The effect of nurses' professional quality of life on attitudes toward organ donation: a structural equation modeling approach.

IF 3.9 2区 医学 Q1 NURSING
Gülay Turgay, Hüseyin Tolga Çağatay, Yüksel Demirel, Mustafa Gülşen
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Abstract

Objectives: This study aimed to examine the relationship between nurses' professional quality of life and their attitudes toward organ donation. Specifically, the research evaluated the effects of compassion satisfaction, burnout, and compassion fatigue on nurses' degree of humanity and moral convictions, fear of medical neglect, and fear of bodily mutilation related to organ donation.

Methods: A cross-sectional study was conducted among 696 nurses working in public and private hospitals in Ankara, Türkiye. The participants were selected via an online survey using a non-probability sampling approach. Data were collected consisting of three sections: a sociodemographic information form, the Professional Quality of Life Scale (ProQOL), and the Organ Donation Attitude Scale (ODAS). Structural equation modeling (SEM) was used to examine the hypothesized relationships.

Results: According to the structural equation modeling results, compassion satisfaction positively influenced humanity and moral conviction (β = 0.203; p < 0.001) and negatively influenced both fear of medical neglect (β=-0.287; p < 0.001) and fear of bodily mutilation (β=-0.167; p < 0.005). Burnout negatively affected humanity and moral conviction (β=-0.387; p < 0.001), positively affected fear of medical neglect (β = 0.280; p < 0.001), and had no significant effect on fear of bodily mutilation (β = 0.047; p > 0.005). Contrary to initial expectations, compassion fatigue showed unexpected associations: while it was hypothesized to negatively relate to humanity and moral conviction, it instead exhibited a positive effect (β = 0.154; p < 0.005), leading to the rejection of the corresponding hypothesis. Compassion fatigue also positively impacted fear of bodily mutilation (β = 0.545; p < 0.001), whereas its hypothesized positive impact on fear of medical neglect was not supported (β=-0.053; p > 0.005).

Conclusions: Nurses' professional quality of life significantly influences their attitudes toward organ donation. Enhancing compassion satisfaction and reducing burnout and compassion fatigue among nurses can foster positive attitudes and reduce fears regarding organ donation. However, limitations include the cross-sectional design, the single geographic scope, and reliance on self-report measures, which may affect generalizability. Further longitudinal research and intervention studies are recommended to validate these findings and develop effective strategies for improving organ donation attitudes among healthcare professionals.

护士职业生活质量对器官捐献态度的影响:结构方程建模方法。
目的:探讨护士职业生活质量与器官捐献态度的关系。具体而言,研究评估了同情满意度、倦怠和同情疲劳对护士的人性和道德信念程度、对医疗忽视的恐惧以及对器官捐赠相关的身体切割的恐惧的影响。方法:对土耳其安卡拉市公立和私立医院的696名护士进行横断面调查。参与者是通过使用非概率抽样方法的在线调查选择的。收集的数据包括三个部分:社会人口学信息表、职业生活质量量表(ProQOL)和器官捐赠态度量表(ODAS)。结构方程模型(SEM)被用来检验假设的关系。结果:结构方程模型结果显示,同情满意度正向影响人性和道德信念(β = 0.203; p = 0.005)。与最初的预期相反,同情疲劳显示出意想不到的关联:虽然假设它与人性和道德信念负相关,但它反而表现出积极的影响(β = 0.154; p 0.005)。结论:护士的职业生活质量显著影响其对器官捐献的态度。提高护士的同情满意度,减少护士的倦怠和同情疲劳,可以培养积极的态度,减少对器官捐赠的恐惧。然而,局限性包括横断面设计、单一地理范围和对自我报告测量的依赖,这可能会影响通用性。建议进一步的纵向研究和干预研究来验证这些发现,并制定有效的策略来改善医疗保健专业人员对器官捐赠的态度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
BMC Nursing
BMC Nursing Nursing-General Nursing
CiteScore
3.90
自引率
6.20%
发文量
317
审稿时长
30 weeks
期刊介绍: BMC Nursing is an open access, peer-reviewed journal that considers articles on all aspects of nursing research, training, education and practice.
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