Sinicization of the Ethical Decision-Making Confidence Scale for nurse leaders and the test of its reliability and validity
10.3761/j.issn.0254-1769.2024.11.013
- VernacularTitle:护理领导者伦理决策信心量表的汉化及信效度检验
- Author:
Rongrong ZHAO
1
;
Yiyu ZHUANG
Author Information
1. 310016 杭州市 浙江大学医学院附属邵逸夫医院护理部
- Keywords:
Nurse Leaders;
Ethics;
Decision Making;
Scale;
Nursing Administration Research
- From:
Chinese Journal of Nursing
2024;59(11):1376-1381
- CountryChina
- Language:Chinese
-
Abstract:
Objective The Ethical Decision-Making Confidence Scale(EDMC)was translated into Chinese,and its reliability and validity were tested.Methods The English version of EDMC was translated into Chinese and back-translated according to the Brislin model.After being reviewed by the original authors,cultural adjustments were made,and a pretest was conducted to finalize the Chinese version of the scale.To test the reliability and validity of the scale,228 nurse leaders were investigated using a convenience sampling method in a tertiary hospital in Zhejiang from April to May 2023.Additionally,20 nurse leaders were selected to provide test-retest data 2 weeks after the survey.Results The Chinese version of EDMC contained 2 dimensions,namely skill-related confidence(9 items)and behavior-related confidence(6 items).The I-CVI ranged from 0.833 to 1.000,and the S-CVI/Ave was 0.967.Exploratory factor analysis extracted 2 common factors with factor loadings ranging from 0.546 to 0.828 for each item,contributing to a cumulative variance rate of 65.449％.The Cronbach's α coefficient of the overall scale was 0.947,and the Cronbach's α coefficient for each dimension ranged from 0.911 to 0.919.The split-half reliability of the total scale was 0.882,and the test-retest reliability was 0.752.Conclusion The Chinese version of EDMC demonstrated good reliability and validity,making it suitable for a comprehensive evaluation of the ethical decision-making confidence of nurse leaders.It can provide corresponding bases for medical administrators to make educational plans and targeted intervention strategies.
