关键词: Ethics Nurses Patient rights Reliability Validity Vietnam

来  源:   DOI:10.1186/s12912-024-02060-2   PDF(Pubmed)

Abstract:
BACKGROUND: Recognizing patients\' rights as fundamental human rights, the global healthcare community, including the World Health Organization and various nursing organizations, has emphasized the critical role of nurses in upholding these rights through ethical practice and patient-centered care. However, in the complex landscape of healthcare, nurses in Vietnam face various ethical issues and challenges that may impede their ability to protect patient rights effectively, necessitating tools for better ethical decision-making and practice.
OBJECTIVE: This study aims to translate the Nurses\' Ethical Behaviours for Protecting Patient Rights Scale (NEBPPR) into Vietnamese and evaluate the validity and reliability of the V-NEBPPRS.
METHODS: The original scale underwent a cross-cultural translation process to be adapted into Vietnamese. Construct validity was assessed using confirmatory factor analysis (CFA). The convergent validity, discriminant validity, and reliability of the V-NEBPPRS were evaluated.
RESULTS: After removing four items with factor loading below 0.5, the V-NEBPPRS comprises 24 items divided into five factors. CFA demonstrated a good model fit (χ2/df = 2.86; GFI = 0.87; IFI = 0.85; CFI = 0.84; RMSEA = 0.07). Convergent and discriminant validity were confirmed with extracted mean variance ranging from 0.54 to 0.67, 0.54 to 0.67, and composite reliability from 0.73 to 0.81. Cronbach\'s α coefficient was 0.85 for the total scale and ranged from 0.70 to 0.79 for five subscales.
CONCLUSIONS: The V-NEBPPRS is a reliable tool, providing nursing leaders and researchers with the means to utilize the V-NEBPPRS for assessing and promoting nurses\' awareness and behaviour in safeguarding patients\' rights, thereby contributing to improved overall health outcomes.
摘要:
背景:承认患者权利是基本人权,全球医疗保健界,包括世界卫生组织和各种护理组织,强调了护士在通过道德实践和以患者为中心的护理维护这些权利方面的关键作用。然而,在复杂的医疗保健环境中,越南的护士面临各种道德问题和挑战,可能会阻碍他们有效保护患者权利的能力,需要更好的道德决策和实践工具。
目的:本研究旨在将护士保护患者权利的道德行为量表(NEBPPR)翻译成越南语,并评估V-NEBPPRS的有效性和可靠性。
方法:原始量表经历了跨文化翻译过程,以适应越南语。使用验证性因子分析(CFA)评估结构效度。收敛有效性,判别效度,并对V-NEBPPRS的可靠性进行了评估。
结果:删除因子载荷低于0.5的四个项目后,V-NEBPPRS包含24个项目,分为五个因子。CFA模型拟合良好(χ2/df=2.86;GFI=0.87;FI=0.85;CFI=0.84;RMSEA=0.07)。收敛和判别效度得到证实,提取的平均方差为0.54至0.67,0.54至0.67,综合信度为0.73至0.81。Cronbach的α系数在总量表中为0.85,在五个子量表中为0.70至0.79。
结论:V-NEBPPRS是一种可靠的工具,为护理领导者和研究人员提供利用V-NEBPPRS评估和促进护士维护患者权利的意识和行为的手段,从而有助于改善整体健康结果。
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