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Measurement Tools in Clinical Ethics
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Measurement Tools in Clinical Ethics



August 2001 | 312 pages | SAGE Publications, Inc
Measurement Instruments in Clinical Ethics presents an overview of studies of ethical concepts in clinical and research activities. The studies covered use interview scales or other methods of gathering data that have undergone rigorous analysis of their psychometric characteristics. This book describes these instruments and critiques their stage of development. This work strives to further the debate regarding what evolving ethical standards mean for clinicians and researchers.
 
Preface
 
1. Empirical Studies in Ethics and Psychometric Standards for Measurement
Development of Measurement Instruments in Clinical and Research Ethics  
Standards for Instrument Development  
Summary  
Descriptions of Instruments  
Definitions  
 
2. Patient Preference
The Autonomy Preference Index (API)  
Instrument Development, Administration, and Scoring  
Psychometric Properties  
Summary and Critique  
Information Styles Questionnaire (ISQ)  
Instrument Development, Administration, and Scoring  
Psychometric Properties  
Summary and Critique  
Desire for Lenth of Benefit Scale (DLBS)  
Desire for Probable Benefit Scale (DPBS)  
Instrument Development, Administration, and Scoring  
Psychometric Properties  
Summary and Critique  
Life Support Preferences Questionnaire (LSPQ)  
Instrument Development, Administration, Scoring  
Psychometric Properties  
Summary and Critique  
Cardiopulmonary Resuscitation Preference Scale (CPR Pref)  
Instrument Development, Adminstration, Scoring  
Psychometric Properties  
Summary and Critique  
Preference of Life-Sustaining Treatment  
Instrument Development, Administration, and Scoring  
Psychometric Properties  
Summary and Critique  
 
3. Patient Comprehension
Pre-Vignette Knowledge Test  
Post-Vignette Comprehension Test  
Instrument Development, Administration, and Scoring  
Psychometric Properties  
Summary and Critique  
Knowledge About Breast Cancer Genetics and BRCA1 Testing  
Perceptions of the Benefits, Limitations, and Risks of BRCA1 Testing  
Instrument Development, Administration, and Scoring  
Psychometric Properties  
Summary and Critique  
Deaconess Informed Consent Comprehension Test (DICCT)  
Instrument Development, Administration, and Scoring  
Psychometric Properties  
Summary and Critique  
4. Decisional Capacity  
Standardized Mini-Mental State Examination (SMMSE)  
Instrument Development, Administration, and Scoring  
Psychometric Properties  
Summary and Critique  
 
5. Advance Directives
Values Assessment and Directives Form (VAD)  
Instrument Development, Administration, and Scoring  
Psychometric Properties  
Summary and Critique  
Values History (VH)  
Instrument Development, Administration, and Scoring  
Psychometric Properties  
Summary and Critique  
Advance Directive-HIV Questionnaire (AD-HIV)  
Instrument Development, Administration, and Scoring  
Psychometric Properties  
Summary and Critique  
The Medical Directive (MD)  
Instrument Development, Administration, and Scoring  
Psychometric Properties  
Summary and Critique  
Advance Directive Acceptability Questionnaire (ADAQ)  
Instrument Development, Administration, and Scoring  
Psychometric Properties  
Summary and Critique  
Advance Directives Questionnaire (ADQ)  
Instrument Development, Administration, and Scoring  
Psychometric Properties  
Summary and Critique  
End-of-Life Care Decisions Questionnaire (EOLCDQII)  
Instrument Developement, Administration, and Scoring  
Psychometric Properties  
Summary and Critique  
6. Withdrawal of Life Support  
Withdrawal of Life Support in Critically Ill Patients  
Instrument Development, Administration, and Scoring  
Psychometric Properties  
Summary and Critique  
Willingness to Withdraw Life Support (WWLS)  
Instrument Development, Administration, and Scoring Guidelines  
Psychometric Properties  
Summary and Critique  
 
7. Aggressiveness of Care
Decisions About Aggressiveness of Care (DAC)  
Decisions About Aggressiveness of Care for Specific Patients (DAC[SP])  
Instrument Development, Administration, and Scoring  
Psychometric Properties  
Summary and Critique  
Aggressiveness of Nursing Care Scale (ANCS)  
Appropriateness of Care Questionnaire (ACQ)  
Background  
Instrument Development, Adminstration, and Scoring  
Psychometric Properties  
Summary and Critique  
Level of Management in Neonatal Clinical Situations  
Instrument Development, Administration, and Scoring  
Psychometric Properties  
 
8. Moral Sensitivity
Moral Sensitivity Questionnaire (MSQ)  
Instrument Development, Administration, and Scoring  
Psychometric Properties  
Summary and Critique  
 
9. Ethical Practice Environment
Instrument Development, Administration, and Scoring  
Psychometric Properties  
Summary and Critique  
Hospital Ethical Climate Survey (HECS)  
Instrument Development, Administration, and Scoring  
Psychometric Properties  
 
10. Recipient Selection
Criteria for Selection of Transplant Recipient Scale (CSTR)  
Instrument Development, Administration, and Scoring  
Psychometric Properties  
 
11. General Issues for Health Professionals
Ethics Consultants' Recommendations (ECR)  
Instrument Development, Administration, and Scoring  
Psychometric Properties  
Summary and Critique  
Rationing Health Care Resources  
Some Considered Moral Judgments  
Instrument Development, Administration, and Scoring  
Psychometric Properties  
 
12. Summary
Instruments  
Instrument Use  
 
Appendix: Summary of Instruments
 
Index
 
About the Author

"A very useful and helpful accumulation of tools not only to be used in instructing graduate students on research methodology, but also a text that could be utilized by hospitals and home health as well as long-term care agencies in evaluating their organizational needs as well as their staff’s attitudes and perceptions. I would highly recommend this text." 

Penny S. Brook
Nursing, University of Utah

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Barbara Klug Redman

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