Ali Hind Ismail, Othman Ahmed Abdellah, Atta Mohamed Hussein Ramadan, Mohamed Sanaa Saber, Mohamed Seham Hassan
Nursing Administration, Faculty of Nursing, Sohag University, Sohag City, Egypt.
Psychiatric and Mental Health Nursing Department, Faculty of Nursing, Alexandria University, Alexandria, Egypt.
BMC Nurs. 2025 Mar 8;24(1):261. doi: 10.1186/s12912-025-02868-6.
Critical care nurses face complex ethical dilemmas and high-pressure situations that require quick ethical decision-making. Personality traits have been recognized as influencing individuals' ethical decision-making processes and attitudes toward safety in healthcare. Moral sensitivity helps nurses recognize ethical issues and respond appropriately to these challenges. So, this study aimed to assess the mediation role of moral sensitivity on safety attitudes and personality traits among critical care nurses.
This study used a convenience sample method and a descriptive correlational research design to conduct it on 232 critical care nurses who worked at intensive care units and emergency departments of nine Sohag Governmental Hospitals. Three tools were used to collect data: the Moral Sensitivity Questionnaire (MSQ), the Big Five Factors of Personality Inventory sheet, and the Safety Attitudes Questionnaire (SAQ). The data were analyzed using descriptive statistics and inferential tests (multivariate linear regression using the backward method).
The study revealed the personality profiles of the participants, with a total personality traits mean score (150.012 ± 9.628) and higher mean scores in conscientiousness and openness. The highest mean in moral sensitivity was interpersonal orientation, 22.76 ± 3.339, and moral meaning, 26.97 ± 4.279. Participants had low average mean scores regarding safety attitude 73.254 ± 11.368. There was a positive correlation between personality traits, moral sensitivity, and safety attitude. Finally, moral sensitivity acted as a mediating factor between personality traits and safety attitude.
The results of the present study suggest that personality assessment and moral sensitivity training be incorporated into nursing education and professional development programs. By enhancing nurses' self-awareness and sensitivity to ethical dilemmas, institutions can potentially improve safety attitudes and, consequently, patient care outcomes.
重症监护护士面临复杂的伦理困境和高压情况,这需要快速做出伦理决策。人格特质已被认为会影响个体的伦理决策过程以及对医疗安全的态度。道德敏感性有助于护士识别伦理问题并对这些挑战做出适当反应。因此,本研究旨在评估道德敏感性在重症监护护士的安全态度和人格特质之间的中介作用。
本研究采用便利抽样法和描述性相关性研究设计,对索哈杰九家政府医院重症监护病房和急诊科的232名重症监护护士进行研究。使用三种工具收集数据:道德敏感性问卷(MSQ)、大五人格量表和安全态度问卷(SAQ)。采用描述性统计和推断性检验(使用向后法的多元线性回归)对数据进行分析。
研究揭示了参与者的人格特征,人格特质总平均得分(150.012±9.628),尽责性和开放性得分较高。道德敏感性方面得分最高的是人际取向,为22.76±3.339,道德意义为26.97±4.279。参与者的安全态度平均得分较低,为73.254±11.368。人格特质、道德敏感性和安全态度之间存在正相关。最后,道德敏感性在人格特质和安全态度之间起到了中介作用。
本研究结果表明,应将人格评估和道德敏感性培训纳入护理教育和专业发展项目。通过提高护士对伦理困境的自我意识和敏感性,机构有可能改善安全态度,从而改善患者护理结果。