316名儿科护士道德复原力现状及影响因素分析

doi:10.16460/j.issn1008-9969.2024.12.059

摘要/Abstract

摘要： 目的调查儿科护士道德复原力现状,并分析其影响因素。方法采用便利抽样的方法,于2023年5—6月选取北京市7所三级医院的316名儿科护士作为研究对象。采用一般资料调查表,拉什顿道德复原力量表,护士道德勇气量表,自我效能量表,医院伦理氛围量表对其进行调查。采用多重线性回归分析探讨儿科护士道德复原力的影响因素。结果本组儿科护士道德复原力总分为（48.18±6.39）分;多重线性回归分析的结果显示,性别、职称、科室、自我效能和医院伦理氛围进入回归方程（P<0.05）,共解释总变异的22.1%。结论本组儿科护士道德复原力处于中等偏上水平,性别、职称、科室、自我效能和医院伦理氛围是儿科护士道德复原力的主要影响因素。护理管理者应针对性的开展道德实践与应对的培训学习,关注重点人群,通过提高护士自我效能感及营造良好的医院伦理氛围来帮助其提高道德复原力水平。

关键词: 儿科, 护士, 道德复原力, 自我效能, 道德勇气, 医院伦理氛围

Abstract: Objective To investigate the current status of moral resilience of pediatric nurses, and analyze its influencing factors. Methods A total of 316 pediatric nurses from 7 tertiary grade-A hospitals in Beijing were selected as the research subjects from May to June 2023, and they were investigated by a General Information Questionnaire, Rushton Moral Resilience Scale, Moral Courage Scale, Self-efficacy Scale and Hospital Ethical Climate Scale. Multiple linear regression analysis was used to explore the influencing factors of moral resilience of pediatric nurses. Results The average total score of moral resilience of pediatric nurses was48.18±6.39. Multiple linear regression analysis showed that sex, professional title, department, self-efficacy and hospital ethical atmosphere were the influencing factors of moral resilience (P<0.05), accounting for 22.1% of the total variables. Conclusion Moral resilience of pediatric nurses is above the average level, which is mainly affected by sex, professional title, department, self-efficacy and hospital ethical climate. It is suggested that nurse managers should carry out targeted training and learning on moral practice and coping strategies, and pay more attention to specific groups. To improve the moral resilience of pediatric nurses, enhancing their self-efficacy and fostering a positive ethical atmosphere in the hospital should be considered.

Key words: pediatric department, nurses, moral resilience, self-efficacy, moral courage, hospital ethical climate

中图分类号:

R473.72

. 316名儿科护士道德复原力现状及影响因素分析[J]. 护理学报, 2024, 31(12): 59-64.

LI Dao-xing, ZUO Li, YANG Jie, TIAN Yu-fei, LIU Yu-an. Current status of moral resilience and its influencing factors in pediatric nurses: a 316-case study[J]. Journal of Nursing, 2024, 31(12): 59-64.

