道德中和量表-护士版（MNS-NV）的心理测试：探索性和验证性因素分析

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research Pub Date : 2025-03-26 DOI:10.1016/j.apnr.2025.151947

Daniel Joseph E. Berdida , Rizal Angelo N. Grande

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引用次数: 0

摘要

目的对护士版道德中和15项量表（MNS-NV）进行心理计量学验证。护士的道德中和技术可能会对患者安全和医疗保健结果产生不利影响。然而，关于护理中道德中和的研究仍然是一个空白。比以往任何时候都更需要一个有效可靠的量表来衡量护士的道德中立。方法采用描述性横断面设计。从沙特阿拉伯3所护理学院和5所医院连续招募参与护士，完成15项MNS-NV。采用多元相关、探索性因子分析（EFA）、Spearman秩序相关、Kaiser-Meyer-Olkin检验和验证性因子分析（CFA）进行数据分析。结果由于项目间相关性低，因子负荷差异小，在EFA和CFA后，MNS-NV中有4个项目被省略。MNS-NV被压缩为11个项目，包含三因素结构：负性认知重建、欺凌正常化和报复合理化。因此，结果显示量表修订后的三因素结构产生了良好的总体信度和子量表一致性，同时在CFA之后显示出可接受的结构效度。结论11项MNS-NV量表具有较强的结构效度和信度。雇用护士和他们的护士管理者的医疗机构可以使用这个量表来评估护士的道德中和技术，为创建和维持伦理和道德相关的护理政策和实践提供证据。

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Psychometric testing of the Moral Neutralization Scale-Nurse Version (MNS-NV): An exploratory and confirmatory factor analyses

Aim

To psychometrically validate the 15-item Moral Neutralization Scale-Nurse Version (MNS-NV).

Background

Nurses' moral neutralization techniques may adversely impact patient safety and healthcare outcomes. However, studies about moral neutralization in nursing remain a blank spot. More than ever, a valid and reliable scale is needed to measure nurses' moral neutralization.

Methods

A descriptive cross-sectional design. Participant nurses from three nursing colleges and five hospitals in Saudi Arabia were consecutively recruited and accomplished the 15-item MNS-NV. Polychoric correlations, exploratory factor analysis (EFA), Spearman's rank-order correlation, Kaiser-Meyer-Olkin test, and confirmatory factor analysis (CFA) were used for data analyses.

Results

Four items from the MNS-NV were omitted after EFA and CFA due to low inter-item correlations and low-factor loading difference. The MNS-NV was condensed to 11 items containing the three-factor structure: Negative Cognitive Reconstruction, Bullying Normalization, and Retribution Rationalization. Accordingly, results exhibited the scale's revised three-factor structure yielded good overall reliability and sub-scale consistencies while demonstrating acceptable construct validity following the CFA.

Conclusion

The 11-item MNS-NV is a practical scale with established construct validity and reliability. Healthcare institutions that employ nurses and their nurse managers may use this scale to evaluate nurses' moral neutralization techniques to provide evidence for creating and sustaining ethically and morally relevant nursing policies and practice.

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来源期刊

Applied Nursing Research 医学-护理

CiteScore

4.50

自引率

0.00%

发文量

审稿时长

70 days

期刊介绍： Applied Nursing Research presents original, peer-reviewed research findings clearly and directly for clinical applications in all nursing specialties. Regular features include "Ask the Experts," research briefs, clinical methods, book reviews, news and announcements, and an editorial section. Applied Nursing Research covers such areas as pain management, patient education, discharge planning, nursing diagnosis, job stress in nursing, nursing influence on length of hospital stay, and nurse/physician collaboration.