Nursing Management Department, Adıyaman University Faculty of Health Sciences, Adıyaman, Turkey.
Midwifery Department, Adıyaman University Faculty of Health Sciences, Adıyaman, Turkey.
J Nurs Manag. 2022 Oct;30(7):2416-2423. doi: 10.1111/jonm.13871. Epub 2022 Oct 24.
The organizational climate in paediatric intensive care units is specific to the conditions of the patient, and there may be a relationship between the ethical climate perception and moral distress levels of the nurses working in this unit.
The research aim was to examine the relationship between the moral distress levels and their perceptions of hospital ethical climate of paediatric intensive care unit nurses.
This research was aimed a descriptive, cross-sectional and correlational type with 239 paediatric intensive care unit nurses of public, university and training and research hospitals in Turkey. Research data were evaluated with mean, Pearson correlation and multiple linear regression analysis.
The total score of moral distress scale was 106.36 ± 53.63, and of the hospital ethical climate scale was 100.60 ± 14.41. A moderate negative relationship was found between nurses' moral distress levels and ethical climate perceptions, ethical climate perception explained moral distress levels with a 12% variance and this significance came from the physicians sub-dimension.
The moral distress levels of paediatric intensive care nurses were below the average, and their ethical climate perceptions were above the average. It was seen that the physicians sub-dimension was an important explanatory on the total moral distress.
In order to eliminate the moral distress arising from the hospital ethical climate, practices should be developed to increase the cooperation between nursing and physicians.
儿科重症监护病房的组织氛围是特定于患者情况的，在该病房工作的护士对伦理氛围的感知与道德困境水平之间可能存在关系。
本研究旨在考察儿科重症监护病房护士的道德困境水平与其对医院伦理氛围感知之间的关系。
本研究为描述性、横断面和相关性研究，纳入了土耳其 3 家公立医院、大学医院和培训研究医院的 239 名儿科重症监护病房护士。使用均数、皮尔逊相关分析和多元线性回归分析对研究数据进行评估。
道德困境量表总分为 106.36±53.63，医院伦理氛围量表总分为 100.60±14.41。护士的道德困境水平与伦理氛围感知呈中度负相关，伦理氛围感知可以解释道德困境水平的 12%变化，这一显著性来源于医师亚维度。
儿科重症监护病房护士的道德困境水平处于中等偏下水平，其伦理氛围感知处于中等偏上水平。医师亚维度对总道德困境具有重要的解释作用。
为了消除医院伦理氛围引起的道德困境，应制定实践措施，增加护理与医师之间的合作。
