İlter Sümeyra Mihrap, Ovayolu Özlem, Serçe Sibel, Ovayolu Nimet
Faculty of Health Scıences, Department of Gerontology, Osmaniye Korkut Ata University Turkey.
Faculty of Health Sciences, Department of Internal Medicine Nursing, Gaziantep Unıversıty, Gaziantep, Turkey.
Omega (Westport). 2024 Dec;90(2):521-535. doi: 10.1177/00302228221107976. Epub 2022 Jun 13.
The study aimed to examine the relationship between compassion fatigue and moral sensitivity of intensive care nurses. Permission was obtained from the ethics committee, institution, and nurses prior to the study. The population of the study consisted of all nurses working in a university hospital, and the sample consisted of 144 intensive care nurses who agreed to participate in the study. The data were collected through the Questionnaire, the Compassion Fatigue Scale, and the Moral Sensitivity Scale. The total score of the compassion fatigue scale ranges between 24 and 120, and a high score indicates a "high level of compassion". The total score of the moral sensitivity scale, on the other hand, varies between 30-210, and as the score increases, moral sensitivity decreases. The obtained data were evaluated with Student t, One-Way Anova, Kruskal Wallis, Mann Whitney U, and correlation analysis. It was found that 55.6% of the nurses had a bachelor's degree, 44.4% had been working in the intensive care unit for 4-6 years, 39.6% had professional ethical dilemmas, and 44.6% of those who had ethical dilemmas could not solve this problem. Compassion fatigue and moral sensitivity scale mean scores were found to be 83.3 ± 6.7 and 125.4 ± 7.2, respectively, and there was a positive correlation between compassion fatigue and moral sensitivity mean scores ( < 0.05). The mean score of the compassion fatigue and moral sensitivity scale of intensive care nurses was at a "moderate" level, and there was a positive correlation between the nurses' moral sensitivity scale and compassion fatigue scale scores. In line with these results, it can be suggested that the compassion fatigue and moral sensitivities of nurses especially those working in intensive care be evaluated in terms of resolving the ethical dilemmas they may experience in patient care, and these nurses be supported on these matters.
该研究旨在探讨重症监护护士的同情疲劳与道德敏感性之间的关系。在研究之前，已获得伦理委员会、机构和护士的许可。该研究的总体包括在一家大学医院工作的所有护士，样本包括144名同意参与研究的重症监护护士。数据通过问卷、同情疲劳量表和道德敏感性量表收集。同情疲劳量表的总分在24至120分之间，高分表明“高度同情”。另一方面，道德敏感性量表的总分在30至210分之间，分数越高，道德敏感性越低。所获得的数据采用学生t检验、单因素方差分析、克鲁斯卡尔-沃利斯检验、曼-惠特尼U检验和相关性分析进行评估。结果发现，55.6%的护士拥有学士学位，44.4%的护士在重症监护病房工作4至6年，39.6%的护士存在职业伦理困境，而在存在伦理困境的护士中，44.6%的人无法解决这个问题。同情疲劳和道德敏感性量表的平均得分分别为83.3±6.7和125.4±7.2，同情疲劳和道德敏感性平均得分之间存在正相关（<0.05）。重症监护护士的同情疲劳和道德敏感性量表平均得分处于“中等”水平，护士的道德敏感性量表得分与同情疲劳量表得分之间存在正相关。根据这些结果，可以建议对护士尤其是重症监护护士的同情疲劳和道德敏感性进行评估，以解决他们在患者护理中可能遇到的伦理困境，并在这些问题上为这些护士提供支持。
