ArticleBMC nursing2024
Translation and psychometric testing of the Persian Version of nurses' ethical decision-making in End-of-Life Care Scale.
Article in BMC nursing, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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5 citing papers in PubMed.
- Cross-cultural validation of the Chinese version of the nurses' ethical decision-making around end-of-life care scale: a cross-sectional study.BMC nursing · 2026Article
- Translation and psychometric evaluation of the Persian version of the nurse team resilience scale in the context of cardiopulmonary resuscitation.BMC nursing · 2025Article
- Ethical sensitivity questionnaire for nursing students: psychometric properties of the Persian version.BMC research notes · 2025Article
- Psychometric properties of the educational leadership scale for nursing students.BMC medical education · 2025Article
- Reliability and validity of Persian version of the nurses' willingness to engage in palliative care scale.BMC nursing · 2025Article
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5 authors.
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Abstract
backgroundEthical decision-making in end-of-life care is one of the most challenging aspects of healthcare: providing ethical care to the society is one of the most important responsibilities of healthcare professionals. In order to assess nurses' ethical decision-making in end-of-life care, researchers need a specialized and comprehensive instrument which is sufficiently valid and reliable. The present study was conducted to translate and test the psychometric properties of the Persian version of Nurses' Ethical Decision-Making in End-of-Life Care Scale (NEDM-EOLCS).
methodsThis is a cross-sectional, multi-centric study with a methodological design The participants were selected via convenience sampling from five hospitals located in Iran. In total, 1320 nurses (660 for exploratory factor analysis and 660 for confirmatory factor analysis) participated in the study. The original NEDM-EOLCS was translated into Persian and subsequently the psychometric properties of the scale were assessed according to COSMIN criteria.
resultsExploratory factor analysis (EFA) showed the factor loading of the 55 items to be between 0.62 and 0.88, all of which were significant. Also, exploratory factor analysis showed that 3 factors (perceived professional accountability, moral reasoning/moral agency and moral practice) explained 74.51% of the variance. Confirmatory factor analysis (CFA) results verified the good fit of the data (a chi-square of 21.74, df = 7, P = 0.001) RMSEA = 0.01, CFI = 0.96, NFI = 0.95, and TLI = 0.97). The reliability of the scale was measured in terms of its internal consistency and the Cronbach's alpha of the whole instrument was found to be 0.98.
conclusionThe Persian version of NEDM-EOLCS for nurses is sufficiently valid and reliable. Thus, this instrument can be used to measure nurses' ethical decision-making in end-of-life care and identify the most effective strategies, e.g. educational interventions, to improve ethical decision-making skills in end-of-life care in these healthcare professionals as necessary.
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