Khalesi Nader, Arabloo Jalal, Khosravizadeh Omid, Taghizadeh Sanaz, Heyrani Ali, Ebrahimian Abbasali
Associate Professor, Health Information Management Research Center, Tehran University of Medical Sciences, Tehran, Iran.
PhD Candidate, Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
J Med Ethics Hist Med. 2014 Sep 11;7:15. eCollection 2014.
In order to improve the ethical climate in health care organizations, it is important to apply a valid measure. This study aimed to investigate the psychometric properties of the Persian version of the Hospital Ethical Climate Survey (HECS) and to assess nurses' perceptions of the ethical climate in teaching hospitals of Iran. A cross-sectional study of randomly selected nurses (n = 187) was conducted in three teaching general hospitals of Tehran, capital of Iran. Olson's Hospital Ethical Climate Survey (HECS), a self-administered questionnaire, was used to assess the nurses' perceptions of the hospital ethical climate. Descriptive statistics, confirmatory factor analysis (CFA), internal consistency, and correlation were used to analyze the data. CFA showed acceptable model fit: an standardized root mean square residual (SRMR) of 0.064, an non-normalized fit index (NNFI) of 0.96, a comparative fit index (CFI) of 0.96, and an root mean square error of approximation (RMSEA) of 0.075. The Cronbach's alpha values were acceptable and ranging from 0.69 to 0.85. The overall Cronbach's alpha coefficient was 0.94. The factor loadings for all ethical climate items were between 0.50 and 0.80, which revealed good structure of the Persian version of the HECS. Survey findings showed that the "managers" subscale had the highest score and the subscale of "doctors" had the lowest score. This study shows that the Persian version of the HECS is a valid and reliable instrument for measuring nurses' perceptions of the ethical climate in hospitals of Iran.
为改善医疗保健机构的道德氛围，应用一种有效的测量方法很重要。本研究旨在调查《医院道德氛围调查问卷》（HECS）波斯文版的心理测量特性，并评估伊朗教学医院护士对道德氛围的看法。在伊朗首都德黑兰的三家教学综合医院对随机抽取的护士（n = 187）进行了横断面研究。采用奥尔森的《医院道德氛围调查问卷》（HECS）这一自填式问卷来评估护士对医院道德氛围的看法。使用描述性统计、验证性因素分析（CFA）、内部一致性和相关性来分析数据。CFA显示模型拟合度可接受：标准化均方根残差（SRMR）为0.064，非标准化拟合指数（NNFI）为0.96，比较拟合指数（CFI）为0.96，近似均方根误差（RMSEA）为0.075。克朗巴赫α值可接受，范围在0.69至0.85之间。总体克朗巴赫α系数为0.94。所有道德氛围项目的因子载荷在0.50至0.80之间，这表明HECS波斯文版结构良好。调查结果显示，“管理者”子量表得分最高，“医生”子量表得分最低。本研究表明，HECS波斯文版是测量伊朗医院护士对道德氛围看法的有效且可靠的工具。
