关键词: 重大传染病, 护理伦理, 伦理困境, 培训, 叙事教学

Abstract:

Objective To develop a training program for nurses to address ethical dilemmas during emergent major infectious disease（EMID） events and to explore its feasibility and effectiveness in application. Methods The training program was developed through qualitative interviews，collection of narrative materials，literature review，and Delphi method. From September to October 2024，55 nurses were recruited via convenience sampling from a tertiary Grade-A hospital in Shanghai to participate in the training. Training effectiveness was evaluated using the Nurse Ethical Dilemma Scale in EMID events，the Judgments About Nursing Decision，the Coping Style Questionnaire，and a satisfaction survey. Results Compared with the pre-training baseline，scores on the Ethical Dilemma Scale were significantly lower immediately after training and at the one-month follow-up（all P<0.05）. Conversely，total scores for nursing ethical decision-making ability and the positive coping dimension of the Coping Style Questionnaire significantly increased（all P<0.05）. The training satisfaction survey showed that satisfaction rates for all 10 indicators exceeded 92%，with a mean participant satisfaction score of 92.00±6.50. Conclusion The training program demonstrated good feasibility and high acceptability. Implementation of this program effectively enhanced nurses’ ethical decision-making abilities and promoted positive coping strategies in EMID events.

Key words: Major Infectious Disease, Nursing Ethics, Ethical Dilemma, Training, Narrative Teaching