Monroe Heidi A
Seattle Pacific University, Seattle, Washington.
J Clin Nurs. 2019 May;28(9-10):2009-2019. doi: 10.1111/jocn.14806. Epub 2019 Feb 20.
To measure the professional values of registered nurses and determine whether these values are significantly related to postlicensure ethics education and years of experience.
Nursing guilds in many countries reference the American Nurses Association's code of ethics to define expected professional nursing values. Strong professional values contribute to high-quality patient care and are influenced by complex practice environments.
Causal-comparative design.
A convenience sample of actively licensed registered nurses in Washington State, United States of America, participated in an electronically administered survey (N = 2,439). Analyses were conducted using descriptive statistics, analysis of variance and correlation. Reporting utilised the STROBE checklist.
Results suggested values of highest and lowest importance to nurses. Scores varied significantly based on years of nursing experience; a higher score indicated stronger orientation toward professional nursing values. Nurses with experience of 10 years or more had the highest scores. There was a modest, positive relationship between professional values and amount of time spent in postlicensure ethics education.
Professional values of Washington State nurses are similar to other nurses in national and global workforces. Results suggest key areas of strength in nurses' professional values and areas needing additional focus and support. Professional values are highest among nurses with longer practice experience and among nurses who have had increased ethics education.
Knowledge of nurses' priority values can assist leaders and educators to identify areas of needed support among nursing staff members. Organisational commitment to support of nurses' professional values through investment in ethics education may produce positive enduring consequences, such as workplace retention and high-quality patient care. Healthcare leaders and clinical educators who promote ethics education may help to mitigate negative effects of morally challenging situations, such as moral distress and work leaving.
衡量注册护士的职业价值观,并确定这些价值观是否与执照颁发后的道德教育及工作经验显著相关。
许多国家的护理协会参考美国护士协会的道德准则来界定预期的职业护理价值观。强烈的职业价值观有助于提供高质量的患者护理,且受到复杂实践环境的影响。
因果比较设计。
以美国华盛顿州积极执业的注册护士为便利样本,参与一项电子管理的调查(N = 2439)。分析采用描述性统计、方差分析和相关性分析。报告遵循STROBE清单。
结果显示了对护士而言最重要和最不重要的价值观。得分因护理工作年限而有显著差异;得分越高表明对职业护理价值观的倾向越强。有10年或以上工作经验的护士得分最高。职业价值观与执照颁发后道德教育的时长之间存在适度的正相关关系。
华盛顿州护士的职业价值观与国家和全球护理队伍中的其他护士相似。结果表明了护士职业价值观的优势关键领域以及需要额外关注和支持的领域。职业价值观在实践经验较长的护士以及接受过更多道德教育的护士中最高。
了解护士的优先价值观有助于领导者和教育者确定护理人员中需要支持的领域。通过对道德教育的投入来支持护士职业价值观的组织承诺可能会产生积极持久的影响,如工作场所留存率和高质量的患者护理。促进道德教育的医疗保健领导者和临床教育者可能有助于减轻道德挑战性情况的负面影响,如道德困扰和离职。