目的 编制临床护士伦理决策能力评估问卷并检验其信效度，为临床护士伦理决策评估提供测评工具。 方法 基于道德“四成分”模型理论框架，通过文献检索、半结构访谈及研究小组讨论构建条目池；经过3轮德尔菲专家函询及预调查，形成初始问卷；采用便利抽样法选取西安市5所医院290名临床护士进行调查，以检验问卷信效度。 结果 经探索性因子分析，提取出伦理感知、伦理判断、伦理意图和伦理行为4个公因子，共28个条目，累计方差贡献率达69.852%；问卷内容效度在条目水平指数为0.876~1.000，整体水平指数为0.979。问卷各维度的Cronbach’s α系数范围为0.896~0.947，问卷Cronbach’s α系数为0.942；各维度的重测信度范围为0.836~0.927，问卷重测信度为0.919。 结论 临床护士伦理决策能力评估问卷信度及效度良好，可用于临床护士的伦理决策能力的测评。

Objective To develop a questionnaire for assessing the ethical decision-making ability of clinical nurses and to test its reliability and validity，providing a measurement tool for the ethical decision-making assessment of clinical nurses.Methods Based on the “four-component” Model of morality，an item pool was constructed through literature review，semi-structured interviews，and research group discussions.After 3 rounds of Delphi expert consultation and a pre-survey，an initial questionnaire was formed.The convenience sampling method was used to select 290 clinical nurses from 5 hospitals in Xi’an for the survey to test the reliability and validity of the questionnaire.Results Four common factors were extracted via exploratory factor analysis，namely ethical perception，ethical judgment，ethical intention and ethical behavior，with a total of 28 items，and the cumulative variance contribution rate reached 69.852%.The content validity index of the questionnaire at the item level ranged from 0.876 to 1.000，and the overall level index was 0.979.The Cronbach’s α coefficient of each dimension of the questionnaire ranged from 0.896 to 0.947，and the Cronbach’s α coefficient of the questionnaire was 0.942.The test-retest reliability of each dimension ranged from 0.836 to 0.927，and the test-retest reliability of the questionnaire was 0.919.Conclusions The questionnaire for assessing the ethical decision-making ability of clinical nurses has good reliability and validity and can be used to assess the ethical decision-making ability of clinical nurses.

R47；R823

军队护理创新与培育专项计划培育（2021HL040）