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Table 2 Items included in the Swedish HECS-S in addition to the 14 items from the HECS-S

From: Translating and culturally adapting the shortened version of the Hospital Ethical Climate Survey (HECS-S) – retaining or modifying validated instruments

Origin of the items

Added items

Original HECS / Swedish HECS

Physicians ask registered nurses (RN) about their opinion regarding treatment decisions.

Modified Swedish HECS

RN and nursing assistants (NA) trust one another.

RN and NA respect each other’s opinions even when they disagree about what is best for the patients.

RN ask NA about their opinions regarding care decisions.

The parents’ wishes are considered.

New items

Ethical issues are identified on my unit

On my unit we talk about different ways of dealing with ethical issues