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April 13, 2026BMC Medical Ethics0 citationsOpen Access

Validity and reliability of the Oxford Utilitarianism Scale among obstetricians and gynecologists

ATAyşe Figen TürkçaparUDUğur DoğanNBNüket Örnek Büken

Key Points

  • The study aims to evaluate the validity and reliability of the Turkish Oxford Utilitarianism Scale in an OB/GYN population.
  • Online survey with 194 obstetricians and gynecologists
  • Participants completed the Turkish version of the Oxford Utilitarianism Scale and a sociodemographic questionnaire
  • Construct validity assessed using confirmatory factor analysis
  • Reliability assessed with Cronbach’s alpha and item-total correlations
  • Measurement invariance analyses conducted by sex
  • CFA confirmed a two-dimensional structure of the scale: impartial beneficence and instrumental harm
  • Indications of high reliability based on internal consistency coefficients
  • Measurement invariance analyses showed similar properties across genders
  • The Turkish OUS demonstrated adequate construct validity and acceptable internal consistency

Abstract

Utilitarianism is a normative ethical theory that evaluates moral decisions based on their consequences, emphasizing the maximisation of overall well-being/outcomes for the greatest number. It serves as an important framework in clinical settings, where ethical dilemmas frequently arise. This study aimed to assess the validity and reliability of the Turkish version of the Oxford Utilitarianism Scale (OUS) among obstetricians and gynecologists (OB/GYNs). A total of 194 obstetricians and gynecologists participated in this online study and completed the OUS alongside a brief sociodemographic questionnaire. Construct validity was assessed using confirmatory factor analysis (CFA). Reliability was evaluated via internal consistency coefficients (Cronbach’s alpha) and corrected item–total correlations. Additionally, measurement invariance analyses by sex were performed. CFA confirmed a two-dimensional structure— impartial beneficence and instrumental harm—with good fit indices. High reliability was indicated by both internal consistency coefficients and corrected item-total correlations. The results of the measurement invariance analyses showed similar measurement properties across genders. The Turkish OUS demonstrated adequate construct validity and acceptable internal consistency in this OB/GYN sample. It can be used as a reliable and valid tool to support research, ethics education, and structured ethical reflection in obstetric practice.

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Cite This Study

Türkçapar et al. (2026) studied this question.

synapsesocial.com/papers/69dc89183afacbeac03eac87https://doi.org/10.1186/s12910-026-01457-9
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