Table 3.
Principal component analysis (total sample).
| Items | Factor loading | Communality | |
|---|---|---|---|
| F1 | F2 | ||
| 1. Recognize a genuine ethical dilemma in practice | 0.681 | 0.471 | |
| 2. Make a sound ethical decision | 0.755 | 0.581 | |
| 3. Explain your ethical decisions using correct ethical terminology and language | 0.775 | 0.614 | |
| 4. Provide a clear statement of the personal values that guide your EDM and practice | 0.845 | 0.612 | |
| 5. Articulate legal guidelines related to complex ethical issues in patient care | 0.668 | 0.462 | |
| 6. Articulate the difference between ethical dilemmas, moral distress, issues related to inter-professional collaboration and communication, difficult patients, etc. | 0.876 | 0.655 | |
| 7. Articulate the definition of moral distress and provide an example in your practice | 0.837 | 0.650 | |
| 8. Identify ethical issues in complex patient care | 0.831 | 0.641 | |
| 9. Apply ethical decision-making models or structured processes to complex clinical problems | 0.575 | 0.610 | |
| 10. Participate in and/or guide mediation related to complex clinical problems involving ethical dilemmas or moral distress | 0.536 | 0.478 | |
| 11. Recognize and manage moral distress in self and others | 0.675 | 0.466 | |
| 12. Role model collaborative problem solving in complex clinical problems involving ethical dilemmas or moral distress | 0.540 | 0.500 | |
| 13. Engage in preventative ethics initiatives to address the ethical environment in your practice area | 0.717 | 0.598 | |
| 14. Mentor others to develop ethical practice behaviors | 0.626 | 0.649 | |
| 15. Address barriers to ethical practice through systems changes | 0.799 | 0.649 | |
| 16. Use preventative ethics to decrease unit level moral distress | 0.714 | 0.602 | |
| 17. Engage in health policy initiatives supporting social justice | 0.889 | 0.623 | |
| 18. Provide leadership at the unit, organizational, local, state and federal level for policy change initiatives to address social justice issues in health care | 0.852 | 0.613 | |
| Eigenvalue (rotated) | 8.71 | 1.77 | |
| % of explanatory variance (rotated) | 48.41 | 9.82 | |
| Kaiser–Meyer–Olkin | 0.931 | ||
| Bartlett’s (chi2; p) | 3407.27; p < 0.001 | ||
Notes: promax rotation, wording of items was shortened in favor of layout features, factor loading based on muster matrix.