Nursing Research Center, Golestan University of Medical Sciences, Gorgan, Iran.
School of Nursing and Midwifery School, Golestan University of Medical Sciences, Gorgan, Iran.
Nurs Open. 2024 Jun;11(6):e2168. doi: 10.1002/nop2.2168.
The purpose of this study was to translate and validate the ethical awareness scale for nurses working in Iranian intensive care units.
A cross-sectional psychometric study.
The study was conducted in Oct 2020 to Sep 2021, involving the participation of 200 ICU nurses. The process included translation of the original version of the ethical awareness scale into Persian, following the World Health Organization guideline, for use in Iran. The translated version was then evaluated for reliability, face validity, content validity ratio, content validity index, convergent validity and construct validity.
The initial reliability of the scale was established. In qualitative face validity, a few items changed slightly and all items were retained in the quantitative face validity assessment. Based on Lawshe's values, three items were removed from the scale during CVR assessment. All items exhibited acceptable CVI scores. Convergent validity was established with an average variance extracted greater than 0.5. The fit indices, such as CFI = 0.94, GFI = 0.94, RMSEA = 0.01, AGFI = 0.97 and CMIN/DF = 2.99, supported the structural model of the scale. The fit indices for the structural model of the scale were all within acceptable ranges, suggesting that the model fit the data well. Its reliability was confirmed through the test-retest method, with Cronbach's alpha = 0.84 and McDonald's omega coefficient >0.8.
The findings of this study indicate the Persian version of the ethical awareness scale for Iran (EAS-IR) is comparable in content to the original version, demonstrating its validity and reliability for assessing ethical awareness among Iranian nurses in ICUs. The scale can be a valuable resource for measuring ethical awareness in the Iranian healthcare context and may contribute to improving ethical practices and decision-making in ICU settings.
In this project, no patient or public contribution was necessary, because it was not applied to our work.
本研究旨在翻译和验证适用于伊朗重症监护病房护士的伦理意识量表。
横断面心理测量研究。
本研究于 2020 年 10 月至 2021 年 9 月进行，共纳入 200 名 ICU 护士。该过程包括按照世界卫生组织的指南将伦理意识量表的原始版本翻译为波斯语，以用于伊朗。然后评估翻译后的版本的可靠性、内容效度、内容效度比、内容效度指数、收敛效度和结构效度。
该量表的初始可靠性得到确立。在定性内容效度方面，少量项目略有变化，在定量内容效度评估中保留了所有项目。根据劳什的价值观，在 CVR 评估中从量表中删除了 3 个项目。所有项目的 CVI 得分均为可接受。与平均方差提取值大于 0.5 建立了收敛效度。拟合指数，如 CFI=0.94、GFI=0.94、RMSEA=0.01、AGFI=0.97 和 CMIN/DF=2.99，支持量表的结构模型。量表结构模型的拟合指数均在可接受范围内，表明该模型很好地拟合了数据。通过测试-重测法验证了其可靠性，Cronbach's alpha=0.84 和 McDonald's omega 系数>0.8。
本研究结果表明，伊朗版伦理意识量表（EAS-IR）与原始版本在内容上具有可比性，表明其在评估伊朗 ICU 护士伦理意识方面具有有效性和可靠性。该量表可以成为衡量伊朗医疗保健背景下伦理意识的有价值资源，并有助于提高 ICU 环境中的伦理实践和决策水平。
在这个项目中，不需要患者或公众的贡献，因为它不适用于我们的工作。
