Rezapour-Mirsaleh Yasser, Aghabagheri Mahdi, Choobforoushzadeh Azadeh, Mohammadpanah Ardakan Azra
Department of Counseling, Faculty of Humanities and Social Sciences, Ardakan University, P.O. Box184, Ayatollah Khatami Blv., Ardakan, Yazd, Iran.
Nursing Meybod School, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
BMC Nurs. 2022 May 27;21(1):132. doi: 10.1186/s12912-022-00912-3.
Ethical issues may pose challenges to nurses; moral sensitivity can help them to overcome these challenges. Identifying variables related to moral sensitivity can help in planning to increase nurses' moral sensitivity. This study aimed to investigate the relationship among mindfulness, empathy, and moral sensitivity in a sample of nurses.
In the present study, a cross-sectional design utilizing Structural Equation Modeling (SEM) was conducted. The nurses in a private hospital in Yazd, Iran, were invited to participate in the study (n=162) using simple random sampling. In order to gather the data, the Freiburg's mindfulness inventory, moral sensitivity questionnaire, and revised Jefferson's empathy scale were used. The hypothesized model was analyzed by SEM.
The results show that Mindfulness (β=0.41, t=5.53, p<0.01) and empathy (β=0.52, t=6.77, p<0.01) had a significant direct effect on moral sensitivity. However, mindfulness had an indirect effect on nurses' moral sensitivity via empathy improvement (z= 6.25, p<.01).
Empathy played a significant mediating role in the relationship between mindfulness and moral sensitivity, so mindfulness-based interventions with an emphasis on empathy may provide an opportunity to increase moral sensitivity in nurses.
伦理问题可能给护士带来挑战；道德敏感性有助于他们克服这些挑战。识别与道德敏感性相关的变量有助于规划提高护士的道德敏感性。本研究旨在调查护士样本中正念、同理心和道德敏感性之间的关系。
在本研究中，采用了利用结构方程模型（SEM）的横断面设计。通过简单随机抽样邀请伊朗亚兹德一家私立医院的护士参与研究（n = 162）。为了收集数据，使用了弗莱堡正念量表、道德敏感性问卷和修订后的杰斐逊同理心量表。通过SEM对假设模型进行分析。
结果表明，正念（β = 0.41，t = 5.53，p < 0.01）和同理心（β = 0.52，t = 6.77，p < 0.01）对道德敏感性有显著的直接影响。然而，正念通过改善同理心对护士的道德敏感性有间接影响（z = 6.25，p <.01）。
同理心在正念与道德敏感性之间的关系中起显著的中介作用，因此强调同理心的基于正念的干预措施可能为提高护士的道德敏感性提供机会。
