Moral sensitivity questionnaire (msq): Turkish adaptation of the validity and reliability

  • Hale Tosun University of Health Sciences Faculty of Health Sciences Department of Midwifery, Istanbul
Keywords: Moral Sensitivity Questionnaire, Ethics Sensitivity, Validity, Reliability, Scale Adaptation


Aim: The research was carried out in a methodological design with the aim of determining that the validity and reliability of the Moral Sensitivity Questionnaire (MSQ).

Materials and Methods: The universe of the research population constituted from physicians and nurses working in the surgery, intensive care and reanimation, psychiatry, oncology and hematology departments of two universities and 10 public hospitals located within the provincial borders of Istanbul. Since the validity and reliability study data cannot be generalized to a universe, the general and working universe cannot be determined. However, the analyzes should be done on a sufficient number of individuals. For this reason, a total of 180 physicians (n = 90) and nurses (n = 90) who accepted to participate in the study formed the sample group. The data were obtained by using the "Individual Information Form" and the “Moral Sensitivity Questionnaire (MSQ)” developed by Lutzen, Johansson and Nardström. The Moral Sensitivity Questionnaire consists of 30 items and 6 sub-dimensions (Autonomy, Providing Benefit, Holistic Approach, Conflict, Application, Orientation). The Moral Sensitivity Questionnaire that is a Likert-type scale is rated between 1 point (fully agree) and 7 point (I do not agree at all). One point indicates high sensitivity and 7 points indicate low sensitivity. The lowest score of the scale is 30 while the highest score is 210.


Language equivalence and cultural adaptation of ADA made with back translation method. Consultation with a specialist  method was used to ensure content validity. Intermittent method was used for evaluating of time invariance with test-retest analysis. A total of 180 healthcare workers, 90 physicians and 90 nurses, were treated twice with 3 weeks intervals. In order to determine the internal consistency of ADA, the Cronbach's alpha value was found to be 0.81-0.83 in the first application and 0.83-0.84 in the second, and the total value was 0.84. The ADA's item total score correlation was found to be 0.09-0.61 in the first application (r 1) and 0.04-0.57 according to the sub-dimensions of the questionnaire (r 2); In the second application, it was determined as 0.09-0.61 according to the questionnaire and between 0.01-0.55 according to the sub-dimensions. Test-retest correlation coefficient was found to be between 0.81-0.99.

Conclusion: The Moral Sensitivity Questionnaire, consisting of six sub-dimensions of 30 items adapted to Turkish, is a tool that can be used to determine the ethical sensitivity in physicians and nurses, providing adequate validity and reliability in terms of its adaptation to Turkish culture.

How to Cite
Tosun, H. (2018). Moral sensitivity questionnaire (msq): Turkish adaptation of the validity and reliability . Journal of Contemporary Medicine, 8(4), 316-321. Retrieved from