Roldán-Merino Juan, Jiménez-Herrera Maria F, Font-Jiménez Isabel, Bazo-Hernández Leticia, Hurtado-Pardos Bárbara, Campillo-Zaragoza Beatriz, Biurrun-Garrido Ainoa
Campus Teaching Sant Joan de Deu, Barcelona, Spain.
Rovira i Virgili University, Tarragona, Spain.
Nurse Educ Pract. 2025 Jan;82:104225. doi: 10.1016/j.nepr.2024.104225. Epub 2024 Dec 16.
Analyse the psychometric properties of the Moral Sensitivity Questionnaire in nursing care and to examine the level of moral sensitivity among nursing students in Spain.
Ethical sensitivity is essential in nursing for patient care and decision-making. Assessing nursing students' moral sensitivity aids in developing training strategies for improved care.
The study was conducted in two phases: (1) analysis of psychometric properties involving nursing students; and (2) a cross-sectional study design.
The study included 611 Spanish nursing students, recruited through non-probability sampling. A self-report questionnaire, socio-demographic data and the Moral Sensitivity Questionnaire were used for data collection. To assess the psychometric properties, both confirmatory factor analysis and exploratory factor analysis were performed. Data were analysed using Student's t-test, analysis of variance (ANOVA) and Pearson correlation. Data analysis was performed using SPSS for Windows v28, with a significance level set at p < 0.05.
The study included 611 nursing students. The adjustment indices of the exploratory factor analysis indicate an excellent fit when items 18, 20 and 21 are grouped in Dimension 1, contrary to the proposal made by Campillo et al. The questionnaire demonstrated high reliability and validity. Second-year students and those from the SJD Campus showed higher moral sensitivity. No differences were found based on work experience.
This study validated the Moral Sensitivity Questionnaire for nursing students, revealing its reliability. Early ethical training enhanced moral sensitivity, particularly in second-year students, while institutional values and campus focus significantly influenced scores. Gender and experience were negligible.
分析护理道德敏感性问卷的心理测量特性，并考察西班牙护理专业学生的道德敏感性水平。
道德敏感性在护理患者和决策过程中至关重要。评估护理专业学生的道德敏感性有助于制定培训策略以改善护理质量。
本研究分两个阶段进行：（1）对护理专业学生进行心理测量特性分析；（2）采用横断面研究设计。
本研究纳入了611名西班牙护理专业学生，通过非概率抽样招募。使用一份自填问卷、社会人口学数据和道德敏感性问卷进行数据收集。为评估心理测量特性，同时进行了验证性因素分析和探索性因素分析。使用学生t检验、方差分析（ANOVA）和Pearson相关性分析数据。使用SPSS for Windows v28进行数据分析，显著性水平设定为p < 0.05。
本研究纳入了611名护理专业学生。探索性因素分析的调整指标表明，当第18、20和21项归为维度1时，拟合效果极佳，这与坎皮略等人的提议相反。该问卷显示出高信度和效度。二年级学生以及来自SJD校区的学生道德敏感性更高。未发现工作经历方面的差异。
本研究验证了护理专业学生道德敏感性问卷的有效性，揭示了其可靠性。早期的道德培训提高了道德敏感性，尤其是在二年级学生中，而机构价值观和校园重点对得分有显著影响。性别和经验的影响可忽略不计。
