护士道德勇气及其影响因素研究

doi:10.3761/j.issn.1672-9234.2022.08.013

摘要/Abstract

摘要：

目的了解护士道德勇气现状并分析其影响因素。方法 2020年5月—7月,便利选取在青岛市3所三级甲等综合性医院工作的1 094名护士,采用一般资料调查表、护士道德勇气量表、道德敏感性问卷-修订版、医院伦理氛围量表进行调查。结果 1 094名护士道德勇气得分为（71.04±12.92）分,护士道德敏感性得分为（34.82±7.49）分,护士感知的医院伦理氛围得分为（94.80±13.98）分。多元线性回归分析显示,科室（ICU-内科、急诊科-内科）、职称、聘用形式、工作年限、接受过医学伦理相关教育或培训、护士道德敏感性及护士感知的医院伦理氛围共解释护士道德勇气总变异的62.9%（F=155.336,P<0.001）。结论护士道德勇气处于中等偏上水平,护理管理者和教育者可以从护士道德勇气主要影响因素着手,培养护士的道德敏感性,改善医院伦理氛围,以进一步提高护士道德勇气水平。

关键词: 护士, 伦理学,护理, 问卷调查, 道德勇气, 道德敏感性, 医院伦理氛围

Abstract:

Objective To investigate the current status of nurses’ moral courage and its influencing factors. Methods From May to July 2020,a total of 1 094 nurses were recruited by convenience sampling from tertiary hospitals in Qingdao. The general information questionnaire,the Nurses’ Moral Courage Scale,the Revised Moral Sensitivity Questionnaire and the Hospital Ethical Climate Survey were used for the survey. Results The total score of nurses’ moral courage was（71.04±12.92）,the total score of nurses’ moral sensitivity was（34.82±7.49）,and the total score of nurses’ perception of hospital ethical climate was （94.80±13.98）. Multiple linear regression analysis showed that different departments（ICU and emergency department,while medical department as reference variable）,professional titles,employment forms,length of working,having medical ethics-related education or training,nurses’ moral sensitivity,and nurses’ perception of hospital ethical climate were associated with nurses’ moral courage,explaining 62.9% of the total variance（F=155.336,P<0.001）. Conclusion The moral courage of nurses is above average. Nursing managers and educators can focus on the influencing factors of nurses’ moral courage,cultivate nurses’ moral sensitivity,improve the ethical climate of the hospital,and further raise the level of nurses’ moral courage.

Key words: Nurses, Ethics,Nursing, Questionnaires, Moral courage, Moral sensitivity, Hospital ethical climate

王丝瑶,姜文彬,刘翠,尚全伟,杨海朋,张艳,魏丽丽. 护士道德勇气及其影响因素研究[J]. 中华护理教育, 2022, 19(8): 732-736.

WANG Siyao,JIANG Wenbin,LIU Cui,SHANG Quanwei,YANG Haipeng,ZHANG Yan,WEI Lili. The current status and influence factors of nurses’ moral courage[J]. Chinese Journal of Nursing Education, 2022, 19(8): 732-736.

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