巴赫的α) 和有效性 (与压力,焦虑,抑郁,道德困扰的相关性) 在1297名加拿大医疗保健工作者的样本中进行了评估.
主要成果:
- 精细的16项尺度 (RMRS-16) 显示出一个强大的四因素结构:对道德逆境的反应,个人完整性,关系完整性和道德有效性.
- 所有子尺度和总尺度都表现出足够的可靠性 (克朗巴赫α≥0.70).
- 与心理和道德痛苦指标的相关性支持了尺度的有效性,对个人诚信子尺度的可靠性得到了改善.
结论:
- RMRS-16是衡量医疗保健专业人员道德性的可靠和有效工具.
- 改进的个人完整性分级和简洁的格式促进了有针对性的研究和干预开发.
- 道德性是缓解临床实践中伦理挑战影响的关键因素.
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