Amin Shaimaa Mohamed, Atta Mohamed Hussein Ramadan, Khedr Mahmoud Abdelwahab, El-Gazar Heba Emad, Zoromba Mohamed Ali
Faculty of Nursing Damanhour University.
Faculty of Nursing Alexandria University.
Nurs Ethics. 2024 Sep 30:9697330241277993. doi: 10.1177/09697330241277993.
Home care nurses are central in providing holistic and compassionate care to patients in home-based palliative care. Ethical caring competency is essential for home care to sustain nurses' integrity in the face of moral adversity. Interprofessional collaboration is vital for ensuring ethical decision-making and providing patient-centered care in home-based palliative care settings.
This study explored the predictive roles of interprofessional collaboration and moral resilience on ethical caring competency among home care nurses in home-based palliative care.
A cross-sectional survey of 400 nurses was conducted from October to December 2023, utilizing standardized scales to measure interprofessional collaboration, moral resilience, and ethical caring competency. A convenience sample of 400 home care nurses was also included in this study. Correlation and linear regression analysis were used to clarify the associative and predictive findings.
Ethical approval from the ethics committee, institutional permission, and informed consent from the participants were obtained for data collection.
Correlation analysis showed significant positive correlations between the ethical caring competency, interprofessional collaboration, and moral resilience constructs, with coefficients ranging from 0.482 to 0.967. Linear regression revealed that management of collaborative systems and total moral resilience significantly predict ethical caring competency, explaining 14.6% and 36.6% of its variance, respectively. Other variables, such as the effects of collaboration and communication, did not significantly influence ethical caring competency.
The study highlights the significant impact of interprofessional collaboration, particularly the management of collaborative systems and moral resilience, on enhancing ethical caring competency among nurses.
Enhancing interprofessional collaboration and moral resilience through targeted strategies in nursing practice and education can significantly improve ethical caring competencies. These efforts are essential for delivering high-quality, patient-centered care and for fostering a healthcare environment that respects the ethical principles guiding nursing practice.
家庭护理护士在为居家姑息治疗患者提供全面且富有同情心的护理方面发挥着核心作用。道德关怀能力对于家庭护理而言至关重要，能使护士在面对道德困境时保持正直。跨专业协作对于确保居家姑息治疗环境中的道德决策和提供以患者为中心的护理至关重要。
本研究探讨跨专业协作和道德复原力对居家姑息治疗中家庭护理护士道德关怀能力的预测作用。
2023年10月至12月对400名护士进行了横断面调查，使用标准化量表测量跨专业协作、道德复原力和道德关怀能力。本研究还纳入了400名家庭护理护士的便利样本。采用相关性和线性回归分析来阐明相关和预测结果。
获得了伦理委员会的伦理批准、机构许可以及参与者的知情同意以进行数据收集。
相关性分析显示，道德关怀能力、跨专业协作和道德复原力结构之间存在显著正相关，系数范围为0.482至0.967。线性回归表明，协作系统管理和总体道德复原力显著预测道德关怀能力，分别解释其方差的14.6%和36.6%。其他变量，如协作和沟通的效果，对道德关怀能力没有显著影响。
该研究强调了跨专业协作，特别是协作系统管理和道德复原力，对提高护士道德关怀能力的重大影响。
通过护理实践和教育中的针对性策略增强跨专业协作和道德复原力，可以显著提高道德关怀能力。这些努力对于提供高质量、以患者为中心的护理以及营造尊重指导护理实践的伦理原则的医疗环境至关重要。
