Construction of Clinical Ethical Behavior Scale for Psychiatrists

精神科醫師臨床倫理行為量表之建構

10.29478/TJP.201112.0003

林伯彥(Po-Yen Lin)；張達人(Ta-Jen Chang)；王智弘(Chih-Hung Wang)

psychiatrist ； ethical behavior ； principles of bioethics ； Declaration of Madrid

台灣精神醫學

25卷4期（2011 / 12 / 01）

233 - 247

英文

Objectives: This study was aimed to develop a clinical ethical behavior scale for psychiatrists as a tool for understanding the ethical behavior of practicing psychiatrists. Methods: The preliminary scale was based on the American Psychiatric Association's Principles of Medical Ethics with Annotations Especially Applicable to Psychiatry, and World Psychiatric Association's Declaration of Madrid. The scale consisted of two parts. The first part covered basic information while the second part comprised the clinical ethical behavior scale of psychiatrists. Results: Of mailed 1,332 copies of revised pre-trial questionnaire, 150 copies of valid returns were obtained, achieving a 11% valid response rate. The result of factor analysis showed that explained variance of 56.35%. Cronbach's α of internal consistency was 0.84, Pearson's correlation coefficient for test-retest reliability of the total score was 0.74, demonstrating its validity and reliability. Conclusion: From this clinical ethical behavior scale, an official version was developed. This clinical ethical behavior scale for psychiatrists included 23 questions comprising four factors, namely nonmaleficence, autonomy, beneficence, and justice.

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