护士道德中和量表的汉化及在产科护士中的信效度检验
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女,本科,副主任护师

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科研项目:江苏省医院协会2024年度医院管理创新研究课题(JSYGY-3-2024-24)


Translation and validation of the Moral Neutralization Scale-Nurse Version in obstetric nurses
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    摘要:目的 汉化护士道德中和量表,并检验其在我国产科护士群体中的信效度,为护士护理伦理评估、道德中和行为调查提供测评工具。 方法 按照Brislin翻译-回译模型完成量表双向翻译与文化调适;邀请12名护理领域专家进行内容效度评价;选取江苏省10所三级医院产科护士332名进行问卷调查,分析中文版护士道德中和量表的信效度。 结果 中文版量表包括11个条目,提取负性认知重构、欺凌常态化、报复合理化3个公因子,累计方差贡献率64.628%。条目内容效度指数(I-CVI)0.833~1.000,量表平均内容效度指数(S-CVI/Ave)0.951。验证性因子分析显示模型拟合良好:χ2/df=2.732,NFI=0.918,IFI=0.923,CFI=0.906,TLI=0.925,RMSEA=0.075。量表Cronbach′s α系数0.875,折半信度0.817,重测信度0.852。 结论 中文版护士道德中和量表具有良好的信效度,可用于我国护士道德中和水平评估、伦理培训效果评价。

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    Objective To translate the Moral Neutralization Scale-Nurse Version (MNS-NV) into Chinese, and examine its reliability and validity in obstetric nurses, so as to provide a tool assessing nursing ethics and screening nurses′ moral neutralization beha-viors. Methods Following the Brislin translation-back-translation model, translation and cultural adaptation of the MNS-NV were completed; then 12 nursing experts were invited to evaluate its content validity; finally, 332 obstetric nurses from 10 tertiary hospitals in Jiangsu Province were recruited and investigated to test its reliability and validity. Results The Chinese version MNS-NV consisted of 11 items, and three common factors were extracted:negative cognitive restructuring, normalization of bullying, and rationalization of retaliation, with a cumulative variance contribution rate of 64.628%.The item-level content validity index (I-CVI) ranged from 0.833 to 1.000, and the average scale-level content validity index (S-CVI/Ave) was 0.951.Confirmatory factor analysis indicated good model fit:χ2/df=2.732, NFI=0.918, IFI=0.923, CFI=0.906, TLI=0.925, RMSEA=0.075.The Cronbach′s αcoefficient of the scale was 0.875, the split-half reliability was 0.817, and the test-retest reliability was 0.852. Conclusion The Chinese version of MNS-NV has satisfactory reliability and validity, which can be used to evaluate the level of moral neutralization among Chinese nurses and assess the effectiveness of ethics training.

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石丽华,唐静,夏家爱,顾璇.护士道德中和量表的汉化及在产科护士中的信效度检验[J].护理学杂志,2026,41(17):63-66

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  • 收稿日期:2026-04-17
  • 最后修改日期:2026-06-21
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  • 在线发布日期: 2026-10-09