Afshari Ali, Torabi Mohammad, Dehghani Mahsa, Farhadi Mona
Chronic Diseases (Home Care) Research Center, Institute of Cancer, Avicenna Health Research Institute, Hamadan University of Medical Sciences.
Hamadan University of Medical Sciences.
Nurs Ethics. 2025 Sep;32(6):1848-1860. doi: 10.1177/09697330251313788. Epub 2025 Feb 3.
IntroductionPatient safety is essential for healthcare quality and a global concern. The rapid advancement of medical technology presents ethical challenges for critical care nurses, who navigate complex decision-making processes. Given their close relationships with patients, nurses are uniquely positioned to address patient safety issues. Thus, enhancing nurses' moral sensitivity and ethical values is increasingly important.ObjectiveThis study aims to explore the relationship between moral sensitivity and attitude towards patient safety in critical care nurses.MethodsThis cross-sectional, descriptive-correlational study was conducted from June to September 2022 in three hospitals affiliated with Hamadan University of Medical Sciences in Iran. Participants were nurses in intensive care units (ICUs), selected via convenience sampling. A total of 382 nurses completed questionnaires assessing demographic information, moral sensitivity, and patient safety attitudes. Data analysis was performed using descriptive statistics, t-tests, ANOVA, Pearson's correlation, and multiple regression in SPSS 26. This research received ethical approval from the Ethics Committee of Hamadan University of Medical Sciences. Participants provided informed consent regarding the study's objectives, and their confidentiality was strictly upheld throughout the research.ResultsThe nurses' average age and work experience were 38.6 years and 12.4 years, respectively. Mean scores for moral sensitivity and patient safety attitude were 81.65 ± 2.69 and 51.47 ± 2.21, indicating high levels and a significant positive correlation. Factors such as increasing age, work experience, fewer working hours, and completion of ethics training were linked to more positive attitudes towards patient safety ( < .05). Regression analysis showed that 42.8% of the variability in attitudes towards patient safety could be explained by moral sensitivity and demographic characteristics.ConclusionThis study highlights the relationship between moral sensitivity and patient safety attitudes among critical care nurses, emphasizing the importance of education, experience, and training in shaping ethical values. Enhancing moral sensitivity is vital for reducing risky behaviors and improving patient safety outcomes in critical care settings.
引言
患者安全对于医疗质量至关重要，是全球关注的问题。医疗技术的快速发展给重症监护护士带来了伦理挑战，他们要应对复杂的决策过程。鉴于护士与患者的密切关系，他们在解决患者安全问题方面具有独特的地位。因此，提高护士的道德敏感性和伦理价值观变得越来越重要。
目的
本研究旨在探讨重症监护护士的道德敏感性与对患者安全态度之间的关系。
方法
本横断面描述性相关性研究于2022年6月至9月在伊朗哈马丹医科大学附属的三家医院进行。参与者为重症监护病房（ICU）的护士，通过便利抽样选取。共有382名护士完成了评估人口统计学信息、道德敏感性和患者安全态度的问卷。使用SPSS 26进行描述性统计、t检验、方差分析、皮尔逊相关性分析和多元回归分析。本研究获得了哈马丹医科大学伦理委员会的伦理批准。参与者就研究目的提供了知情同意，并且在整个研究过程中严格维护了他们的隐私。
结果
护士的平均年龄和工作经验分别为38.6岁和12.4年。道德敏感性和患者安全态度的平均得分分别为81.65±2.69和51.47±2.21，表明水平较高且存在显著正相关。年龄增长、工作经验、工作时间减少和完成伦理培训等因素与对患者安全的更积极态度相关（P<0.05）。回归分析表明，道德敏感性和人口统计学特征可以解释患者安全态度42.8%的变异性。
结论
本研究强调了重症监护护士的道德敏感性与患者安全态度之间的关系，强调了教育、经验和培训在塑造伦理价值观方面的重要性。提高道德敏感性对于减少重症监护环境中的危险行为和改善患者安全结果至关重要。
