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KMID : 0367020200320050482
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Journal of Korean Academic of Adult Nursing
2020 Volume.32 No. 5 p.482 ~ p.493
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Development of Ethical Nursing Competence Self-rating Scale for Clinical Nurses
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Kang Bo-Rah
Oh Hee-Young
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Abstract
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Purpose: The aim of this study was to develop an Ethical Nursing Competence Self-rating Scale for Clinical Nurses.
Methods: A scale-development study was applied that comprised eight stages of DeVellis. The scale verificationinvolved a convenience sample of 423 nurses from September to October 2019 at three general hospitals locatedin Korea. The content validity, factorial structure validity, item-convergent/discriminant validity, known-group validity,convergent validity, internal consistency reliability, and test-retest reliability of the Ethical Nursing CompetenceSelf-rating Scale for Clinical Nurses were evaluated. Data were analyzed using exploratory and confirmatory factoranalyses, Pearson’s correlation coefficient, Heterotrait-monotrait (HTMT), Cronbach’s σ, and intraclass correlationcoefficient.
Results: Exploratory and confirmatory factor analyses yielded five-factors. Known-group validity wasdemonstrated by clinical experience and nursing ethics education experience. Convergent validity was demonstratedusing measures of defining issue. Internal consistency reliability and test-retest reliability were found to be acceptable,as indicated by a Cronbach’s σ of .70~.85 and an intraclass correlation coefficient of .72~.89.
Conclusion: The EthicalNursing Competence Self-rating Scale for Clinical Nurses is a new instrument that comprehensively measures theaspects of ethical behavior, ethical decision-making and action, ethical sensitivity, ethical reflection, and ethicalknowledge. It consists of 20 items scored on a 4-point Likert scale. The validity and reliability of the scale were verified. These findings indicate that the instrument can be applied in clinical practice, nursing education, and research.
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KEYWORD
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Ethics, Nursing, Psychometrics, Validation study
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