National Institute of Public Health, University of Southern Denmark, Denmark.
Dementia (London). 2024 Aug;23(6):1036-1051. doi: 10.1177/14713012241262833. Epub 2024 Jun 14.
To develop and validate a scale for measuring professional caregivers' ethical self-efficacy in dementia care.
Professional caregivers of people with dementia make ethical decisions on a day-to-day basis, and it is important that they feel confident when doing so. Moreover, confidence, or self-efficacy, influences caregivers' behaviour and well-being and may be a predictor of competence. However, there is no scale for measuring ethical self-efficacy. This study aims to fill this gap.
This study concerns the development and prima facie validation of the Dementia-Specific Ethical Self-Efficacy (DemESE) scale. During development, we identified dementia-specific ethical principles and generated items representing ethical conflicts of principles. In the subsequent validation, we administered the scale to experts and professional caregivers in dementia care. We assessed the relevance of the scale using a content validity index and tested validity and reliability using Cronbach's alpha. To further enhance validity, we compared the scale with analogous self-efficacy scales using Pearson's correlation coefficient.
The quantitative testing of DemESE revealed that the scale exhibited acceptable levels of internal consistency and reliability. This finding was supported by Cronbach's alpha. In addition, the content validity index and Pearson correlation coefficient provided evidence of the scale's relevance and validity.
The results suggest that DemESE is a promising tool for assessing professional caregivers' ethical self-efficacy in dementia care and may be used to measure ethical self-efficacy - that is, confidence in ethical decision-making in dementia care.
开发并验证用于测量痴呆症护理专业护理人员伦理自我效能感的量表。
痴呆症患者的专业护理人员每天都要做出伦理决策，他们对此有信心非常重要。此外，信心或自我效能感会影响护理人员的行为和幸福感，并且可能是能力的预测指标。然而，目前尚无用于衡量伦理自我效能感的量表。本研究旨在填补这一空白。
本研究涉及用于测量痴呆症特定伦理自我效能感（DemESE）量表的开发和初步验证。在开发过程中，我们确定了痴呆症特定的伦理原则，并生成了代表伦理原则冲突的项目。在随后的验证中，我们向痴呆症护理方面的专家和专业护理人员管理该量表。我们使用内容有效性指数来评估量表的相关性，并使用 Cronbach's alpha 测试有效性和可靠性。为了进一步提高有效性，我们使用 Pearson 相关系数将量表与类似的自我效能感量表进行比较。
对 DemESE 的定量测试表明，该量表具有可接受的内部一致性和可靠性水平。这一发现得到了 Cronbach's alpha 的支持。此外，内容有效性指数和 Pearson 相关系数为量表的相关性和有效性提供了证据。
结果表明，DemESE 是一种评估痴呆症护理专业护理人员伦理自我效能感的有前途的工具，可用于衡量痴呆症护理中的伦理自我效能感，即对痴呆症护理中伦理决策的信心。
