特殊护理护理中的道德勇气和道德敏感性与安全护理的相关性研究。
A Study of How Moral Courage and Moral Sensitivity Correlate with Safe Care in Special Care Nursing.
机构信息
Chronic Diseases (Home Care) Research Center and Autism Spectrum Disorders Research Center, Department of Nursing, Hamadan University of Medical Sciences, Hamadan, Iran.
Community-Based Psychiatric Care Research Center, Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
出版信息
ScientificWorldJournal. 2022 Jul 13;2022:9097995. doi: 10.1155/2022/9097995. eCollection 2022.
BACKGROUND
Nursing is a caring profession, and nurses who have moral sensitivity and moral courage presumably can provide safe and better care for patients. This study aims at investigating how moral courage and moral sensitivity correlate with safe care in special care nursing.
METHODS
This study is a descriptive work of research. The participants consisted of 524 nurses who were in practice in the ICU (intensive care unit), CCU (C\coronary care unit), post-CCU (postcoronary care unit), and dialysis of four hospitals located in the south of Iran selected via census sampling. Data were collected from April to September 2020 using the moral sensitivity questionnaire (MSQ), professional moral courage questionnaire (PMCQ), and the assessment of safe nursing care questionnaire (ASNCQ). The collected data were analyzed using descriptive statistics, -test, chi-square, multiple regression analysis, and Pearson's correlation coefficient in SPSS v. 22.
RESULTS
The mean ± SD of the nurses' age was 33.89 ± 6.91 years, and the mean ± SD of their work experience was 9.16 ± 4.67 years. The total mean score ± SD of the nurses' moral sensitivity was found to be 93.41 ± 2.68, the total mean score ± SD of their moral courage was found to be 96.38 ± 3.63, and the total mean score ± SD of their safe care scores was found to be 321.80 ± 9.76. The values of Pearson's correlation coefficients showed significant correlations between moral courage and safe care ( = 0.54, < 0.001), moral sensitivity and safe care ( = 0.59, < 0.001), and moral sensitivity and moral courage ( = 0.52, < 0.001).
CONCLUSION
There is a positive correlation between moral sensitivity and moral courage. Both positively correlated with special care nursing. Accordingly, through effective planning, education, and giving their support, nurse administrators can promote the abovementioned ethical virtues in the nursing staff, thereby improving the quality of care.
背景
护理是一项关怀的职业，具有道德敏感性和道德勇气的护士大概能够为患者提供更安全、更好的护理。本研究旨在探讨特殊护理护理中的道德勇气和道德敏感性与安全护理的相关性。
方法
这是一项描述性研究工作。参与者包括 524 名在伊朗南部四家医院的 ICU（重症监护病房）、CCU（冠心病监护病房）、CCU 后（冠心病监护病房后）和透析室工作的护士，采用整群抽样法选取。数据于 2020 年 4 月至 9 月期间使用道德敏感性问卷（MSQ）、专业道德勇气问卷（PMCQ）和安全护理评估问卷（ASNCQ）收集。使用 SPSS v. 22 中的描述性统计、t 检验、卡方检验、多元回归分析和 Pearson 相关系数对收集的数据进行分析。
结果
护士的平均年龄为 33.89±6.91 岁，平均工作经验为 9.16±4.67 年。护士道德敏感性的总平均得分±标准差为 93.41±2.68，道德勇气的总平均得分±标准差为 96.38±3.63，安全护理得分的总平均得分±标准差为 321.80±9.76。Pearson 相关系数的值表明道德勇气与安全护理之间存在显著相关性（r=0.54，p<0.001），道德敏感性与安全护理之间存在显著相关性（r=0.59，p<0.001），道德敏感性与道德勇气之间存在显著相关性（r=0.52，p<0.001）。
结论
道德敏感性和道德勇气之间存在正相关关系。两者与特殊护理护理均呈正相关。因此，护理管理人员可以通过有效的规划、教育和支持，在护理人员中促进上述道德美德，从而提高护理质量。
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