Development of the Inclination Toward Conscientious Objection Scale for Physicians

dc.contributor.authorKeleş Ş.
dc.contributor.authorDağ O.
dc.contributor.authorAksu M.
dc.contributor.authorGülpinar G.
dc.contributor.authorYalım N.Y.
dc.date.accessioned2024-07-22T08:02:52Z
dc.date.available2024-07-22T08:02:52Z
dc.date.issued2023
dc.description.abstractThis study aims to develop a valid and reliable scale to assess whether a physician is inclined to take conscientious objection when asked to perform medical services that clash with his/her personal beliefs. The scale, named the Inclination toward Conscientious Objection Scale, was developed for physicians in Turkey. Face validity, content validity, criterion-related validity, and construct validity of the scale were evaluated in the development process. While measuring criterion-related validity, Student’s t-test was used to identify the groups that did and did not show inclination toward conscientious objection. There were 126 items in the initial item pool, which reduced to 42 after content validity evaluation by five experts. After necessary adjustments, the scale was administered to 224 participants. Both exploratory and confirmatory factor analyses were performed to investigate factor structure. The split-half method was employed to assess scale reliability, and the Spearman-Brown coefficient was calculated. Cronbach’s alpha reliability coefficient was used to estimate the internal consistency of the scale items. The distinctiveness of the items was evaluated using Student’s t-test. The lower and upper 27% groups were compared to assess the distinctiveness of the scale. The items were loaded on four factors that explained 85.46% of the variance: “Conscientious Objection – Medical Profession Relationship,” “Conscientious Objection in Medical Education and Medical Practice,” “Conscientious Objection with regard to the Concept of Rights” and “Conscientious Objection – Physician’s Professional Identity and Role.” The final scale has 40 items, and was found to be valid and reliable with high internal consistency. © 2022, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
dc.identifier.DOI-ID10.1007/s10728-022-00452-6
dc.identifier.issn10653058
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/12032
dc.language.isoEnglish
dc.publisherSpringer
dc.subjectConscience
dc.subjectFemale
dc.subjectHumans
dc.subjectMale
dc.subjectPhysicians
dc.subjectRefusal to Treat
dc.subjectReproducibility of Results
dc.subjectadult
dc.subjectarticle
dc.subjectconfirmatory factor analysis
dc.subjectconstruct validity
dc.subjectcontent validity
dc.subjectcriterion related validity
dc.subjectCronbach alpha coefficient
dc.subjectethics
dc.subjectface validity
dc.subjectfemale
dc.subjecthuman
dc.subjecthuman experiment
dc.subjectinternal consistency
dc.subjectmajor clinical study
dc.subjectmale
dc.subjectmedical education
dc.subjectmedical practice
dc.subjectmedical profession
dc.subjectmedical service
dc.subjectpatient abandonment
dc.subjectphysician
dc.subjectreliability
dc.subjectright to health
dc.subjectTurkey (republic)
dc.subjectconscience
dc.subjectreproducibility
dc.titleDevelopment of the Inclination Toward Conscientious Objection Scale for Physicians
dc.typeArticle

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