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儿科护士的道德困扰与文化敏感程度之间的关系:一项横断面研究。

The relationship between moral distress and cultural sensitivity levels in pediatric nurses: A cross-sectional study.

作者信息

Dur Şadiye, Gol Ilknur, Erkin Özüm, Coşğun Müge

机构信息

İzmir Demokrasi University Faculty of Health Sciences, Pediatric Nursing Department, Izmir, Turkey.

Çankırı Karatekin University Faculty of Health Sciences, Public Health Nursing Department, Çankırı, Turkey.

出版信息

J Pediatr Nurs. 2025 Jan-Feb;80:49-55. doi: 10.1016/j.pedn.2024.11.008. Epub 2024 Nov 15.

Abstract

PURPOSE

The study aimed to determine the relationship between moral distress and intercultural sensitivity levels among pediatric nurses.

DESIGN AND METHODS

A cross-sectional study was conducted between June 1, 2023 and March 1, 2024. The sample of the study consisted of 120 nurses working in pediatric units in public, university and training and research hospitals in a provincial center in the Western region of Turkey. The data were collected through a questionnaire form, "Moral Distress Scale-Revised (MDS-R, pediatric)" and "Intercultural Sensitivity Scale (ISS)".

RESULTS

While the total score of the (MDS-R, pediatric) was 79.76 ± 56.65, the total score of the ISS was 89.34 ± 10.01. A statistically significant positive relationship was found between moral distress and intercultural sensitivity levels of pediatric nurses (r = 0.299; p < 0.01).

CONCLUSION

The nurses' moral distress and intercultural sensitivity were at a moderate level. As the nurses' levels of moral distress increased, their intercultural sensitivity levels increased.

PRACTICE IMPLICATIONS

The findings of this study are crucial for pediatric nursing care, as they indicate that intercultural sensitivity may increase with the strengthening of moral distress levels. It is recommended that topics such as intercultural sensitivity, morality, and ethics be integrated into undergraduate and graduate nursing education programs, especially for health professionals working in culturally diverse settings.

摘要

目的

本研究旨在确定儿科护士的道德困扰与跨文化敏感水平之间的关系。

设计与方法

于2023年6月1日至2024年3月1日进行了一项横断面研究。研究样本包括在土耳其西部地区一个省级中心的公立、大学及培训和研究医院的儿科病房工作的120名护士。数据通过一份问卷收集,即“修订版道德困扰量表(儿科版,MDS-R)”和“跨文化敏感度量表(ISS)”。

结果

(儿科版MDS-R)的总分是79.76 ± 56.65,而ISS的总分是89.34 ± 10.01。发现儿科护士的道德困扰与跨文化敏感水平之间存在统计学上显著的正相关关系(r = 0.299;p < 0.01)。

结论

护士的道德困扰和跨文化敏感处于中等水平。随着护士道德困扰水平的提高,其跨文化敏感水平也会提高。

实践意义

本研究结果对儿科护理至关重要,因为它们表明跨文化敏感可能会随着道德困扰水平的增强而提高。建议将跨文化敏感、道德和伦理等主题纳入本科和研究生护理教育项目,尤其是针对在文化多元环境中工作的卫生专业人员。

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