Efkemann Simone A, Scholten Matthé, Bottlender Ronald, Juckel Georg, Gather Jakov
Department of Psychiatry, Psychotherapy and Preventive Medicine, LWL University Hospital, Ruhr University Bochum, Bochum, Germany.
Institute for Medical Ethics and History of Medicine, Ruhr University Bochum, Bochum, Germany.
Front Psychiatry. 2021 Jan 18;11:573240. doi: 10.3389/fpsyt.2020.573240. eCollection 2020.
Individual staff factors, such as personality traits and attitudes, are increasingly seen as an important factor in the reduction of coercion in mental health services. At the same time, only a few validated instruments exist to measure those factors and examine their influence on the use of coercion. The present study aimed to develop and validate a German version of the Staff Attitude to Coercion Scale (SACS). The original English version of the SACS published was translated into German. Subsequently, it was empirically validated on a sample of = 209 mental health professionals by conducting an exploratory factor analysis. The three-factor structure in the original version of the SACS, consisting of critical, pragmatic and positive attitudes toward the use of coercion, could not be replicated. Instead, the German version revealed one factor ranging from rejecting to approving the use of coercion. The SACS is one of the first instruments created to assess staff attitudes toward coercion in a validated way. The version of the instrument developed in this study allows for a validated assessment of those attitudes in German. Our results highlight the ethical importance of using validated measurements in studies on the role of staff factors in the reduction of coercion.
个体员工因素，如个性特征和态度，越来越被视为减少精神卫生服务中强制手段的一个重要因素。与此同时，用于测量这些因素并检验其对强制手段使用影响的有效工具却寥寥无几。本研究旨在开发并验证《员工对强制手段的态度量表》（SACS）的德语版本。已发表的SACS原始英文版被翻译成德语。随后，通过进行探索性因素分析，在209名精神卫生专业人员的样本上对其进行了实证验证。SACS原始版本中的三因素结构，即对使用强制手段的批判、务实和积极态度，无法得到重现。相反，德语版本显示出一个从拒绝到认可使用强制手段的单一因素。SACS是最早创建的以有效方式评估员工对强制手段态度的工具之一。本研究开发的该工具版本能够对德语环境下的这些态度进行有效评估。我们的结果凸显了在关于员工因素在减少强制手段中作用的研究中使用有效测量方法的伦理重要性。