参考文献

[1] 朱佳楠. 修订版儿科护士道德困扰量表汉化及质量的研究[D].北京:北京协和医学院,2021.DOI:10.27648/d.cnki.gzxhu.2020.000732.
[2] 郑迎,沈丽佳,裘妃,等.儿科专科护士道德困境影响因素及应对方式的质性研究[J]. 中华急危重症护理杂志, 2023,4(7):594-600. DOI:10.3761/j.issn.2096-7446.2023.07.003.
[3] 徐红贞,刘柯显,金婷,等.患儿自主权的伦理思考[J].中华急危重症护理杂志,2021,2(3):269-272.DOI:10.3761/j.issn.2096-7446.2021.03.014.
[4] 杨青青,郑智慧,庞书勤,等.拉什顿道德复原力量表的汉化及在医务人员中的信效度检验[J]. 护理学杂志, 2022,37(15):8-11.DOI:10.3870/j.issn.1001-4152.2022.15.008.
[5] Berdida DJE.The mediating roles of moral courage and moral resilience between nurses’ moral distress and moral injury: an online cross-sectional study[J]. Nurse Educ Pract,2023,71:103730. DOI:10.1016/j.nepr.2023.103730.
[6] Shahrour G, Dardas LA.Acute stress disorder, coping self-efficacy and subsequent psychological distress among nurses amid COVID-19[J]. J Nurs Manag, 2020,28(7):1686-1695. DOI:10.1111/jonm.13124.
[7] Molero Jurado MDM, Pérez-Fuentes MDC, Oropesa Ruiz NF,et al.Self-efficacy and emotional intelligence as predictors of perceived stress in nursing professionals[J]. Medicina(Kaunas), 2019,55(6):237.DOI:10.3390/medicina55060237.
[8] Stutzer K, Rodriguez AM.Moral resilience for critical care nurses[J]. Crit Care Nurs Clin North Am, 2020,32(3):383-393. DOI:10.1016/j.cnc.2020.05.002.
[9] 王丽梅,李露,喻鹏,等.237名护理硕士研究生医学叙事能力现状及影响因素分析[J].护理学报, 2023, 30(17):1-4.DOI:10.16460/j.issn1008-9969.2023.17.001.
[10] Heinze KE, Hanson G, Holtz H, et al.Measuring health care interprofessionals’ moral resilience: validation of the Rushton Moral Resilience Scale[J]. J Palliat Med, 2021,24(6):865-872. DOI:10.1089/jpm.2020.0328.
[11] Numminen O, Katajisto J, Leino-Kilpi H.Development and validation of Nurses’ Moral Courage Scale[J]. Nurs Ethics, 2019, 26(7-8):2438-2455.DOI:10.1177/0969733018791325.
[12] 王丝瑶, 魏丽丽, 张艳,等. 护士道德勇气量表的汉化及信效度检验[J]. 护理学杂志, 2019,34(21):92-95. DOI:10.3870/j.issn.1001-4152.2019.21.092.
[13] 王才康,胡中锋,刘勇.一般自我效能感量表的信度和效度研究[J].应用心理学,2001(1):37-40. DOI:10.3969/j.issn.1006-6020.2001.01.007.
[14] 张一铭,谢安慰,景秀琛, 等.儿科护士与患儿父母伙伴关系现状及影响因素研究[J].护理管理杂志, 2023,23(6):459-463.DOI:10.3969/j.issn.1671-315x.2023.06.010.
[15] Olson LL.Hospital nurses’ perceptions of the ethical climate of their work setting[J]. Image J Nurs Sch,1998,30(4):345-349. DOI: 10.1111/j.1547-5069.
[16] 王璐. 医院伦理氛围量表的汉化及其应用研究[D].郑州:郑州大学,2018.
[17] Li F, Zhong J, He Z.Moral distress, moral resilience, and job embeddedness among pediatric nurses[J]. Nurs Ethics, 2023, 21:9697330231218347.DOI:10.1177/09697330231218347.
[18] Spilg EG, Rushton CH, Phillips JL, et al.The new frontline: exploring the links between moral distress, moral resilience and mental health in healthcare workers during the COVID-19 pandemic[J]. BMC Psychiatry, 2022,22(1):19. DOI:10.1186/s12888-021-03637-w.
[19] Sala Defilippis TML, Curtis K, Gallagher A.Moral resilience through harmonised connectedness in intensive care nursing: a grounded theory study[J]. Intensive Crit Care Nurs, 2020,57:102785. DOI:10.1016/j.iccn.2019.102785.
[20] Zhang J, Wang X, Xu T, et al.The effect of resilience and self-efficacy on nurses’ compassion fatigue: a cross-sectional study[J]. J Adv Nurs, 2022,78(7):2030-2041. DOI: 10.1111/jan.15113.
[21] Yang Q, Zheng Z, Ge L,et al.The impact of resilience on clinical nurses’ moral courage during COVID-19: A moderated mediation model of ethical climate and moral distress[J].Int Nurs Rev,2023,70(4):518-526.DOI:10.1111/inr.12871.
[22] Schroeter K.Ethics in practice: from moral distress to moral resilience[J]. J Trauma Nurs,2017,24(5):290-291.DOI:10.1097/JTN.0000000000000317.

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