PDF(Pubmed)
Abstract：
The moral intelligence of healthcare professionals in the cardiac operating room is one of the most important aspects of professional competence. However, moral intelligence is an abstract and multidimensional concept that needs to be clarified and described based on organizational culture and environment. Therefore, there is a need to design a specific scale for measuring the moral intelligence of healthcare professionals in the cardiac operating room. This study aims to design and assess the psychometric properties of a moral intelligence scale for healthcare professionals in the cardiac operating room. The present study was a mixed method study with a sequential exploratory approach. The research was conducted in 2023-2024 in Iran. The first phase data were collected from 20 healthcare professionals and were analyzed by conventional content analysis method. In the second phase, the validity and reliability of the instrument were evaluated by involving 300 healthcare professionals in the cardiac operating room. The moral intelligence of health care professionals in the cardiac operating room was defined as moral sensitivity combined with moral commitment and moral courage for the provision of quality care that respects the principles of medical ethics. After deducing the conceptual framework, the moral intelligence scale for healthcare professionals in the cardiac operating room was developed with three dimensions: \"moral sensitivity,\" \"moral commitment,\" and \"moral courage.\" 11 items were removed during testing to ensure content validity. Face validity was confirmed with impact scores > 1.5 for all items. A scale was developed through factor analysis with three factors that accounted for 73.04% of the observed variance. The instrument\'s reliability using Cronbach\'s alpha coefficient calculation was reported as 0.94 for the entire instrument. The testretest showed no statistically significant difference between the pre and post-test scores of moral intelligence (p = 0.51). The moral intelligence scale demonstrated acceptable psychometric properties. The moral intelligence scale for health care professionals in the cardiac operating room demonstrated acceptable psychometric properties. This instrument may serve to assess the moral intelligence of healthcare professionals and determine the need for educational interventions to reduce the ethical challenges and improve the moral intelligence of this healthcare.
摘要：
心脏手术室医疗保健专业人员的道德智慧是专业能力的最重要方面之一。然而,道德智力是一个抽象的多维概念，需要基于组织文化和环境加以阐明和描述。因此,有必要设计一个特定的量表来衡量心脏手术室医疗保健专业人员的道德智慧。这项研究旨在为心脏手术室的医疗保健专业人员设计和评估道德智力量表的心理测量特性。本研究是一项混合方法研究，采用序贯探索性方法。这项研究于2023年至2024年在伊朗进行。第一阶段数据来自20名医疗保健专业人员，并通过常规内容分析方法进行分析。在第二阶段,本研究通过在心脏手术室的300名医疗专业人员参与评估了该仪器的有效性和可靠性.心脏手术室卫生保健专业人员的道德智慧被定义为道德敏感性与道德承诺和道德勇气相结合，以提供尊重医学伦理原则的优质护理。在推导了概念框架之后，心脏手术室医疗专业人员的道德智力量表从三个维度开发:“道德敏感度，道德承诺，“和”道德勇气。“在测试过程中删除了11个项目，以确保内容的有效性。面部有效性得到确认，所有项目的影响得分>1.5。通过因子分析开发了一个量表，其中三个因素占观察到的方差的73.04％。使用Cronbach的α系数计算的仪器的可靠性报告为整个仪器的0.94。测试显示，道德智力的测试前和测试后得分之间没有统计学上的显着差异（p=0.51）。道德智力量表表现出可接受的心理测量特性。心脏手术室医疗保健专业人员的道德智力量表显示出可接受的心理测量特性。该工具可用于评估医疗保健专业人员的道德智慧，并确定是否需要教育干预措施，以减少道德挑战并提高这种医疗保健的道德智慧。
