Correlations between moral courage scores and social desirability scores among medical residents and fellows in Argentina

다국어 초록 (Multilingual Abstract)

Purpose: Moral courage refers to the conviction to take action on one’s ethical beliefs despite the risk of adverse consequences. Thisstudy aimed to evaluate correlations between social desirability scores and moral courage scores among medical residents and fellows,and to explore gender- and specialty-based differences in moral courage scores.
Methods: In April 2018, the Moral Courage Scale for Physicians (MCSP), the Professional Moral Courage (PMC) scale and the Marlowe-Crowne scale to measure social desirability were administered to 87 medical residents from Hospital Alemán in Buenos Aires, Argentina.
Results: The Cronbach α coefficients were 0.78, 0.74, and 0.81 for the Marlowe-Crowne, MCSP, and PMC scales, respectively. Correlation analysis showed that moral courage scores were weakly correlated with social desirability scores, while both moral couragescales were strongly correlated with each other. Physicians who were training in a surgical specialty showed lower moral courage scoresthan nonsurgical specialty trainees, and men from any specialty tended to have lower moral courage scores than women. Specifically, individuals training in surgical specialties ranked lower on assessments of the “multiple values,” “endurance of threats,” and “going beyondcompliance” dimensions of the PMC scale. Men tended to rank lower than women on the “multiple values,” “moral goals,” and “endurance of threats” dimensions.
Conclusion: There was a poor correlation between 2 validated moral courage scores and social desirability scores among medical residents and fellows in Argentina. Conversely, both moral courage tools showed a close correlation and concordance, suggesting that thesescales are reasonably interchangeable.

참고문헌 (Reference)

1 Enrico Perinelli, "Use of Social Desirability Scales in Clinical Psychology: A Systematic Review" Wiley 72 (72): 534-551, 2016

2 Matt C. Howard, "The Creation of the Workplace Social Courage Scale (WSCS): An Investigation of Internal Consistency, Psychometric Properties, Validity, and Utility" Springer Science and Business Media LLC 32 (32): 673-690, 2017

3 Alexander Vu, "Reliability of the Marlowe-Crowne social desirability scale in Ethiopia, Kenya, Mozambique, and Uganda" Springer Science and Business Media LLC 11 (11): 2011

4 William Martinez, "Measuring Moral Courage for Interns and Residents" Ovid Technologies (Wolters Kluwer Health) 91 (91): 1431-1438, 2016

5 Sara Gutiérrez, "La Escala de Deseabilidad Social de Marlowe-Crowne: baremos para la población general española y desarrollo de una versión breve" Servicio de Publicaciones de la Universidad de Murcia 32 (32): 206-, 2015

6 Sean T. Hannah, "Joint influences of individual and work unit abusive supervision on ethical intentions and behaviors: A moderated mediation model." American Psychological Association (APA) 98 (98): 579-592, 2013

7 Van de Mortel TF, "Faking it: social desirability response bias in self-report research" 25 : 40-48, 2008

8 Leslie E. Sekerka, "Facing Ethical Challenges in the Workplace: Conceptualizing and Measuring Professional Moral Courage" Springer Science and Business Media LLC 89 (89): 565-579, 2009

9 Gilles E. Gignac, "Effect size guidelines for individual differences researchers" Elsevier BV 102 : 74-78, 2016

10 M. McCartney, "Courage is treating patients with Ebola" BMJ 349 (349): g4987-g4987, 2014

11 Wessa P, "Bagplot (v1.0.3) in Free Statistics Software (v1.2.1)" Office for Research Development and Education

12 Ferrando PJ, "A Spanish version of the Marlowe and Crowne’s social desirability scale" 12 : 383-389, 2000