BACKGROUND:Assessing ethical endorsement is crucial to the study of professional performance and moral conduct. There are no specific instruments that verify patients and professional experiences of ethical practice in the specific area of primary health care (PHC). OBJECTIVE:To study the psychometric properties of two questionnaires to identify professional and patient endorsement of normative ethics. METHODS:A methodological study conducted in PHC centres from an urban area (Barcelona). A group of items from an ethical code were generated using a qualitative study with focus groups. Items underwent expert validation, item refinement and test-retest reliability. Two groups of items for PHC professionals and patients were validated. The structure of the constructs and the internal consistency were studied after participants completed the questionnaires. Principal component analysis with supplementary variables showed the utility of the validated questionnaires. RESULTS:The patients' questionnaire consisted of 17 general items plus 11 additional items on specific conditions, and the health professional's contained 24 general and 9 specific items. The construct of the questionnaires comprised a three-factor solution for patients and a five-factor solution for professionals. Principal component analysis with supplementary variables showed that patients with higher scores on ethical perception were associated with better opinions on health care quality and more confidence in professionals. In PHC professionals, higher scores were associated with effective knowledge of the code. CONCLUSIONS:Both questionnaires showed good psychometric properties and are valid to screen ethical attitudes. The instrument warrants further testing and use with culturally diverse patients and PHC professionals.

译文

背景:评估道德认可对研究专业绩效和道德行为至关重要。在初级保健(PHC)的特定领域,没有任何特定的工具可以验证患者和伦理实践的专业经验。
目的:研究两份问卷的心理计量特性,以识别专业和患者对规范道德的认可。
方法:从市区(巴塞罗那)在PHC中心进行的方法学研究。道德准则中的一组项目是通过对焦点小组进行的定性研究得出的。物品经过专家验证,物品细化和重新测试的可靠性。验证了针对PHC专业人士和患者的两组项目。参与者完成问卷后,研究结构的结构和内部一致性。具有补充变量的主成分分析显示了经过验证的问卷的实用性。
结果:患者的问卷包括17个一般项目以及11个特定条件下的其他项目,卫生专业人员包含24个一般项目和9个特定项目。问卷的构成包括针对患者的三因素解决方案和针对专业人员的五因素解决方案。主成分分析和补充变量显示,患者的伦理观念得分较高,他们对医疗保健质量的看法更好,对专业人员的信心更高。在PHC专业人士中,较高的分数与有效的代码知识相关。
结论:两份问卷均显示出良好的心理计量学特性,并有效地筛选了道德态度。该仪器需要进一步测试,并可以与文化背景不同的患者和PHC专业人员一起使用。

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