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本科护生道德推理与专业价值观的关系:描述性相关性研究。

The relationship between moral reasoning and nurses' professional values in undergraduate nursing students: a descriptive-correlational study.

机构信息

Medical Ethics and Law Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

PhD Candidate in Nursing, Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

BMC Med Educ. 2024 Aug 19;24(1):889. doi: 10.1186/s12909-024-05888-z.

DOI:10.1186/s12909-024-05888-z
PMID:39160587
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11334452/
Abstract

BACKGROUND

Moral reasoning in nursing is crucial in delivering high-quality patient care and fostering increased job satisfaction among nurses. Adhering to professional values is vital to this profession, and nurses must modify their actions to align with these values.

OBJECTIVE

This study aimed to examine the correlation between moral reasoning and professional values among undergraduate nursing students.

RESEARCH DESIGN

A descriptive correlational design was recruited.

PARTICIPANTS AND RESEARCH CONTEXT

The research was conducted at three nursing schools located in Tehran, Iran. The sample was recruited through random stratified sampling, specifically targeting undergraduate nursing students. The data collection tool comprised a three-part questionnaire, including a demographic information form, the Nursing Dilemma Test, and the Nurses Professional Values Scale Revised Questionnaire. The distribution of questionnaires encompassed both face-to-face and electronic methods. The analysis of data was conducted using SPSS 16 software. The data was analyzed using the independent samples t-test, Pearson's correlation coefficient, and linear regression analysis. The P value of 0.05 was considered significant.

ETHICAL CONSIDERATIONS

The Ethics Research Center of Shahid Beheshti University of Medical Sciences approved the study.

FINDINGS

Data analysis showed that moral reasoning was directly correlated to professional values (r = 0.528, p < 0.001). The mean scores of Principled Thinking (P.T.), Practical Consideration (P.C.), and Familiarity with similar moral dilemmas of the NDT scale were 42.55 (SD = 12.95), 15.72 (SD = 6.85), 16.08 (SD = 6.67), respectively. Also, the total score of professional values of students was 90.63 (SD = 28.80).

CONCLUSION

The findings indicated that moral reasoning and interest in nursing predict students' professional identity. Thus, any effort to enhance interest in the profession can contribute to developing students' professional identity. This can involve incentivizing, enhancing the professional reputation at the community and university levels, and valuing student preferences and necessities.

摘要

背景

护理中的道德推理对于提供高质量的患者护理和提高护士的工作满意度至关重要。坚持专业价值观对这个职业至关重要,护士必须调整自己的行动以符合这些价值观。

目的

本研究旨在检验本科护理学生道德推理与专业价值观之间的相关性。

研究设计

采用描述性相关性设计。

参与者和研究背景

研究在伊朗德黑兰的三所护理学校进行。通过随机分层抽样招募样本,专门针对本科护理学生。数据收集工具包括三部分问卷,包括人口统计学信息表、护理困境测试和修订后的护士专业价值观量表问卷。问卷的分发既包括面对面的方式,也包括电子方式。使用 SPSS 16 软件进行数据分析。使用独立样本 t 检验、皮尔逊相关系数和线性回归分析对数据进行分析。p 值为 0.05 被认为具有统计学意义。

伦理考虑

沙希德贝赫什提大学医学科学伦理研究中心批准了这项研究。

结果

数据分析表明,道德推理与专业价值观直接相关(r=0.528,p<0.001)。NDT 量表的原则思考(P.T.)、实际考虑(P.C.)和熟悉类似道德困境的平均分分别为 42.55(SD=12.95)、15.72(SD=6.85)、16.08(SD=6.67)。此外,学生专业价值观的总分为 90.63(SD=28.80)。

结论

研究结果表明,道德推理和对护理的兴趣可以预测学生的专业认同。因此,任何增强对专业兴趣的努力都可以促进学生专业认同的发展。这可以包括激励、提高在社区和大学层面的专业声誉、重视学生的偏好和需求。

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