ICU护士道德脱离现状及影响因素分析。

IF 3 1区 哲学 Q1 ETHICS
Juanfeng He, Yalin Zhang, Fang Zhang, Xue Yang, Xi Zhang
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引用次数: 0

摘要

目的:道德脱离会导致企业员工的反社会行为。在医疗保健领域,道德脱离可能导致护士做出不道德的决定和行为,从而损害患者的健康。因此,本文将研究影响ICU护士道德脱离的因素,以期有助于降低护士道德脱离的水平。方法:选取河南省、湖北省二级及以上综合医院的ICU护士为调查对象,调查时间为2024年1月~ 2025年1月。采用一般信息问卷、道德推脱量表、道德弹性量表和道德推脱能量量表进行问卷调查,采用多元线性逐步回归分析ICU护士道德推脱的影响因素。结果:305名ICU护士道德脱离量表得分(91.40±34.37)分。多元线性逐步回归分析结果显示,不论是否接受过道德操守培训,ICU护士的道德脱离程度均为中高,可针对高危人群开展个体化干预,降低道德脱离程度,提高道德决策水平,维护患者权益。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Analysis of the current situation of ICU nurses' moral disengagement and influencing factors.

Purpose: Moral disengagement can lead to anti-social behaviour by employees in business. In the healthcare field, moral disengagement can lead nurses to make unethical decisions and behaviours that can harm patient well-being. Therefore, this paper will examine the factors influencing moral disengagement among ICU nurses with the aim of contributing to the reduction of the level of moral disengagement among nurses.

Methods: Between January 2024 and January 2025, ICU nurses from second-level and above general hospitals in Henan and Hubei, China, were selected as survey respondents. The questionnaire survey was conducted using a general information questionnaire, a moral disengagement scale, a moral resilience scale, and a moral disengagement energy scale, and multiple linear stepwise regression was used to analyze the influencing factors of ICU nurses' moral disengagement.

Results: 305 ICU nurses scored (91.40 ± 34.37) on the Moral Disengagement Scale. The multiple linear stepwise regression analysis results showed that years of working experience, whether or not they had received ethics training(16.219 p < 0.001), ears of experience (-7.673, p = 0.018), moral resilience(-18.452,p < 0.001), and moral distress (5.523,p < 0.001) were the influencing factors of moral disengagement among ICU nurses (p < 0.05). The adjusted R2 = 0.499,which explains 49.9% of the total variation, suggests that the model explains the influences of moral disengagement well.

Conclusion: The moral disengagement of ICU nurses is moderately high, and individualized interventions can be carried out for high-risk groups to reduce this level and improve ethical decision-making to protect patient's rights and interests.

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来源期刊
BMC Medical Ethics
BMC Medical Ethics MEDICAL ETHICS-
CiteScore
5.20
自引率
7.40%
发文量
108
审稿时长
>12 weeks
期刊介绍: BMC Medical Ethics is an open access journal publishing original peer-reviewed research articles in relation to the ethical aspects of biomedical research and clinical practice, including professional choices and conduct, medical technologies, healthcare systems and health policies.
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