Oddi L F, Cassidy V R
Northern Illinois University, School of Nursing, DeKalb 60115.
Int J Nurs Stud. 1994 Feb;31(1):37-47. doi: 10.1016/0020-7489(94)90005-1.
A comprehensive review of research using the Judgment About Nursing Decisions (JAND) as a measure of nurses' ethical decision making raises numerous concerns about the conceptual basis, reliability, and validity of this widely used instrument. These concerns promoted the present study, which raised specific issues about the JAND. Among these issues are the representatives of ethical dilemmas contained in the JAND, the validity of its scoring scheme, the persistence of low-to-marginal reliability across studies, and questionable validity. Findings from studies using the JAND should be interpreted with caution until the instrument is further refined.
一项以“护理决策判断”（JAND）作为衡量护士伦理决策的研究的全面综述，引发了对这一广泛使用工具的概念基础、信度和效度的诸多担忧。这些担忧促成了本研究，该研究提出了关于JAND的具体问题。这些问题包括JAND中所包含的伦理困境的代表性、其评分方案的效度、不同研究中低至边缘信度的持续性以及可疑的效度。在该工具得到进一步完善之前，使用JAND的研究结果应谨慎解释。
