Scand J Caring Sci. 2025 Sep;39(3):e70101. doi: 10.1111/scs.70101.
ABSTRACT
BACKGROUND: The Managerial Ethical Profile (MEP) scale was developed to measure the perceived impact of different elements of common ethical frameworks on managerial ethical decision-making.
AIM: To translate, culturally adapt and perform preliminary psychometric testing of the MEP scale in the Finnish health and social care sector.
DESIGN: The MEP scale was translated and culturally adapted according to the International Society for Pharmacoeconomics and Outcomes Research (ISPOR) protocol based on a cross-sectional online survey.
PARTICIPANTS: Finnish health and social care managers and experts.
ETHICAL CONSIDERATION: Research permits were obtained from all participating organisations in accordance with the organisations’ guidelines. Participation was voluntary and participants gave informed consent.
METHODS: Translation and cultural adaptation of the Finnish version of the MEP scale (MEP-Fin) was performed and perceived relevance and content validity were assessed. An online survey was distributed to homecare service managers in 2022, and a total of 68 managers participated. The data were analysed using descriptive statistics (means, standard deviations, Pearson’s correlation coefficients and Cronbach’s alphas).
RESULTS: The translation, cultural adaptation and preliminary psychometric testing process identified issues regarding the understanding of the MEP scale in the Finnish context. The MEP-Fin showed high overall content validity (S-CVI/Ave 0.91). The mean score for the comprehensibility of the scale was 8.4. Content validity was high for all individual items (I-CVI range: 0.56 to 1.00), except for one item (0.38). The Cronbach’s alphas for the eight subscales were between 0.51 and 0.93, and for the whole scale, 0.84.
CONCLUSIONS: The systematic translation and cultural adaptation process resulted in a conceptually equal MEP-Fin, which was perceived as thorough and relevant. It showed good coverage, content validity and internal consistency. Preliminary psychometric testing provided information on the characteristics of the MEP-Fin for validation. Further studies with larger data sets and different cultures are needed.
PMID:40887714 | DOI:10.1111/scs.70101
