Hajibabaee Fatemeh, Salisu Waliu Jawula, Akhlaghi Elham, Farahani Mansoureh Ashghali, Dehi Maryam Mohamadzadeh Nojeh, Haghani Shima
School of Nursing & Midwifery, Tehran University of Medical Sciences(TUMS), Tehran, Iran.
Department of Hepatology, Cambridge Liver Unit, Cambridge University Hospitals NHS Foundation Trust. Addenbrooke's Hospital, Cambridge, England.
BMC Nurs. 2022 Mar 11;21(1):58. doi: 10.1186/s12912-022-00834-0.
Caring for patients during a pandemic can be difficult for healthcare workers, the patients themselves, and healthcare systems. Nurses are expected to recognize ethical dilemmas and make sound judgments when confronted with them. Sensitizing nurses to ethical issues strengthen their ability to identify ethical dilemmas and make ethical choices. As a result, this study aimed to determine a relationship between moral sensitivity and caring behavior among nurses during the coronavirus (COVID-19) pandemic.
The current study is a cross-sectional study of 406 nurses who worked in a single hospital during the COVID-19 epidemic. We used a demographic questionnaire and the caring behavior inventory (CBI) tool to collect data online. The data were analyzed using descriptive and correlational statistics.
Eighty-three point seven percent of participants in this study were female, and 71.9% were married. 47.5% reported caring for a COVID-19 patient for longer than a month; their average work experience was 13.1 years. Additionally, Moral Sensitivity correlated positively with caring behavior and its dimensions (r = 0.164, P = 0.001). However, a significant and inverse link existed between the dimension "following the rules" and the nurse's caring conduct (r = -0.117, P = 0.019).
During the pandemic, nurses' moral sensitivity was moderate and significantly connected with their caring behavior. Because nurses encounter numerous obstacles while caring for patients in critical conditions, they require ethical empowerment to perform correctly, as caring behavior improves with increased moral sensitivity.
在大流行期间照顾患者,对医护人员、患者自身以及医疗系统来说都可能很困难。护士在面对伦理困境时应能够识别并做出合理判断。提高护士对伦理问题的敏感度可增强他们识别伦理困境并做出伦理选择的能力。因此,本研究旨在确定在冠状病毒病(COVID-19)大流行期间护士的道德敏感度与关怀行为之间的关系。
本研究为横断面研究,研究对象为在COVID-19疫情期间于一家医院工作的406名护士。我们使用了一份人口统计学调查问卷和关怀行为量表(CBI)工具在线收集数据。数据采用描述性统计和相关性统计进行分析。
本研究中83.7%的参与者为女性,71.9%已婚。47.5%的人报告照顾COVID-19患者超过一个月;他们的平均工作经验为13.1年。此外,道德敏感度与关怀行为及其维度呈正相关(r = 0.164,P = 0.001)。然而,“遵守规则”这一维度与护士的关怀行为之间存在显著的负相关(r = -0.117,P = 0.019)。
在大流行期间,护士的道德敏感度处于中等水平,且与他们的关怀行为显著相关。由于护士在照顾重症患者时会遇到诸多障碍,他们需要道德赋能才能正确履行职责,因为关怀行为会随着道德敏感度的提高而改善。