拉什顿道德复原力量表的汉化及在医务人员中的信效度检验
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女,硕士在读,学生

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2021年度福建省社会科学基金项目(FJ2021B064)


Translation of the Rushton Moral Resilience Scale and its validation in health care professionals
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    目的 汉化英文版拉什顿道德复原力量表,并检验其信效度,为医务人员道德复原力测量提供有效工具。 方法 采用Brislin模式进行翻译、回译,采用跨文化调适和预测试对拉什顿道德复原力量表进行修订,形成中文版量表。采用中文版拉什顿道德复原力量表、马氏职业倦怠量表服务版、心理弹性量表对372名医护人员进行调查,分析量表的信效度。 结果 中文版拉什顿道德复原力量表包括道德逆境应对、道德效能、关系完整性、个人完整性4个维度16个条目,量表条目水平的内容效度指数为0.820~1.000,量表内容效度指数为0.901;中文版拉什顿道德复原力量表得分与职业倦怠量表、心理弹性量表评分相关系数分别为-0.307、0.560(均P<0.05);经探索性因子分析累积方差贡献率为64.293%;验证性因子分析模型拟合良好(χ2/df=2.067,RMSEA=0.076)。量表Cronbach′s α系数为0.763,各维度Cronbach′s α系数为0.523~0.842。 结论 中文版拉什顿道德复原力量表具有良好的信效度,可作为医务人员道德复原力现况的测评工具。

    Abstract:

    Objective To translate the English Version of Rushton Moral Resilience Scale (RMRS) into Chinese, and to verify its reliability and validity in health care professionals, so as to provide a valid tool for measuring their moral resilience. Methods A Chinese version of the RMRS was formed using the Brislin model of translation, back translation, cross-cultural adaptation and pretesting. Then the Chinese version of RMRS, the MBI-Human Service Survey (MBI-SS) and Connor-Davidson Resilience Scale (CD-RISC) were used to survey 372 health care professional workers, to analyse reliability and validity of the Chinese version RMRS. Results The Chinese version RMRS consisted of 16 items in four dimensions:moral adversity coping, moral efficacy, relational integrity and personal integrity.The content validity index of each item was 0.820-1.000, and the content validity index of the scale was 0.901; the correlation coefficient between the score of RMRS and MBI-SS, CD-RISC was -0.307 and 0.560 (P<0.05 for both) respectively.The contribution rate of cumulative variance was 64.293% by exploratory factor analysis, and the confirmatory factor analysis model fitted well (χ2/df=2.067,RMSEA=0.076).The Cronbach′s α coefficient of the scale was 0.763, and it ranged from 0.523 to 0.842 for each dimension. Conclusion The Chinese version RMRS displays good reliability and validity, and it can be used as a tool to assess moral resilience of health care professionals.

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杨青青,郑智慧,庞书勤,葛莉,黄钰峰,张佳惠,刘菊娟.拉什顿道德复原力量表的汉化及在医务人员中的信效度检验[J].护理学杂志,2022,27(15):8-11

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  • 收稿日期:2022-03-16
  • 最后修改日期:2022-04-30
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  • 在线发布日期: 2023-08-29