Cross-cultural validation of the moral sensitivity questionnaire-revised Chinese version
Cross-cultural validation of the moral sensitivity questionnaire-revised Chinese version
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DOI：
10.1177/0969733015583183
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发表时间：
2016-11-01
期刊：
影响因子：
4.2
通讯作者：
Zhang, Jing Ping
中科院分区：
文献类型：
--
作者：
Huang, Fei Fei;Yang, Qing;Zhang, Jing Ping
背景：伦理问题对护士提出了挑战，他们越来越多地照顾复杂情况下的病人。道德敏感性是护士在日常实践中为患者做出最佳利益决定的先决条件。目前，还没有评估汉语伦理敏感性的工具，也没有对中国护士伦理敏感性的实证研究。研究目的：将道德敏感性问卷（MSQ-R）翻译成中文，并建立道德敏感性问卷（MSQ-R- cv）的心理测量特性。研究设计：本研究为方法学和描述性研究。研究对象与研究背景：采用Brislin模型将MSQ-R翻译成中文，并对翻译效度指数进行评价。然后将MSQ-R-CV与人口统计问卷一起分发给在中国长沙三级医院和市立医院工作的360名护士。伦理考虑：本研究已获得耶鲁大学和中南大学机构审查委员会的批准。结果：MSQ-R-CV达到Cronbach's alpha 0.82， Spearman-Brown系数0.75，项目区分显著（p < 0.001），项目-总相关值为0.524 ~ 0.717。通过探索性因子分析说明双因素结构，并通过验证性因子分析进一步证实。中国护士的MSQ-R-CV平均总分为40.22 7.08分，道德责任与力量分为23.85 4.4分，道德负担感分为16.37±3.75分。讨论：本研究的结果将与其他国家的研究结果进行比较，以检验中国护士伦理敏感性的结构及其意义。结论：双因素MSQ-R-CV（道德责任和力量、道德负担感）是评估中国护士伦理敏感性的一种语言和文化适宜的工具。
Background: Ethical issues pose challenges for nurses who are increasingly caring for patients in complicated situations. Ethical sensitivity is a prerequisite for nurses to make decisions in the best interest of their patients in daily practice. Currently, there is no tool for assessing ethical sensitivity in Chinese language, and no empirical studies of ethical sensitivity among Chinese nurses.Research objectives: The study was conducted to translate the Moral Sensitivity Questionnaire-Revised Version (MSQ-R) into Chinese and establish the psychometric properties of the Moral Sensitivity Questionnaire-Revised Version into Chinese (MSQ-R-CV).Research design: This research was a methodological and descriptive study.Participants and research context: MSQ-R was translated into Chinese using Brislin's model, and the Translation Validity Index was evaluated. MSQ-R-CV was then distributed along with a demographic questionnaire to 360 nurses working at tertiary and municipal hospitals in Changsha, China.Ethical considerations: This study was approved by the Institutional Review Boards of Yale University and Central South University.Findings: MSQ-R-CV achieved Cronbach's alpha 0.82, Spearman-Brown coefficient 0.75, significant item discrimination (p < 0.001), and item-total correlation values ranging from 0.524 to 0.717. A two-factor structure was illustrated by exploratory factor analysis, and further confirmed by confirmatory factor analysis. Chinese nurses had a mean total score of 40.22 7.08 on the MSQ-R-CV, and sub-scores of 23.85 4.4 for moral responsibility and strength and 16.37 +/- 3.75 for sense of moral burden.Discussion: The findings of this study were compared with studies from other countries to examine the structure and meaningful implications of ethical sensitivity in Chinese nurses.Conclusion: The two-factor MSQ-R-CV (moral responsibility and strength, and sense of moral burden) is a linguistically and culturally appropriate instrument for assessing ethical sensitivity among Chinese nurses.