Kim Kyunghee, Han Yonghee, Kim Ji-su
Chung-Ang University, Republic of Korea.
Hallym Polytechnic University, Republic of Korea.
Nurs Ethics. 2015 Jun;22(4):467-78. doi: 10.1177/0969733014538892. Epub 2014 Jun 24.
In the changing medical environment, professional stress continuously increases as the individual's quality of life suffers. Of all the healthcare professions, nursing is especially prone to burnout, compassion fatigue and reduced compassion satisfaction, due to the tensions resulting from the physical and psychological stress of caring for extremely ill patients.
This study examined the professional quality of life of clinical nurses in Korea and the relationship between their experiences in ethical dilemmas and professional values.
This was a cross-sectional study of a convenience sample consisting of 488 clinical nurses. We used four questionnaires to measure the participants' demographic characteristics, experiences in ethical dilemmas, professional nursing values and professional quality of life (ProQOL assessment, Version 5). Ethical considerations: This study received approval from the Institutional Review Board of Bronco Memorial Hospital. Written informed consent was given by all participants.
The nurses' professional quality of life was affected by ethical dilemmas and professional nursing values. The factors influencing compassion satisfaction were age, client domain of ethical dilemmas, social awareness, professionalism of nursing and the roles of nursing services in professional values. The factors influencing burnout were marital status (married), religion (yes), human life domain, professional work domain of ethical dilemmas, social awareness and the role of nursing services in nursing professional values. The factors influencing secondary traumatic stress were human life domain, client domain and the professional work domain of ethical dilemmas.
Intervention to help nurses increase their professional quality of life will have a greater chance of success if they are based on the nurses' values and beliefs about the ethical dilemmas they face and foster the establishment of positive professional values.
在不断变化的医疗环境中，随着个人生活质量下降，职业压力持续增加。在所有医疗职业中，由于照顾重症患者所带来的身体和心理压力导致的紧张情绪，护理工作尤其容易出现职业倦怠、同情疲劳和同情满意度降低的情况。
本研究调查了韩国临床护士的职业生活质量，以及她们在伦理困境中的经历与职业价值观之间的关系。
这是一项横断面研究，采用便利抽样法，共纳入488名临床护士。我们使用四份问卷来测量参与者的人口统计学特征、伦理困境经历、专业护理价值观和职业生活质量（ProQOL评估，第5版）。伦理考量：本研究获得了野马纪念医院机构审查委员会的批准。所有参与者均签署了书面知情同意书。
护士的职业生活质量受到伦理困境和专业护理价值观的影响。影响同情满意度的因素包括年龄、伦理困境的客户领域、社会意识、护理专业性以及护理服务在职业价值观中的作用。影响职业倦怠的因素包括婚姻状况（已婚）、宗教信仰（有）、人类生命领域、伦理困境的专业工作领域、社会意识以及护理服务在护理职业价值观中的作用。影响继发性创伤压力的因素包括人类生命领域、客户领域和伦理困境的专业工作领域。
如果基于护士对其所面临伦理困境的价值观和信念，并促进积极职业价值观的建立，那么帮助护士提高职业生活质量的干预措施将更有可能取得成功。
