护士道德敏感性与 COVID-19 患者护理质量的关系。
Relationship between moral sensitivity of nurses and quality of nursing care for patients with COVID-19.
机构信息
Student Research Committee, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.
Department of Nursing, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.
出版信息
Nurs Open. 2023 Aug;10(8):5252-5260. doi: 10.1002/nop2.1763. Epub 2023 Apr 19.
AIM
This study aimed to: (1) assess the level of moral sensitivity of nurses and the quality of nursing care for patients with COVID-19 in Iran; and (2) identify the relationship between the moral sensitivity of nurses and the quality of nursing care for patients with COVID-19 in Iran.
DESIGN
This study was designed as a descriptive, cross-sectional, and correlational research.
METHOD
A total of 211 nurses working in four hospitals affiliated with the Hamadan University of Medical Sciences in Iran from December 2021 to April 2022 were selected via the stratified proportional random sampling method. Demographic information, a moral sensitivity questionnaire, and the Good Nursing Care Scale were used for data collection. The data were analysed by SPSS 24 based on descriptive and inferential statistics (Pearson correlation coefficient and multiple regression).
RESULTS
Results revealed that 188 of the nurses (89.1%) had a moderate level of moral sensitivity. Furthermore, 160 of the participants (75.8%) reported a relatively low level of the quality of nursing care. The results of the Pearson correlation coefficient test indicated that there was an inverse and significant relationship between the moral sensitivity of nurses and the quality of nursing care (r = -0.528, p < 0.001). The results of multiple regression indicated that the model of moral sensitivity components explained 27.9% of the variance in the quality of nursing care. The components of moral sensitivity, including relation (β = -0.246, p < 0.001), meaning (β = -0.188, p = 0.003), conflict (β = -0.170, p = 0.008), benevolence (β = -0.153, p = 0.012), and rules (β = -0.144, p = 0.019) had inverse and significant effects on the quality of nursing care.
CONCLUSION
Since higher mean scores of moral sensitivity reflect lower moral sensitivity, it can be stated that with the increase in moral sensitivity of nurses, the quality of nursing care for patients with COVID-19 grows.
目的
本研究旨在：（1）评估伊朗护士的道德敏感性水平和 COVID-19 患者的护理质量；（2）确定伊朗护士的道德敏感性与 COVID-19 患者护理质量之间的关系。
设计
本研究设计为描述性、横断面和相关性研究。
方法
2021 年 12 月至 2022 年 4 月，采用分层比例随机抽样法，选取伊朗哈马丹医科大学附属医院的 211 名护士。采用人口统计学信息、道德敏感性问卷和良好护理关怀量表收集数据。采用 SPSS 24 基于描述性和推断性统计（皮尔逊相关系数和多元回归）进行数据分析。
结果
结果显示，188 名护士（89.1%）具有中等水平的道德敏感性。此外，160 名参与者（75.8%）报告护理质量相对较低。皮尔逊相关系数检验结果表明，护士的道德敏感性与护理质量呈负相关且具有统计学意义（r=-0.528，p<0.001）。多元回归结果表明，道德敏感性成分模型解释了护理质量变异的 27.9%。道德敏感性成分，包括关系（β=-0.246，p<0.001）、意义（β=-0.188，p=0.003）、冲突（β=-0.170，p=0.008）、仁慈（β=-0.153，p=0.012）和规则（β=-0.144，p=0.019）对护理质量均具有负向和显著影响。
结论
由于道德敏感性的平均得分越高，反映出道德敏感性越低，因此可以说随着护士道德敏感性的提高，COVID-19 患者的护理质量也会提高。
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