看護学生におけるケアの倫理的行動尺度の開発

Development of the Care Ethical Competence Scale for Nursing Students

要旨

　目的：看護学生が看護学実習で経験するケアの倫理的行動について評価できる看護学生版ケアの倫理的行動尺度を開発し，その尺度の信頼性と妥当性を検証する．

　方法：全国の看護学生694名に自記式質問紙調査を実施した．因子分析を行い，構成概念妥当性はAMOSでモデルの適合度を確認，併存妥当性は「看護の専門職的自律性測定尺度」を用いて確認した．信頼性はCronbachのα係数で内的整合性を確認，再テストで級内相関を確認した．

　結果：因子分析の結果，5因子29項目が抽出された．モデルの適合度は，GFI = .896，AGFI = .883，CFI = .977，RMSEA = .034であり，「看護の専門職的自律性測定尺度」との相関は，r = .453であった．信頼性は，29項目全体で，α = .932であり，5因子それぞれは，α = .837〜.887であった．級内相関は，ICC= .351〜.904であった．

　結論：看護学生版ケアの倫理的行動尺度は，5因子29項目で構成され，この尺度の信頼性と妥当性が確認された．

　Aim: The aim of this study was to develop a scale that assesses the care ethical competence of students in nursing practice, and verify the reliability and validity of the scale.

　Method: A self-administered questionnaire survey was conducted with 694 nursing students nationwide.

　Factor analysis was performed and the construct validity was confirmed with AMOS statistical software using model fitness. The coexistence validity was confirmed using the “scale of professional autonomy in nursing.” The reliability was confirmed by Cronbach's α coefficient to confirm the internal consistency, and a retest was used to confirm the intraclass correlation coefficients.

　Results: As a result of factor analysis, 29 items of 5 factors were extracted.

　Concerning the degree of data fitness, the GFI was .896, AGFI was .883, CFI was .977, RMSEA was .034, and correlation with the “scale of professional autonomy in nursing” was .453. For reliability, Cronbach's α coefficient for all 29 items was .932, and Cronbach's α coefficient for each of the five factors was between .837 and .887. The retest method showed intraclass correlation coefficients between .351 and .904.

　Conclusion: The nursing student version of the care ethical competence scale consisted of 5 factors and 29 items. The reliability and validity of this scale were confirmed.