{"title":"COVID-19大流行中死亡恐惧与护士道德表现的关系","authors":"Sahel Darderafshi , Arezou Karampourian , Salman Khazaei , Mahnaz Khatiban","doi":"10.1016/j.actpsy.2025.105126","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><div>One of the first groups involved in the COVID-19 pandemic were nurses who faced the fear of death. This study was conducted with the aim of determining the relationship between fear of death and nurses' moral performance in the COVID-19 pandemic in 2022.</div></div><div><h3>Method</h3><div>In this cross-sectional study, 275 nurses participated in the study. The combination of stratified and convenience sampling was used for choosing participants. The data were collected using a checklist of demographic information, the Robert Templer Death Anxiety Scale, and the Asahara Moral Performance Questionnaires. Data were analyzed using <em>t</em>-test, Pearson correlation and linear regression analysis using SPSS 22 software.</div></div><div><h3>Findings</h3><div>The study involved 275 nurses, revealing a mean age of 30.96 years, with a majority being female (63.27 %) and married (57.82 %). A significant proportion (73.45 %) had been affected by COVID-19. The findings indicated that fear of death scores were influenced by familial infection history, with nurses whose fathers had not been infected reporting higher scores (β = 0.93, <em>P</em> < 0.001). In contrast, nurses whose spouses had been infected showed lower fear scores (β = −0.48, <em>P</em> < 0.05). The work environment impacted fear levels, with nurses in emergency and intensive care units experiencing significantly lower fear than those in oncology (β = −2.63 and β = −2.5, respectively, <em>P</em> < 0.05). Moreover, moral performance scores increased with age (β = 0.36, P < 0.05) and were higher in nurses without a history of COVID-19 (β = 11.77, P < 0.05). Conversely, moral performance decreased with overtime hours worked (β = −0.1, P < 0.05). Notably, fear of death did not significantly correlate with moral performance during the pandemic (β = 0.08, <em>P</em> = 0.74).</div></div><div><h3>Conclusion</h3><div>In this study, despite facing the challenge of fear of death, nurses have tried to adhere to ethical principles, however, it is recommended to investigate other factors affecting the moral performance of nurses.</div></div>","PeriodicalId":7141,"journal":{"name":"Acta Psychologica","volume":"258 ","pages":"Article 105126"},"PeriodicalIF":2.7000,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The relationship between fear of death and nurses' moral performance in the COVID-19 pandemic\",\"authors\":\"Sahel Darderafshi , Arezou Karampourian , Salman Khazaei , Mahnaz Khatiban\",\"doi\":\"10.1016/j.actpsy.2025.105126\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Introduction</h3><div>One of the first groups involved in the COVID-19 pandemic were nurses who faced the fear of death. This study was conducted with the aim of determining the relationship between fear of death and nurses' moral performance in the COVID-19 pandemic in 2022.</div></div><div><h3>Method</h3><div>In this cross-sectional study, 275 nurses participated in the study. The combination of stratified and convenience sampling was used for choosing participants. The data were collected using a checklist of demographic information, the Robert Templer Death Anxiety Scale, and the Asahara Moral Performance Questionnaires. Data were analyzed using <em>t</em>-test, Pearson correlation and linear regression analysis using SPSS 22 software.</div></div><div><h3>Findings</h3><div>The study involved 275 nurses, revealing a mean age of 30.96 years, with a majority being female (63.27 %) and married (57.82 %). A significant proportion (73.45 %) had been affected by COVID-19. The findings indicated that fear of death scores were influenced by familial infection history, with nurses whose fathers had not been infected reporting higher scores (β = 0.93, <em>P</em> < 0.001). In contrast, nurses whose spouses had been infected showed lower fear scores (β = −0.48, <em>P</em> < 0.05). The work environment impacted fear levels, with nurses in emergency and intensive care units experiencing significantly lower fear than those in oncology (β = −2.63 and β = −2.5, respectively, <em>P</em> < 0.05). Moreover, moral performance scores increased with age (β = 0.36, P < 0.05) and were higher in nurses without a history of COVID-19 (β = 11.77, P < 0.05). Conversely, moral performance decreased with overtime hours worked (β = −0.1, P < 0.05). Notably, fear of death did not significantly correlate with moral performance during the pandemic (β = 0.08, <em>P</em> = 0.74).