收稿日期: 2023-05-24
网络出版日期: 2024-02-22
基金资助
教学部产学合作协同育人项目(220505634262423)
The current status and influencing factors of ethical sensitivity of nursing students
目的 了解护理专业学生的伦理敏感性现状及其影响因素，以期为医学院校护理专业学生伦理教育的完善和发展提供参考。方法 2023年2月—4月，采用一般资料调查表、中文版护理专业学生伦理敏感性问卷、中文版杰弗逊共情量表和中文版组织关怀氛围问卷对525名护理专业学生进行问卷调查。结果 525名护理专业学生伦理敏感性得分为（33.98±6.02）分，接受护理道德伦理相关课程培训时长、对护理道德伦理知识的熟悉程度、擅长与他人交流沟通、共情能力和组织关怀氛围为护理专业学生伦理敏感性的影响因素（均P<0.05），可解释护理专业学生伦理敏感性31.0%的变异度。结论 护理专业学生的伦理敏感性有待提高，高校应有针对性地制订相关课程及培训方案，以提高其伦理敏感性。
包彬 , 曹梅娟 , 贺鑫 , 谢纯琦 , 李强 . 护理专业学生伦理敏感性与影响因素研究[J]. 中华护理教育, 2024 , 21(2) : 183 -188 . DOI: 10.3761/j.issn.1672-9234.2024.02.010
Objective To investigate the ethical sensitivity of nursing students and analyze its influencing factors，in order to provide reference for the improvement and development of ethical education of nursing students in medical schools. Methods From February to April 2023，525 nursing students were surveyed using the general information questionnaire，Chinese version of the Ethical Sensitivity Questionnaire for Nursing Students，Chinese version of the Jefferson Scale of Empathy-Health Professionals and Chinese version of the Organizational Climate for Caring Questionnaire. Results The overall score of the ethical sensitivity level of 525 nursing students was （33.98±6.02），and the training time of nursing ethics related courses，familiarity with nursing ethics knowledge，communication skills，empathy ability and organizational care atmosphere were proved to be the influencing factors of nursing students’ ethical sensitivity（all P<0.05），which could explain 31.0% of the total variation in nursing students’ ethical sensitivity. Conclusion The ethical sensitivity of nursing students needs to be improved，and colleges and universities should formulate relevant courses and training programs to enhance their ethical sensitivity.
| [1] | 王丝瑶, 姜文彬, 刘翠, 等. 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. |
| [1] | Wang SY, Jiang WB, Liu C, et al. The current status and influence factors of nurses’ moral courage[J]. Chin J Nurs Educ, 2022, 19(8):732-736. |
| [2] | 徐晨子, 熊莉娟. 护士道德敏感性的研究进展[J]. 护理学杂志, 2021, 36(14):110-113. |
| [3] | 胡娟, 杨敏. 护理专业学生伦理敏感性的研究进展[J]. 护理学杂志, 2023, 38(5):117-120. |
| [3] | Hu J, Yang M. Research progress on nursing students’ ethical sensitivity[J]. J Nurs Sci, 2023, 38(5):117-120. |
| [4] | Yasin JCM, Barlem ELD, Barlem JGT, et al. The ethical dimension of problems faced in general medicine:relationship with moral sensitivity[J]. Rev Lat Am Enfermagem, 2020, 28:e3309. |
| [5] | 吴炜炜, 潘燕鸿, 李海森, 等. 护理本科生反思洞察力与共情能力的相关性研究[J]. 中华护理教育, 2023, 20(3):289-293. |
| [5] | Wu WW, Pan YH, Li HS, et al. The correlation between self-reflection and insight ability and empathy of undergraduate nursing students[J]. Chin J Nurs Educ, 2023, 20(3):289-293. |
| [6] | 李姗姗, 周丹, 赵林, 等. 情绪智力在本科实习护生感知组织关怀氛围与人文关怀间的中介效应[J]. 护理学报, 2021, 28(11):46-50. |
| [6] | Li SS, Zhou D, Zhao L, et al. The mediating effect of emotional intelligence on undergraduates’ perception of organizational care atmosphere and humanistic care[J]. J Nurs(China), 2021, 28(11):46-50. |
| [7] | Kochanska G, Koenig JL, Barry RA, et al. Children’s conscience during toddler and preschool years,moral self,and a competent,adaptive developmental trajectory[J]. Dev Psychol, 2010, 46(5):1320-1332. |
| [8] | Narvaez D. The neo-Kohlbergian tradition and beyond:schemas,expertise,and character[J]. Nebr Symp Motiv, 2005, 51:119-163. |
| [9] | 倪平, 陈京立, 刘娜. 护理研究中量性研究的样本量估计[J]. 中华护理杂志, 2010, 45(4):378-380. |
| [9] | Ni P, Chen JL, Liu N. The sample size estimation in quantitative nursing research[J]. Chin J Nurs, 2010, 45(4):378-380. |
| [10] | Muramatsu T, Nakamura M, Okada E, et al. The development and validation of the Ethical Sensitivity Questionnaire for Nursing Students[J]. BMC Med Educ, 2019, 19(1):215. |
| [11] | Yu HT, Tong T, Gao Y, et al. Reliability and validity evaluation of the Chinese version of the Ethical Sensitivity Questionnaire for Nursing Students[J]. BMC Nurs, 2021, 20(1):244. |
| [12] | Hojat M, Gonnella JS, Nasca TJ, et al. Physician empathy:definition,components,measurement,and relationship to gender and specialty[J]. Am J Psychiatry, 2002, 159(9):1563-1569. |
| [13] | 安秀琴. 杰弗逊共情量表(JSE-HP)在护士中的应用研究[D]. 太原: 山西医科大学, 2008. |
| [14] | 陈瑜. 护理专业大学生人文关怀能力的现况调查与干预研究[D]. 广州: 南方医科大学, 2017. |
| [15] | 夏艺萍, 肖艳梅. 我国护理伦理学教育现状与教学体系构建的探讨[J]. 中国医学伦理学, 2018, 31(7):894-897. |
| [16] | 张娜, 武向鹏, 李精精, 等. 组织伦理氛围对护士服务行为的跨层次影响:道德敏感性的中介作用[J]. 中国临床心理学杂志, 2016, 24(6):1112-1115. |
| [16] | Zhang N, Wu XP, Li JJ, et al. Ethical climate and service behaviors in nurses:the mediating role of ethical sensitivity[J]. Chin J Clin Psychol, 2016, 24(6):1112-1115. |
| [17] | 陈雪蕾, 黄菲菲, 李芳, 等. 三甲医院护士伦理敏感性与职业获益感的相关性分析[J]. 护理学杂志, 2019, 34(21):89-91. |
| [18] | Uncu F, Güne? D. The importance of moral sensitivity in nursing education:a comparative study[J]. Nurs Forum, 2021, 56(3):635-639. |
| [19] | Hakbilen HG, Ince S, Levent Ozgonul M. Ethical sensitivity of nursing students during a 4-year nursing curriculum in Turkey[J]. J Acad Ethics, 2023, 21(1):41-51. |
| [20] | Bilgi? ?. Does the compassion level of nursing students affect their ethical sensitivity?[J]. Nurse Educ Today, 2022, 109:105228. |
| [21] | Decety J, Cowell JM. The complexrelation between morality and empathy[J]. Trends Cogn Sci, 2014, 18(7):337-339. |
| [22] | 杜军. 家庭环境质量对幼儿道德敏感性发展的影响:共情的中介作用[J]. 中国健康心理学杂志, 2023, 31(1):103-110. |
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