Catholic University, Seoul, South Korea.
Nurs Ethics. 2010 Jan;17(1):99-105. doi: 10.1177/0969733009349993.
The main purpose of this study was to validate a scale to examine the moral sensitivity of Korean nurses. A pre-existing scale, the Moral Sensitivity Questionnaire (MSQ), developed by Lützén, was used after deletion of three items. The reliability and validity of the scale were examined by using Cronbach's alpha and factor analysis, respectively. According to the results, reliability of the scale was adequate but its construct validity was not fully supported. Through discussion on evidence of validity, five subconstructs emerged. In particular, unlike the factor structure of the MSQ, two subconstructs, patient-oriented care and professional responsibility, were newly extracted. It was assumed that the other three MSQ subconstructs, conflict, meaning and benevolence (expressed as nurses being ethically good), would not be sensitive to cultural background. Given these findings, interpretations about the meaning of moral sensitivity of Korean nurses are discussed.
本研究的主要目的是验证一个用于检验韩国护士道德敏感性的量表。在删除了三个项目后,使用了 Lützén 先前开发的道德敏感性问卷(MSQ)。通过 Cronbach's alpha 和因子分析分别检查了量表的信度和效度。结果表明,量表的信度尚可,但结构效度未得到充分支持。通过对效度证据的讨论,出现了五个亚构念。特别是,与 MSQ 的因子结构不同,两个亚构念,以患者为中心的护理和专业责任,是新提取的。假设其他三个 MSQ 亚构念,冲突、意义和善良(表现为护士具有良好的道德),不会受到文化背景的影响。鉴于这些发现,对韩国护士道德敏感性的含义进行了讨论。