</div></div><div><h3>Conclusion</h3><div>In this study, despite facing the challenge of fear of death, nurses have tried to adhere to ethical principles, however, it is recommended to investigate other factors affecting the moral performance of nurses.</div></div>\",\"PeriodicalId\":7141,\"journal\":{\"name\":\"Acta Psychologica\",\"volume\":\"258 \",\"pages\":\"Article 105126\"},\"PeriodicalIF\":2.7000,\"publicationDate\":\"2025-06-11\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Acta Psychologica\",\"FirstCategoryId\":\"102\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0001691825004391\",\"RegionNum\":4,\"RegionCategory\":\"心理学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PSYCHOLOGY, EXPERIMENTAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Acta Psychologica","FirstCategoryId":"102","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0001691825004391","RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PSYCHOLOGY, EXPERIMENTAL","Score":null,"Total":0}
引用次数: 0
摘要
第一批参与COVID-19大流行的群体之一是面临死亡恐惧的护士。本研究旨在确定2022年COVID-19大流行中死亡恐惧与护士道德表现之间的关系。方法采用横断面研究方法,对275名护士进行调查。采用分层抽样和方便抽样相结合的方法选择研究对象。数据是通过人口统计信息清单、罗伯特·坦普勒死亡焦虑量表和麻原道德表现问卷收集的。采用SPSS 22软件对数据进行t检验、Pearson相关和线性回归分析。结果共纳入275名护士,平均年龄30.96岁,以女性(63.27%)、已婚(57.82%)居多。感染比例显著(73.45%)。结果显示,死亡恐惧得分受家族感染史的影响,父亲未感染的护士死亡恐惧得分较高(β = 0.93, P <;0.001)。相比之下,配偶被感染的护士表现出较低的恐惧得分(β = - 0.48, P <;0.05)。工作环境影响恐惧水平,急诊科和重症监护室护士的恐惧水平显著低于肿瘤科护士(分别为β = - 2.63和β = - 2.5)。0.05)。此外,道德表现得分随年龄增长而增加(β = 0.36, P <;0.05),无COVID-19病史的护士感染率更高(β = 11.77, P <;0.05)。相反,道德表现随着加班时间的增加而下降(β = - 0.1, P <;0.05)。值得注意的是,在大流行期间,对死亡的恐惧与道德表现没有显著相关(β = 0.08, P = 0.74)。结论在本研究中,尽管面临死亡恐惧的挑战,护士仍努力坚持道德原则,但建议调查影响护士道德表现的其他因素。
The relationship between fear of death and nurses' moral performance in the COVID-19 pandemic
Introduction
One of the first groups involved in the COVID-19 pandemic were nurses who faced the fear of death. This study was conducted with the aim of determining the relationship between fear of death and nurses' moral performance in the COVID-19 pandemic in 2022.
Method
In this cross-sectional study, 275 nurses participated in the study. The combination of stratified and convenience sampling was used for choosing participants. The data were collected using a checklist of demographic information, the Robert Templer Death Anxiety Scale, and the Asahara Moral Performance Questionnaires. Data were analyzed using t-test, Pearson correlation and linear regression analysis using SPSS 22 software.
Findings
The study involved 275 nurses, revealing a mean age of 30.96 years, with a majority being female (63.27 %) and married (57.82 %). A significant proportion (73.45 %) had been affected by COVID-19. The findings indicated that fear of death scores were influenced by familial infection history, with nurses whose fathers had not been infected reporting higher scores (β = 0.93, P < 0.001). In contrast, nurses whose spouses had been infected showed lower fear scores (β = −0.48, P < 0.05). The work environment impacted fear levels, with nurses in emergency and intensive care units experiencing significantly lower fear than those in oncology (β = −2.63 and β = −2.5, respectively, P < 0.05). Moreover, moral performance scores increased with age (β = 0.36, P < 0.05) and were higher in nurses without a history of COVID-19 (β = 11.77, P < 0.05). Conversely, moral performance decreased with overtime hours worked (β = −0.1, P < 0.05). Notably, fear of death did not significantly correlate with moral performance during the pandemic (β = 0.08, P = 0.74).
Conclusion
In this study, despite facing the challenge of fear of death, nurses have tried to adhere to ethical principles, however, it is recommended to investigate other factors affecting the moral performance of nurses.
期刊介绍:
Acta Psychologica publishes original articles and extended reviews on selected books in any area of experimental psychology. The focus of the Journal is on empirical studies and evaluative review articles that increase the theoretical understanding of human capabilities.