Vidal-Blanco Gabriel, Sánchez-Ruiz Javier, Galiana Laura, Pades Antonia, Sansó Noemí
Advanced Research Methods Applied to Quality of Life Promotion-ARMAQoL, Department of Nursing, University of Valencia, 46010 València, Spain.
Advanced Research Methods Applied to Quality of Life Promotion-ARMAQoL, Department of Methodology for the Behavioral Sciences, University of Valencia, 46010 València, Spain.
Nurs Rep. 2024 Nov 21;14(4):3631-3642. doi: 10.3390/nursrep14040265.
Ethics is one of the essential concepts associated with professional nursing practice, and can play a part in the development of compassion. Although a number of instruments have been developed for the measurement of ethics, most are context-specific or excessively lengthy. The Santa Clara Ethics Scale (SCES) overcomes these problems. The goal is to translate, adapt, and validate the Spanish version of the Santa Clara Ethics Scale and to study the role of ethics, as a moral resource, in the prediction of the levels of compassion of nursing students.
This study is a translation, adaptation, and validation study, with a cross-sectional design. A total of 924 Spanish nursing students participated in this study. Ethics and compassion for others were measured. Analyses included a confirmatory factor analysis, reliability estimates, and a structural equation model in which ethics explained the five correlated dimensions of compassion for others.
The confirmatory factor analysis had an adequate fit: (35) = 173.56 ( < 0.01), CFI = 0.94, TLI = 0.92, RMSEA = 0.07 [90% CI = 0.06, 0.08], and SRMR = 0.05. Internal consistency was adequate (α = 0.74; ω = 0.83). The predictive model pointed to positive and statistically significant relationships between ethics and all dimensions of compassion for others.
The SCES can be considered a suitable instrument for the assessment of ethics in the Spanish nursing population and, thus, can be used as a tool for the measurement of key ethical competencies during the nursing degree. Moreover, the development of ethics is likely to improve the compassion levels of students. Ethics is, then, a key internal resource for both nursing students' compassionate care skills and, consequently, must be taken into account when redefining nursing students' curricula.
伦理是与专业护理实践相关的重要概念之一，并且在同情心的培养中发挥作用。尽管已经开发了许多用于测量伦理的工具，但大多数都是针对特定情境或过于冗长。圣克拉拉伦理量表（SCES）克服了这些问题。目的是翻译、改编并验证圣克拉拉伦理量表的西班牙语版本，并研究伦理作为一种道德资源在预测护理专业学生同情心水平方面的作用。
本研究是一项采用横断面设计的翻译、改编和验证研究。共有924名西班牙护理专业学生参与了本研究。对伦理和对他人的同情心进行了测量。分析包括验证性因素分析、信度估计以及一个结构方程模型，其中伦理解释了对他人同情心的五个相关维度。
验证性因素分析拟合良好：χ²(35) = 173.56（p < 0.01），CFI = 0.94，TLI = 0.92，RMSEA = 0.07 [90% CI = 0.06, 0.08]，SRMR = 0.05。内部一致性良好（α = 0.74；ω = 0.83）。预测模型表明伦理与对他人同情心的所有维度之间存在积极且具有统计学意义的关系。
SCES可被视为评估西班牙护理人群伦理的合适工具，因此可作为护理学位期间关键伦理能力测量的工具。此外，伦理的发展可能会提高学生们的同情心水平。因此，伦理是护理专业学生富有同情心护理技能的关键内部资源，在重新定义护理专业学生课程时必须予以考虑。
