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Background <p>In end-of-life care, nurses’ ability to make sound ethical decisions is critical to safeguarding patients’ dignity and quality of life. However, China still lacks a measurement tool tailored to this specific context for assessing such competence. This study, therefore, aimed to localize the Nurses’ Ethical Decision-Making around End-of-Life Care Scale (NEDM-EOLCS) into Chinese and to examine its psychometric characteristics among Chinese nurses.</p> Methods <p>A cross-sectional study design was conducted. The study was conducted between October 2024 and December 2024. The Chinese version of the NEDM-EOLCS scale was initially developed using the Brislin translation model, cross-cultural debugging, and a pre-survey tailored to Chinese linguistic and cultural contexts. 450 nurses completed the Chinese version of the NEDM-EOLCS scale. Exploratory factor analysis (EFA) was employed to analyse the data from Group 1 (n = 225) in order to elucidate the factor structure, whereas Group 2 data (n = 225) were subjected to confirmatory factor analysis (CFA) to verify the model’s suitability; additionally, convergent validity, discriminant validity, and reliability tests were carried out.</p> Results <p>A total of 450 nurses participated in the survey. The Scale-level Content Validity Index (S-CVI) was 0.98; EFA extracted three factors and explained 61.816% of the total variance; CFA confirmed that all the goodness-of-fit indices were acceptable. The Cronbach’s alpha of the Chinese version of the NEDM-EOLCS was 0.962, and the retest reliability coefficient was 0.896. The Chinese version of NEDM-EOLCS had 55 items in 3 dimensions.</p> Conclusions <p>The Chinese version of NEDM-EOLCS is scientifically reasonable and has good reliability and validity. It can be used to investigate Chinese nurses’ ethical decision-making around end-of-life care.</p>

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Cross-cultural validation of the Chinese version of the nurses’ ethical decision-making around end-of-life care scale: a cross-sectional study

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年2月24日

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  • Sibo Liu,
  • Di Xu,
  • Shuang Wen,
  • Xian Liu,
  • Dandan Wu

摘要

Background

In end-of-life care, nurses’ ability to make sound ethical decisions is critical to safeguarding patients’ dignity and quality of life. However, China still lacks a measurement tool tailored to this specific context for assessing such competence. This study, therefore, aimed to localize the Nurses’ Ethical Decision-Making around End-of-Life Care Scale (NEDM-EOLCS) into Chinese and to examine its psychometric characteristics among Chinese nurses.

Methods

A cross-sectional study design was conducted. The study was conducted between October 2024 and December 2024. The Chinese version of the NEDM-EOLCS scale was initially developed using the Brislin translation model, cross-cultural debugging, and a pre-survey tailored to Chinese linguistic and cultural contexts. 450 nurses completed the Chinese version of the NEDM-EOLCS scale. Exploratory factor analysis (EFA) was employed to analyse the data from Group 1 (n = 225) in order to elucidate the factor structure, whereas Group 2 data (n = 225) were subjected to confirmatory factor analysis (CFA) to verify the model’s suitability; additionally, convergent validity, discriminant validity, and reliability tests were carried out.

Results

A total of 450 nurses participated in the survey. The Scale-level Content Validity Index (S-CVI) was 0.98; EFA extracted three factors and explained 61.816% of the total variance; CFA confirmed that all the goodness-of-fit indices were acceptable. The Cronbach’s alpha of the Chinese version of the NEDM-EOLCS was 0.962, and the retest reliability coefficient was 0.896. The Chinese version of NEDM-EOLCS had 55 items in 3 dimensions.

Conclusions

The Chinese version of NEDM-EOLCS is scientifically reasonable and has good reliability and validity. It can be used to investigate Chinese nurses’ ethical decision-making around end-of-life care.