护士职业价值观对护理缺失的影响：道德敏感性的中介作用。
The Effect of Nurses' Professional Values on Missed Nursing Care: The Mediating Role of Moral Sensitivity.
作者信息
Taskiran Eskici Gülcan, Tiryaki Sen Hanife, Yurtsever Demet, Ozer Candan Esra
机构信息
Department of Nursing Administration, Faculty of Health Sciences, Ondokuz Mayis University, Samsun, Türkiye.
Department of Nursing Administration, Hamidiye Faculty of Nursing, University of Health Sciences, Istanbul, Türkiye.
出版信息
Nurs Health Sci. 2025 Mar;27(1):e70023. doi: 10.1111/nhs.70023.
The aim of this study is to determine the mediating role of moral sensitivity in the effect of nurses' professional values on missed nursing care. A descriptive and correlational study was conducted with 640 nurses working in the inpatient units of a public and a private hospital with the MISSCARE Survey-Turkish, the Moral Sensitivity Questionnaire, and the Revised Nursing Professional Values Scale. Data analyses were performed using the Statistical Package for Social Sciences 26.0, Hayes' PROCESS macro for SPSS v4.0, and the Analysis of Moment Structures 24.0. It was determined that nurses' professional values had a significant and positive effect on moral sensitivity, and nurses' moral sensitivity had a significant and negative effect on missed nursing care. In addition, the direct and indirect effects of nurses' professional values on missed nursing care were statistically significant. The research model showed that increasing nurses' professional values and moral sensitivity decreased missed nursing care, and moral sensitivity significantly mediated the interaction between nurses' professional values and missed nursing care.
本研究旨在确定道德敏感性在护士职业价值观对护理缺失影响中的中介作用。采用描述性和相关性研究方法，对一家公立医院和一家私立医院住院部工作的640名护士进行了研究，使用了《MISSCARE调查-土耳其版》、《道德敏感性问卷》和《修订版护理职业价值观量表》。数据分析使用社会科学统计软件包26.0、Hayes的SPSS v4.0 PROCESS宏程序以及结构方程模型分析软件24.0。结果表明，护士的职业价值观对道德敏感性有显著正向影响，护士的道德敏感性对护理缺失有显著负向影响。此外，护士职业价值观对护理缺失的直接和间接影响均具有统计学意义。研究模型表明，提高护士的职业价值观和道德敏感性可减少护理缺失，且道德敏感性在护士职业价值观与护理缺失之间的相互作用中起显著中介作用。
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