2019冠状病毒病大流行期间急诊护士道德伤害与工作生活质量的关系调查

IF 2.3 4区医学 Q2 EMERGENCY MEDICINE

Journal of Emergency Nursing Pub Date : 2025-06-26 DOI:10.1016/j.jen.2025.03.012

Fahimeh Ghasemi Charati, Mohammad Ali Heidari Gorji PhD, Faeghe Keramat, Reza Ali Mohammadpour PhD, Vida Shafipour PhD

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引用次数: 0

摘要

导读：急诊科是一个工作压力大、压力源大的环境，伴随着各种道德问题和挑战。因此，本研究考察了道德伤害与护士工作生活质量之间的关系。方法：采用人口普查抽样的方法，对马赞达兰医科大学转诊医院急诊科的168名护士进行描述性相关研究。采用人口学问卷、道德伤害问卷（道德伤害症状量表-医护人员版）和Brooks护理工作生活质量量表收集数据，采用SPSS 25进行统计分析，采用Spearman等级相关系数、Mann-Whitney检验和Kruskal-Wallis检验进行描述性统计和推断性统计。结果：护理工作生活质量平均值为9.58±46.69，护理工作生活质量平均值为129.92±15.76。道德伤害与护士工作生活质量存在显著的间接关系（r = -0.433, p）。讨论：本研究发现，2019冠状病毒病大流行期间，道德伤害与护士工作生活质量存在显著的相关关系。随着道德伤害的增加，护士的工作生活质量下降。

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Surveying Association Between Moral Injury and Quality of Work Life of Emergency Nurses During the Coronavirus Disease 2019 Pandemic

Introduction

The emergency department is an environment with a high volume of workload pressure and stressors accompanied by various moral problems and challenges. Thus, the current research examined the association between moral injury and the quality of work life of the nurses.

Methods

In this descriptive-correlational study done in 2022, 168 nurses working in the emergency department of the referral hospitals of Mazandaran University of Medical Sciences participated via census sampling. The demographic questionnaire, moral injury questionnaire (Moral Injury Symptom Scale-Healthcare Professionals version), and Brooks’ Quality of Nursing Work Life scale were used to collect the data, which were analyzed by SPSS 25 and used descriptive and inferential statistics with Spearman’s rank correlation coefficient and Mann-Whitney and Kruskal-Wallis tests.

Results

The mean moral injury and the mean quality of nursing work life resulted as 9.58 ± 46.69 and 129.92 ± 15.76, respectively. Moral injury displayed a significant and indirect relationship with the quality of nursing work life (r = −0.433, P<0.05). In addition, moral injury was meaningfully associated with age, work record, work shift, job rank, and the number of patients (P = .05). The quality of work life was also significantly associated with gender, education, and marital status (P<.05).

Discussion

In the current study, a significant relationship was discovered between moral injury and the quality of work life of nurses during the coronavirus disease 2019 pandemic. As moral injury increases, the nurses’ quality of work life decreases.

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来源期刊

Journal of Emergency Nursing 医学-护理

CiteScore

3.10

自引率

11.80%

发文量

132

审稿时长

46 days

期刊介绍： The Journal of Emergency Nursing, the official journal of the Emergency Nurses Association (ENA), is committed to the dissemination of high quality, peer-reviewed manuscripts relevant to all areas of emergency nursing practice across the lifespan. Journal content includes clinical topics, integrative or systematic literature reviews, research, and practice improvement initiatives that provide emergency nurses globally with implications for translation of new knowledge into practice. The Journal also includes focused sections such as case studies, pharmacology/toxicology, injury prevention, trauma, triage, quality and safety, pediatrics and geriatrics. The Journal aims to mirror the goal of ENA to promote: community, governance and leadership, knowledge, quality and safety, and advocacy.