Journal of the Korea Convergence Society (한국융합학회논문지)

Korea Convergence Society (한국융합학회)
권호 표지
DOI QR코드

DOI QR Code

Convergence Study of Reliability and Validity testing for Professional Moral Courage Scale Translated in Korean

Professional Moral Courage Scale(PMCS)의 한국어 번역의 신뢰도와 타당도에 관한 융합연구

  • 문숙자 (마산대학교 간호학과) ;
  • 김달숙 (충남대학교 간호대학 간호학과)
  • Received : 2017.02.17
  • Accepted : 2017.03.20
  • Published : 2017.03.28
Download PDF
⟨ Previous Next ⟩

Abstract

This methodological study was conducted to test a Professional Moral Courage Scale(PMCS) translated in Korean for 196 nursing students in Changwon, Korea. Data were collected from January 13 to February 20, 2017. An internal consistency reliability and construct validity using exploratory and confirmatory factor analysis were conducted. These items were categorized into 4 factors explained 62.20% of the total variance. 4 factor model was validated by CFA(${\chi}2/df=1.89$, p<.001, RMR=.055, GFI=.93, AGFI=.89, CFI=.92, RMSEA=.067). The Cronbach's ${\alpha}$ was .79 and the reliability of subscales ranged from .44 to .80. The results show that this scale can provide scientific and empirical data when evaluating the PMCS of further clinical nurses, it is meaningful in the sense that it is the first attempt to measure the moral courage needed to provide a good nursing.

본 연구는 Professional Moral Courage Scale(PMCS)의 한국어 번역에 대한 신뢰도와 타당도를 검증하는 방법론적 연구이다. 자료수집은 2017년 1월 13일부터 2월 20일까지 196명의 간호대학생을 대상으로 실시되었고, 내적 일관성 신뢰도와 탐색적 확인적 요인분석을 통한 구성타당도를 검증하였다. 4개의 요인(도덕적 목표와 실천, 단순한 지시수행을 넘어서, 위협을 감수함, 다양한 가치기준 고려하기), 12문항이 도출되었고, 4개의 요인은 전체 변량의 62.20%를 설명하였다. 모델 적합성은 ${\chi}2/df=1.89$, p<.001, RMR=.055, GFI=.93, AGFI=.89, CFI=.92, RMSEA=.067로 나타났다. 전체 문항의 내적 신뢰도 Cronbach's ${\alpha}$는 .79이고, 요인별 Cronbach's ${\alpha}$는 .44-.80의 범위를 나타내었다. 본 도구를 실무 간호사를 대상으로 반복 연구함으로써 도구가 간호학생과 임상간호사의 전문직업적 용기를 측정하기에 과학적이고 실증적임을 입증할 필요가 있으며, 수준 높은 간호를 제공하기 위해서 필요한 도덕적 용기를 측정하고자 한 국내 최초의 시도라는 점에서 의의가 있다고 여겨진다.

