ArticleBMC nursing2021
Psychometric properties of the ethical conflict in nursing questionnaire critical care version among Chinese nurses: a cross-sectional study.
Article in BMC nursing, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Ethical Sensitivity as Mediator Between Conflict and Decision-Making: A Cross-Sectional Study of ICU Nurses.Journal of advanced nursing · 2026Observational
- The Prevalence of Ethical Conflicts and Influencing Factors Among Critical Care Nurses in China: A National Cross-sectional Study: [RETRACTED].The journal of nursing research : JNR · 2025Article
- The Relationships Between Ethical Sensitivity, Ethical Decision-Making Ability, and Ethical Conflict Among ICU Nurses: A Structural Equation Model.Journal of nursing management · 2025Article
- Development and psychometric evaluation of the ethical conflict assessment instrument in nursing: A mixed-method protocol study.Journal of education and health promotion · 2024Article
- The experiences of intensive care nurses coping with ethical conflict: a qualitative descriptive study.BMC nursing · 2023Article
- Predicting Critical Care Nurses' Intention to Use Physical Restraints in Intubated Patients: A Structural Equation Model.Journal of nursing management · 2023Article
- Consequences of Moral Outrage among Nurses: A Scoping Review.Iranian journal of nursing and midwifery researchReview
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Authors and funding
8 authors.
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Abstract
backgroundEthical conflicts are common in the critical care setting, and have compromised job satisfaction and nursing care quality. Using reliable and valid instruments to measure the ethical conflict is essential. This study aimed to translate the Ethical Conflict in Nursing Questionnaire - Critical Care Version into Chinese and determine the reliability and validity in the population of Chinese nurses.
methodsResearchers obtained permission and followed the translation-backward method to develop the Chinese version of the Ethical Conflict in Nursing Questionnaire - Critical Care Version (ECNQ-CCV-C). Relevant psychometric properties were selected according to the Consensus-based standards for the selection of health status measurement instruments checklist. Critical care nurses were recruited from two tertiary public hospitals in Hangzhou, Zhejiang Province, and Kunming, Yunnan Province. Of the 264 nurses we approached, 248 gave their consent and completed the study.
resultsThe ECNQ-CCV-C achieved Cronbach's alphas 0.902 and McDonald's omega coefficient 0.903. The test-retest reliability was satisfactory within a 2-week interval (intraclass correlation coefficient = 0.757). A unidimensional structure of the ECNQ-CCV-C was determined. Confirmatory factor analysis supported acceptable structure validity. Concurrent validity was confirmed by a moderate relation with a measure for hospital ethical climate (r = - 0.33, p < 0.01). The model structure was invariant across different gender groups, with no floor/ceiling effect.
conclusionsThe ECNQ-CCV-C demonstrated acceptable reliability and validity among Chinese nurses and had great clinical utility in critical care nursing.
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