2020 Volume 8 Pages 17-25
The objective of this study was to create a Japanese version of the Hospital Ethical Climate Survey (HECS) (Olson, 1998) and examine its validity and reliability. Data from 951 nurses were analyzed. The fit of the 5-factor second-order factor model to the data was assessed by confirmatory factor analysis using HECS as the first-order factor and “peers” “patients” “managers” “hospital” and “physicians” as the second-order factors. Although one error correlation was specified, fit indices suggested an adequate fit of the model to the data (CFI=0.940 and RMSEA=0.097). Omega reliability coefficient was 0.956. Due to the presence of one error correlation, the scale was modified. Four observed variables were assigned to each factor. A five-factor second-order factor model of the Japanese version of the shortened HECS (HECS-S) comprising 20 items yielded an adequate fit to the data, as indicated by a CFI of 0.951 and a RMSEA of 0.093. Omega reliability coefficient was 0.941. Based on the above, the construct validity and reliability of the Japanese versions of HECS and HECS-S were confirmed.
