title: Measuring value sensitivity in medicine.
abstract: Value sensitivity - the ability to recognize value-related issues when they arise in practice - is an indispensable competence for medical practitioners to enter decision-making processes related to ethical questions. However, the psychological competence of value sensitivity is seldom an explicit subject in the training of medical professionals. In this contribution, we outline the traditional concept of moral sensitivity in medicine and its revised form conceptualized as value sensitivity and we propose an instrument that measures value sensitivity.
  
  
  
  We developed an instrument for assessing the sensitivity for three value groups (moral-related values, values related to the principles of biomedical ethics, strategy-related values) in a four step procedure: 1) value identification (n = 317); 2) value representation (n = 317); 3) vignette construction and quality evaluation (n = 37); and 4) instrument validation by comparing nursing professionals with hospital managers (n = 48).
  
  
  
  We find that nursing professionals recognize and ascribe importance to principle-related issues more than professionals from hospital management. The latter are more likely to recognize and ascribe importance to strategy-related issues.
  
  
  
  These hypothesis-driven results demonstrate the discriminatory power of our newly developed instrument, which makes it useful not only for health care professionals in practice but for students and people working in the clinical context as well.
authors.affiliation: Institute of Biomedical Ethics and History of Medicine, University of Zurich, Winterthurerstrasse 30, 8006, Zurich, Switzerland. christian.ineichen@uzh.ch.
authors.forename: Christian
authors.initials: C
authors.lastname: Ineichen
authors.affiliation: Institute of Biomedical Ethics and History of Medicine, University of Zurich, Winterthurerstrasse 30, 8006, Zurich, Switzerland.|University Research Priority Program Ethics, Zollikerstrasse 117, 8008, Zurich, Switzerland.
authors.forename: Markus
authors.initials: M
authors.lastname: Christen
authors.affiliation: Leadership Excellence Institute Zeppelin, Zeppelin University, Am Seemooser Horn 20, 88045, Friedrichshafen, Germany.|Department of Banking and Finance, University of Zurich, Plattenstrasse 32, 8032, Zurich, Switzerland.
authors.forename: Carmen
authors.initials: C
authors.lastname: Tanner
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D026688:Bioethical Issues; D001675:Bioethics; D003657:Decision Making / Q000941:ethics*; D004993:Ethics, Nursing; D005260:Female; D006282:Health Personnel / Q000941:ethics* / Q000523:psychology; D006739:Hospital Administration / Q000941:ethics*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009726:Nurses; D028662:Principle-Based Ethics; D011361:Professional Competence; D021641:Recognition, Psychology; D011795:Surveys and Questionnaires
keywords: Ethical sensitivity; Medical ethics training; Moral competences; Moral sensitivity; Moral values; Value sensitivity