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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 verification involved a convenience sample of 423 nurses from September to October 2019 at three general hospitals located in 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 Competence Self-rating Scale for Clinical Nurses were evaluated. Data were analyzed using exploratory and confirmatory factor analyses, Pearson's correlation coefficient, Heterotrait-monotrait (HTMT), Cronbach's ⍺, and intraclass correlation coefficient. Results: Exploratory and confirmatory factor analyses yielded five-factors. Known-group validity was demonstrated by clinical experience and nursing ethics education experience. Convergent validity was demonstrated using measures of defining issue. Internal consistency reliability and test-retest reliability were found to be acceptable, as indicated by a Cronbach's ⍺ of .70~.85 and an intraclass correlation coefficient of .72~.89. Conclusion: The Ethical Nursing Competence Self-rating Scale for Clinical Nurses is a new instrument that comprehensively measures the aspects of ethical behavior, ethical decision-making and action, ethical sensitivity, ethical reflection, and ethical knowledge. 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.
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 verification involved a convenience sample of 423 nurses from September to October 2019 at three general hospitals located in 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 Competence Self-rating Scale for Clinical Nurses were evaluated. Data were analyzed using exploratory and confirmatory factor analyses, Pearson's correlation coefficient, Heterotrait-monotrait (HTMT), Cronbach's ⍺, and intraclass correlation coefficient. Results: Exploratory and confirmatory factor analyses yielded five-factors. Known-group validity was demonstrated by clinical experience and nursing ethics education experience. Convergent validity was demonstrated using measures of defining issue. Internal consistency reliability and test-retest reliability were found to be acceptable, as indicated by a Cronbach's ⍺ of .70~.85 and an intraclass correlation coefficient of .72~.89. Conclusion: The Ethical Nursing Competence Self-rating Scale for Clinical Nurses is a new instrument that comprehensively measures the aspects of ethical behavior, ethical decision-making and action, ethical sensitivity, ethical reflection, and ethical knowledge. 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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