Keywords

References

  1. D. S. Joung, "A theoretical literature investigation about life dignity and life ethics", Korea National University of Transportation Theses Collection, 47, pp. 329-337, 2012.
  2. S. H. Kim, Y. S. Yang, " A Meta analysis of variables related to Burnout of nurse in korea", J. of digital convergence, Vol. 13, No. 8, pp. 387-400, 2015. https://doi.org/10.14400/JDC.2015.13.8.387
  3. M. J. Kim, G. Y. Kang, "The Convergence Study on the Relationship between the Job Stress and Mental Health of Nurses", J. of the Korea Convergence Society, Vol. 6, No. 5, pp. 39-47, 2015. https://doi.org/10.15207/JKCS.2015.6.5.039
  4. Inga-Britt Lindh, Antonio Barbosa da Silva, Agneta Berg, Elisabeth Severinsson, "Courage and nursing practice: A theoretical analysis", Nursing Ethics, Vol. 17, No. 5, pp. 551-565, 2010. https://doi.org/10.1177/0969733010369475
  5. Lachman V.D., "Strategies necessary for moral courage, The Online J. of Issues in Nursing", Vol. 15, No. 3, 2010. https://doi.org/10.3912/OJIN.Vol15No03Man03
  6. Mary C. Corley, R. K. Elswick, Martha Gorman, Theresa Clor, "Development and evaluation of a moral distress scale," J. of Advanced Nursing, Vol. 33, N pp. 250-256, 2001. https://doi.org/10.1111/j.1365-2648.2001.01658x
  7. Corley, M., "Nurse moral distress: A proposed theory and research agenda," Nursing Ethics, Vol. 9, No. 6, pp. 636-650, 2002. https://doi.org/10.1191/0969733002ne557oa
  8. Jameton, A., "Nursing practice: The ethical issue", Englewood Cliffs, NJ: Prentice Hall, 1984.
  9. Mohr, W., Horton-Deutsch, S., "Malfeasance and regaining nursing's moral voice and integrity, "Nursing Ethics, Vol. 8, No. 1, pp. 19-32, 2001. https://doi.org/10.1177/096973300100800104
  10. Nathaniel, A., "Moral reckoning in nursing", Western J. of Nursing Research, Vol. 28, No. 4, pp. 419-438, 2006. https://doi.org/10.1177/0193945905284727
  11. Y. M. Kim, S. N. Kim, "The convergence study of Experience of Turnover in new graduate nurse within one year", J. of the Korea Convergence Society, Vol. 7. No. 4, pp. 97-106, 2016. https://doi.org/10.15207/JKCS.2016.7.4.097
  12. Spence D, Smythe L., "Courage as integral to advancing nursing practice," Nursing Praxis in New Zealand, Vol. 23, No. 2, pp. 43-55, 2007.
  13. Gustafsson C, Fagerberg I., "Reflection, the way to professional development," J. Clin Nurs, Vol. 13, pp. 271-280, 2004.
  14. Garon N., "The positive face of resistance: nurses relate their stories," J. Nurs Adm, Vol. 36, pp. 249-258, 2006. https://doi.org/10.1097/00005110-200605000-00018
  15. Arnman M., "Bearing witness: an existential position in nursing", Contemp Nurs, Vol. 27, No. 1, pp. 84-93, 2007. https://doi.org/10.5555/conu.2007.27.1.84
  16. Thorup C. B., Rundqvist E., Roberts C., Delmar C., "Care as a matter of courage: vulnerability, suffering and ethical formation in nursing care", Scand J. Caring Sci, Vol. 26, pp. 427-435, 2012. https://doi.org/10.1111/j.1471-6712.2011.00944x
  17. Hawkins S. F. & Morse J., "The Praxis of Courage as a Foundation for Care", J. of Nursing Scholarship, Vol. 46, No. 4, pp. 263-270, 2014. https://doi.org/10.1111/jnu.12077
  18. LaSala C.A., Bjarnason D., "Creating Workplace Environments that Support Moral Courage", Online J. of Issues in Nursing, Vol. 15, No. 3, 2010. https://doi.org/10.3912/OJIN.Vol15No03Man04
  19. Kim, M. S., "Influence of Moral Sensitivity an Ethical Values on Biomedical Ethics Awareness of Nursing Students", The J. of Korean academic society of nursing education, Vol. 21, No. 3, pp. 382-392, 2015. https://doi.org/10.5977/jkasne.2015.21.3.382
  20. M. S. Yoo, K. C. Shon, "Effects of Nursing Ethics Education on Biomedical ethics Awareness, Moral sensitivity and Moral Judgement of Nursing Student",, Korean Bioethics Association, Vol. 12, No. 2, pp.61-76, 2012.
  21. S. J. Han, "Relationship between Moral Distress and Turnover intention among Hospital Nurses", The J. of the Korea Contents Association, Vol. 12, No. 3, pp. 276-284, 2013. https://doi.org/JKCA.2012.12.03.276 https://doi.org/10.5392/JKCA.2012.12.03.276
  22. S. S. Han, "The Moral Distress Experienced by Hospital Nurses", J. of the Korean Bioethics Association, Vol. 6, No. 2, pp. 31-47, 2005.
  23. Leslie E. Sekerkra, Richard P. Bagozzi, Richard Charnigo, "Facing Ethical Challenges in the Workplace: Conceptualizing and Measuring Professional Moral Courage", J. of Business Ethics, Vol. 89, No. 4, pp. 565-579, 2009. DOI 10.1007/s10551-008-0017-5
  24. Edmonson, Cole, "Strengthening Moral Courage Among Nurse Leaders", Online J. of Issues in Nursing, Vol. 20, No. 2, 2015. https://doi.org/10.3912/OJIN.Vol20No02PPT01
  25. Knapp, T.R., & Brown, J.K., "Ten measurement commandments that often should be broken", Research in Nursing & Health, Vol. 18, pp. 465-469, 1995. https://doi.org/10.1002/nur.4770180511
  26. S. B. Moon, "Basic concepts and applications of structural equation modeling: With AMOS 19.0", Seoul: Hakjisa Corp, 2009.
  27. Nunnally, J. C., "Psychometric Theory", Second Edition, McGraw-Hill, pp. 225-255, 1978.
  28. Benner, P., "The wisdom of caring practice", Nursing Management, Vol. 6, pp. 32-37, 2000.
  29. Barbara A. Carper, RN., Ed. D., "Ethics and Values Advances in Nursing Science", Aspen Systems Corporation, pp. 11-19, 1979.
  30. Lanara V.A., "Heroism as a nursing value: a philosophical perspective", Athens: Papanikolaous SA Grahic Arts, 1996.
  31. B. R. Bae, Structural equation modeling with Amos 19: Principles and practice, Seoul, Chungram Books, 2011.