Abstract:

Objective The Ethical Decision-Making Confidence Scale（EDMC） was translated into Chinese，and its reliability and validity were tested. Methods The English version of EDMC was translated into Chinese and back-translated according to the Brislin model. After being reviewed by the original authors，cultural adjustments were made，and a pretest was conducted to finalize the Chinese version of the scale. To test the reliability and validity of the scale，228 nurse leaders were investigated using a convenience sampling method in a tertiary hospital in Zhejiang from April to May 2023. Additionally，20 nurse leaders were selected to provide test-retest data 2 weeks after the survey. Results The Chinese version of EDMC contained 2 dimensions，namely skill-related confidence（9 items） and behavior-related confidence（6 items）. The I-CVI ranged from 0.833 to 1.000，and the S-CVI/Ave was 0.967. Exploratory factor analysis extracted 2 common factors with factor loadings ranging from 0.546 to 0.828 for each item，contributing to a cumulative variance rate of 65.449%. The Cronbach’s α coefficient of the overall scale was 0.947，and the Cronbach’s α coefficient for each dimension ranged from 0.911 to 0.919. The split-half reliability of the total scale was 0.882，and the test-retest reliability was 0.752. Conclusion The Chinese version of EDMC demonstrated good reliability and validity，making it suitable for a comprehensive evaluation of the ethical decision-making confidence of nurse leaders. It can provide corresponding bases for medical administrators to make educational plans and targeted intervention strategies.

Key words: Nurse Leaders, Ethics, Decision Making, Scale, Nursing Administration Research

摘要：

目的 汉化伦理决策信心量表（Ethical Decision-Making Confidence Scale，EDMC），并检验其在护理领导者中的信效度。方法 按照Brislin翻译模型对EDMC进行直译和回译，经原作者审核、文化调试和预调查形成EDMC中文测试版。2023年4月—5月，采用便利抽样法，选取浙江省某三级甲等医院228名护理领导者进行调查，并抽取20名于调查2周后收集其重测问卷资料，评价量表的信效度。结果 中文版EDMC包括专业技能相关信心（9个条目）和行动相关信心（6个条目）2个维度，共15个条目。该量表条目水平的内容效度指数为0.833~1.000，平均量表水平的内容效度指数为0.967。探索性因子分析共提取出2个公因子，累计方差贡献率为65.449%。各条目在其所属因子上的载荷值为0.546~0.828。量表总的Cronbach’s α系数为0.947，各维度的Cronbach’s α系数为0.911~0.919；量表总的折半信度为0.882，重测信度为0.752。结论 中文版EDMC具有良好的信效度，可较为全面地评价护理领导者的伦理决策信心水平，为管理者制订培训计划及针对性干预措施提供依据。

关键词: 护理领导者, 伦理学, 决策, 量表, 护理管理研究