Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Hemşirelerde Etik Duyarlılık Anketi'nin Türkçeye Uyarlanması: Geçerlik ve Güvenirlik Çalışması
Adaptation of the Ethical Sensitivity Questionnaire in Nurses into Turkish: Validity and Reliability Study
Tuğçe ÇAMLICAa , Hamide COŞKUN ERÇELİKa , Vildan KAYAa , Gözde ALKANb , Sabriye ERCANc
aSüleyman Demirel Üniversitesi Araştırma ve Uygulama Hastanesi, Sağlık Araştırma ve Uygulama Merkezi Müdürlüğü, Isparta, Türkiye
bSüleyman Demirel Üniversitesi Araştırma ve Uygulama Hastanesi, Hemşirelik Bilimleri AD, Isparta, Türkiye
cSüleyman Demirel Üniversitesi Tıp Fakültesi, Spor Hekimliği AD, Isparta, Türkiye
Turkiye Klinikleri J Nurs Sci. 2024;16(4):1059-68
doi: 10.5336/nurses.2024-102326
Article Language: TR
Full Text
ÖZET
 Amaç: Çalışmamızın amacı ''Etik Duyarlılık Anketi''nin hemşire popülasyonu üzerindeki Türkçe geçerliliğini ve güvenilirliğini araştırmaktır. Gereç ve Yöntemler: Orijinal anketin çeviri-geri çeviri aşamaları tamamlandıktan sonra kapsam geçerliliği incelendi. Kapsam geçerliliği sağlandığı tespit edildikten sonra Türkiye genelinde hemşire olarak görev yapmakta olan bireyler araştırmanın pilot uygulamasına katıldı. Veri toplama aracı olarak sosyodemografik bilgileri içeren kişisel bilgi formu, Ahlaki Duyarlılık Anketi, Türkçe geçerlik ve güvenirlik çalışması yapılan Etik Duyarlılık Anketi kullanıldı. Örneklemin en az %25'ine 15 gün sonra retest uygulaması yapıldı. Veriler SPSS v.23 paket programı ile incelendi. Bulgular: Anketin kapsam geçerliliği için 14 alan uzmanından görüş alındı. Anlaşılırlık değerlendirmesi sonucu maddelerin kapsam geçerlilik oranı 0,857-1,000 aralığında hesaplanırken anketin kapsam geçerlilik oranı 0,951 olarak belirlendi. Çalışmanın pilot uygulamasına 268 hemşire dâhil edildi. Pilot uygulama sonrası elde edilen verilerde Kaiser-Meyer-Olkin değeri (0,789), Bartlett küresellik testi ki-kare sonucu (567,045), p değeri (˂0,001), ''anti-image'' korelasyon değerleri (˃0,50; en düşük: 0,665, en yüksek: 0,860) açıklayıcı faktör analizi yapmak için uygundu. Buna göre anketin açıkladığı kümülatif varyans oranı %46,275 olup 13 maddeli ankette öz değeri 1'den büyük 3 faktörlü yapı (bireylere saygı, dağıtımsal adalet, hastaların mahremiyetinin korunması) oluştu. Ancak Türkçeye uyarlanan anketin maddelerinin kaydığı alt boyutlar orijinal ankete göre farklılık gösterebildi. Anketin Cronbach alfa katsayısı 0,755 idi. Etik Duyarlılık Anketi'nin Ahlaki Duyarlılık Anketi ile korelasyonu negatif yönde ve düşük düzeyde oldu (p˂0,05). Test ve retest uygulamalarındaki cevaplar dikkate alındığında, faktörlerdeki ve toplam puandaki sonuçlar arasında fark bulunmadı (p˃0,05). Sonuç: Etik Duyarlılık Anketi'nin, Türk hemşirelerin etik duyarlılık düzeylerini ölçmek amacıyla kullanılabilecek oldukça güvenilir bir anket olduğu belirlendi.

Anahtar Kelimeler: Etik; güvenirlik ve geçerlik; hemşirelik; hemşirelik etiği; anket
ABSTRACT
 Objective: The aim of our study is to investigate the Turkish validity and reliability of the ''Ethical Sensitivity Questionnaire'' in the nurse population. Material and Methods: The translation and backtranslation stages of the original questionnaire were completed and the content validity was examined. After the content validity was determined, individuals working as nurses throughout Türkiye participated in the pilot study of the research. Personal information form including sociodemographic information, Moral Sensitivity Questionnaire, and Ethical Sensitivity Questionnaire, the Turkish validity and reliability study of which was conducted, were used as data collection tools. At least 25% of the sample was retested after 15 days. Data were analysed with SPSS v.23 package programme. Results: For the content validity of the questionnaire, 14 field experts were consulted. As a result of the comprehensibility evaluation, the content validity rate of the items was calculated in the range of 0.857-1.000, while the content validity rate of the questionnaire was determined as 0.951. The pilot application of the study included 268 nurses. Kaiser-Meyer-Olkin value (0.789), Bartlett sphericity test chi-square result (567.045), p value (˂0.001), ''anti-image'' correlation values (˃0.50; lowest: 0.665, highest: 0.860) in the data obtained after the pilot application were suitable for exploratory factor analysis. Accordingly, the cumulative variance explained by the questionnaire was 46.275% and a three-factor structure (respect for individuals, distributive justice, protection of patients' privacy) with eigenvalues greater than 1 was formed in the 13- item questionnaire. However, the sub-dimensions in which the items of the questionnaire adapted to Turkish differed from the original questionnaire. Cronbach's alpha coefficient of the questionnaire was 0.755. The correlation of the Ethical Sensitivity Questionnaire with the Moral Sensitivity Questionnaire was negative and low (p˂0.05). Considering the responses in the test and retest applications, no difference was found between the results in the factors and total score (p˃0.05). Conclusion: It was determined that the Ethical Sensitivity Questionnaire is a highly reliable questionnaire that can be used to measure the ethical sensitivity levels of Turkish nurses.

Keywords: Ethics; reliability and validity; nursing; nursing ethics; questionnaire
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