Department of Nursing, University Hospital Kyoto Prefectural University of Medicine, Kyoto, Japan.
Department of Biostatistics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Nurs Open. 2023 Nov;10(11):7382-7393. doi: 10.1002/nop2.1992. Epub 2023 Sep 11.
The present study aimed to develop an ethical behaviour rubric for nurses and evaluate its reliability and validity.
This study was to designed to construct a rubric and evaluate the reliability and validity. The ethical behaviour rubric was distributed to 241 nurses and 154 were completed and returned. The intra-rater and inter-rater reliability were evaluated by intraclass correlation coefficient (ICC) for all 10 items on the ethical behaviour rubric, and the internal consistency reliability was evaluated using Cronbach's α. Construct validity was tested with explanatory factor analysis, and criterion validity was tested using the known-groups method.
Intra-rater reliability had a high interrater agreement (ICC = 0.9), and inter-rater reliability had a high interrater agreement (ICC = 0.84). The Cronbach's α coefficient was 0.96. There was a linear correlation between the number of years of nursing experience and rubric scores p < 0.001. Exploratory factor analysis revealed 10 items loading on four factors. The result of factor analysis is that Cronbach's α was 0.93 for the first factor, 0.83 for the second factor, 0.91 for the third factor, and 0.77 for the fourth factor.
Our rubric was found to be a valid and reliable tool for the assessment of ethical behaviour among nurses in Japan.
本研究旨在为护士制定伦理行为量表，并评估其信度和效度。
本研究旨在构建一个量表，并评估其信度和效度。伦理行为量表分发给 241 名护士，其中 154 名完成并返回。对伦理行为量表的所有 10 个项目进行了内部一致性信度分析，采用 Cronbach's α 评估内部一致性信度。采用组内相关系数（ICC）评估所有 10 项的内部一致性信度和重测信度，采用 Cronbach's α 评估内部一致性信度。采用探索性因子分析检验结构效度，采用已知群体法检验效标效度。
内部一致性信度的重测信度高（ICC=0.9），重测信度的重测信度高（ICC=0.84）。Cronbach's α 系数为 0.96。护理经验年限与量表评分呈线性相关（p<0.001）。探索性因子分析显示 10 个项目在四个因素上有负载。因子分析的结果是，第一个因素的 Cronbach's α 为 0.93，第二个因素的 Cronbach's α 为 0.83，第三个因素的 Cronbach's α 为 0.91，第四个因素的 Cronbach's α 为 0.77。
我们的量表被发现是一种有效且可靠的工具，可用于评估日本护士的伦理行为。
