Department of Critical Care Medicine, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, China.
Nurs Crit Care. 2024 Nov;29(6):1385-1393. doi: 10.1111/nicc.13158. Epub 2024 Sep 18.
Moral sensitivity may play a role in dealing with ethical issues in ICUs. However, the moral sensitivity of adult ICU nurses in China and its predictors have not been well investigated.
To analyse the moral sensitivity of intensive care unit (ICU) nurses and its predictors.
A cross-sectional study through convenience sampling was conducted in the ICUs of five hospitals in China between November and December 2022. A total of 331 ICU nurses were recruited. Data were obtained using a self-developed socio-demographic characteristic questionnaire, the Moral Sensitivity Questionnaire, the Jefferson Scale of Empathy-Health Professionals and the Organizational Climate Scale for Nursing. The participating institutions received a link to the tools used for online data collection, which they then forwarded to nursing staff.
The valid response rate was 96.98% (n = 321). The total mean moral sensitivity score of nurses was 43.04 ± 5.95. The mean scores for empathic ability and organizational climate for nursing were 91.97 ± 17.88 and 101.28 ± 14.77, respectively. Regression analyses revealed that the primary factors associated with moral sensitivity among critical care nurses included work tenure (p < .05), empathic ability (p < .001) and organizational climate (p < .001).
High levels of moral sensitivity were found in critical care nurses in China. Work tenure, empathic ability and organizational climate were significant predictors of moral sensitivity in critical care nurses.
To enhance the ethical sensitivity of ICU nurses, we suggest to strengthen the training of novice nurses so that they can better face the moral dilemma in clinical practice. In addition, organizational managers should also take measures to create a positive and harmonious working atmosphere, promote the application of moral knowledge in nursing practice and enhance their moral sensitivity.
道德敏感性可能在处理 ICU 中的伦理问题方面发挥作用。然而，中国成人 ICU 护士的道德敏感性及其预测因素尚未得到充分研究。
分析 ICU 护士的道德敏感性及其预测因素。
这是一项在中国五家医院 ICU 中通过便利抽样进行的横断面研究。于 2022 年 11 月至 12 月期间共招募了 331 名 ICU 护士。使用自我设计的社会人口学特征问卷、道德敏感性问卷、杰斐逊同理心量表-卫生专业人员版和护理组织氛围量表来获取数据。参与机构收到了用于在线数据收集的工具链接，并将其转发给护理人员。
有效响应率为 96.98%（n=321）。护士的总平均道德敏感性得分为 43.04±5.95。同理心能力和护理组织氛围的平均得分分别为 91.97±17.88 和 101.28±14.77。回归分析显示，影响重症监护护士道德敏感性的主要因素包括工作年限（p<0.05）、同理心能力（p<0.001）和组织氛围（p<0.001）。
中国重症监护护士的道德敏感性水平较高。工作年限、同理心能力和组织氛围是重症监护护士道德敏感性的重要预测因素。
为了提高 ICU 护士的伦理敏感性，我们建议加强对新手护士的培训，以便他们能够更好地应对临床实践中的道德困境。此外，组织管理者还应采取措施营造积极和谐的工作氛围，促进道德知识在护理实践中的应用，提高他们的道德敏感性。
