The Japanese version of the European Moral Case Deliberation Outcomes Instrument (Euro-MCD 2.0): Validation and score distribution among nurses, doctors, and other healthcare providers—A cross-sectional study
, trainees) or directly involved with patients and their families in clinical practice were excluded. Items in the moral action domain had elevated 'I don't know' response rates, whereas Moral Competence items showed higher agreement. The three-factor model demonstrated acceptable fit, although discriminant validity between moral teamwork and moral action was limited. Healthcare providers with more years of experience scored higher across all subscales. The Japanese Euro-MCD 2.0 demonstrated acceptable validity and reliability, supporting its use in future evaluations in Japan.
Authors
- Eriko Satomi (ORCID: https://orcid.org/0000-0003-1516-2849)
- Chikako Shimizu (ORCID: https://orcid.org/0000-0003-1448-5865)
- Kuniko AIZAWA
- Fumie Arie
- Kaoru Ashida (ORCID: https://orcid.org/0000-0001-5618-8928)
- Mari WAKINOSONO
- Kyoko Tanaka (ORCID: https://orcid.org/0000-0002-2418-3580)
- Tetsuharu Kawashima (ORCID: https://orcid.org/0000-0002-2835-958X)
- Makoto Tanaka (ORCID: https://orcid.org/0000-0002-1826-3111)
- Akiko Higuchi
- Emi Kubo
- Asuko Sekimoto
Institutions
- Fujita Health University (JP)
- Kanto Gakuin University (JP)
- Juntendo University (JP)
- National Cancer Centre Japan (JP)
- National Center for Global Health and Medicine (JP)
- National Center of Neurology and Psychiatry (JP)
- National Cerebral and Cardiovascular Center (JP)
- Institute Of Psychomedical Education For Children And Adults (JP)
- National Cancer Center Hospital East (JP)
- National Center for Geriatrics and Gerontology (JP)
Publication Details
- Journal
- Global Health & Medicine
- Published
- 2026-04-14
- DOI
- https://doi.org/10.35772/ghm.2026.01010
- Primary Topic
- Ethics in medical practice
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Japan Society for the Promotion of Science