{"title":"一致性感能否缓冲日本精神科护士面临的道德困境的影响?横断面研究","authors":"Kazuko Hisadomi , Taisuke Togari","doi":"10.1016/j.apnu.2024.07.017","DOIUrl":null,"url":null,"abstract":"<div><p>Psychiatric nurses face moral dilemmas that affect their mental health. We investigated whether sense of coherence (SOC) buffers psychiatric nurses' perceived effects of moral dilemmas on their psychological distress. A total of 418 nursing professionals in 6 psychiatric hospitals in Japan completed self-administered questionnaires. A negative correlation was observed between “patient rights” (<em>r</em> = −0.24, <em>p</em> < 0.001), “relationships other than patient” (<em>r</em> = −0.28, <em>p</em> < 0.001), “nursing care” (<em>r</em> = −0.25, p < 0.001) of moral dilemmas and “manageability” of SOC. Additionally, a negative correlation was observed between “patient rights” (<em>r</em> = −0.22, <em>p</em> < 0.001), “relationships other than patient” (<em>r</em> = −0.21, p < 0.001) of moral dilemmas and “comprehensibility” of SOC.</p><p>Hierarchical multiple regression analysis used the Kessler Psychological Distress Scale-10 (K10), which assessed the degree of mental distress, as the dependent variable, and moral dilemmas and SOC as the independent variables, along with their interaction terms. The K10 scores significantly changed depending on the degree of moral dilemmas in the low SOC group, but not in the high SOC group. SOC buffers the effects of psychiatric nurses' perceived moral dilemmas on their psychological distress.</p></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"52 ","pages":"Pages 8-15"},"PeriodicalIF":2.2000,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Does sense of coherence buffer the effects of moral dilemmas faced by psychiatric nurses in Japan? A cross-sectional study\",\"authors\":\"Kazuko Hisadomi , Taisuke Togari\",\"doi\":\"10.1016/j.apnu.2024.07.017\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><p>Psychiatric nurses face moral dilemmas that affect their mental health. We investigated whether sense of coherence (SOC) buffers psychiatric nurses' perceived effects of moral dilemmas on their psychological distress. A total of 418 nursing professionals in 6 psychiatric hospitals in Japan completed self-administered questionnaires. A negative correlation was observed between “patient rights” (<em>r</em> = −0.24, <em>p</em> < 0.001), “relationships other than patient” (<em>r</em> = −0.28, <em>p</em> < 0.001), “nursing care” (<em>r</em> = −0.25, p < 0.001) of moral dilemmas and “manageability” of SOC. Additionally, a negative correlation was observed between “patient rights” (<em>r</em> = −0.22, <em>p</em> < 0.001), “relationships other than patient” (<em>r</em> = −0.21, p < 0.001) of moral dilemmas and “comprehensibility” of SOC.</p><p>Hierarchical multiple regression analysis used the Kessler Psychological Distress Scale-10 (K10), which assessed the degree of mental distress, as the dependent variable, and moral dilemmas and SOC as the independent variables, along with their interaction terms. The K10 scores significantly changed depending on the degree of moral dilemmas in the low SOC group, but not in the high SOC group. SOC buffers the effects of psychiatric nurses' perceived moral dilemmas on their psychological distress.</p></div>\",\"PeriodicalId\":55466,\"journal\":{\"name\":\"Archives of Psychiatric Nursing\",\"volume\":\"52 \",\"pages\":\"Pages 8-15\"},\"PeriodicalIF\":2.2000,\"publicationDate\":\"2024-07-09\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Archives of Psychiatric Nursing\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0883941724001511\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Archives of Psychiatric Nursing","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0883941724001511","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
Does sense of coherence buffer the effects of moral dilemmas faced by psychiatric nurses in Japan? A cross-sectional study
Psychiatric nurses face moral dilemmas that affect their mental health. We investigated whether sense of coherence (SOC) buffers psychiatric nurses' perceived effects of moral dilemmas on their psychological distress. A total of 418 nursing professionals in 6 psychiatric hospitals in Japan completed self-administered questionnaires. A negative correlation was observed between “patient rights” (r = −0.24, p < 0.001), “relationships other than patient” (r = −0.28, p < 0.001), “nursing care” (r = −0.25, p < 0.001) of moral dilemmas and “manageability” of SOC. Additionally, a negative correlation was observed between “patient rights” (r = −0.22, p < 0.001), “relationships other than patient” (r = −0.21, p < 0.001) of moral dilemmas and “comprehensibility” of SOC.
Hierarchical multiple regression analysis used the Kessler Psychological Distress Scale-10 (K10), which assessed the degree of mental distress, as the dependent variable, and moral dilemmas and SOC as the independent variables, along with their interaction terms. The K10 scores significantly changed depending on the degree of moral dilemmas in the low SOC group, but not in the high SOC group. SOC buffers the effects of psychiatric nurses' perceived moral dilemmas on their psychological distress.
期刊介绍:
Archives of Psychiatric Nursing disseminates original, peer-reviewed research that is of interest to psychiatric and mental health care nurses. The field is considered in its broadest perspective, including theory, practice and research applications related to all ages, special populations, settings, and interdisciplinary collaborations in both the public and private sectors. Through critical study, expositions, and review of practice, Archives of Psychiatric Nursing is a medium for clinical scholarship to provide theoretical linkages among diverse areas of practice.