目的 汉化护士伦理弹性量表,检验其信效度,为评估护士伦理弹性水平提供适用性工具.方法 获得Rushton Moral Resi-lience Scale(RMRS,伦理弹性量表)原作者授权,对RMRS进行翻译、文化调适及预调查后形成中文版RMRS;选取699名注册护士进行中文版RMRS测评,检验信度和效度;选取心理弹性量表简版作为效标对其中293名护士同时进行测评.结果 探索性因子分析提取3个因子,累计方差贡献率为64.422％,命名为护理伦理困境应对及关系完整性、个人诚信、护理伦理效能.量表总体及3个维度的Cronbach's α系数为0.829及0.810、0.712、0.751,总体折半信度和重测信度分别为0.949、0.872;S-CVI为0.901,I-CVI为0.883～1.000;效标效度为0.456(P＜0.05).结论 中文版护士伦理弹性量表具有良好的信效度,可用于我国护士的伦理弹性水平评估.
Translation and validation of the Rushton Moral Resilience Scale for nurses
Objective To translate the Rushton Moral Resilience Scale(RMRS)into Chinese and evaluate the psychometric properties of the Chinese version of RMRS(Chi-RMRS).Methods Authorization was obtained from the author of the RMRS for translation and adaptation to the Chinese nurses.The Chi-RMRS was developed through translation,cultural adaptation,and pilot test.Then 699 registered nurses were recruited to test the reliability and validity of the Chi-RMRS,293 of whom completed the 10-item Con-nor-Davidson Resilience Scale to determine the criterion-related validity.Results Exploratory factor analysis extracted 3 factors,which accounted for 64.422％of the variance.The three factors were named as coping with moral dilemma in nursing and relational integrity,personal integrity,and moral efficacy,respectively.The Cronbach's alpha coefficients for the total scale and three dimen-sions were 0.829,0.810,0.712,and 0.751.The split-half reliability coefficient and test-retest reliability coefficient was 0.949 and 0.872,respectively.The scale-level content validity index based on the average method was 0.901,and the item-level content va-lidity index ranged from 0.883 to 1.000.The criterion-related validity was 0.465(P＜0.05).Conclusion The Chi-RMRS is reliable and valid for assessing moral resilience among registered nurses in China.
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