Validation of the Japanese Version of the Ethical Decision-making Climate Questionnaire
- VernacularTitle:日本語版集中治療室での意思決定に関する倫理的風土の調査票の作成と信頼性・妥当性の検討
- Author:
Tetsuharu KAWASHIMA
1
;
Satomi KINOSHITA
1
;
Yasuyo YOSHINO
2
Author Information
- Keywords: ICU; decision making; ethics; end-of-life care; palliative care
- From:Palliative Care Research 2024;19(2):89-97
- CountryJapan
- Language:Japanese
- Abstract: Purpose: This study aimed to verify the reliability and validity of the Japanese version of the Ethical Decision-making Climate Questionnaire (EDMCQ) for decision making in intensive care units (ICU). Methods: The Japanese version was created by translating the English version of EDMCQ. A survey was conducted by mailing the questionnaires, targeting ICU nurses. The test was retested 14 days later. Results: The test was distributed to 439 ICU nurses. Overall, 204 responses from nurses at 25 facilities were received and analyzed (effective response rate: 46.5%). Cronbach’s α coefficient for the entire scale was 0.91, and the intraclass correlation coefficient was 0.80 (n=101, valid response rate: 23.0%). The indices for model fit in the confirmatory factor analysis were CFI: 0.836, GFI: 0.783, AGFI: 0.741, and RMSEA: 0.071. Conclusion: The Japanese version of the EDMCQ can be considered to be a practical scale for evaluation of ethical climate in Japan.
