Xu Fan, Wang Hongjuan, Tang Siyuan, Sun Mei
Xiangya School of Nursing, Central South University, Changsha, Hunan Province, China.
Nurse Educ Today. 2025 Jul;150:106697. doi: 10.1016/j.nedt.2025.106697. Epub 2025 Mar 17.
Senior nursing interns frequently encounter ethical challenges due to the complex healthcare environment. In order to effectively address these challenges, ethical decision-making ability is particularly important. Identifying their ethical decision-making ability level and influencing factors is crucial for designing targeted interventions.
To determine the level of ethical decision-making ability and identify its influencing factors among senior nursing interns.
A cross-sectional study.
A total of 1096 senior nursing interns from 44 universities across seven regions in China participated in the study. Data were collected using a general information questionnaire, the Judgement About Nursing Decision scale, the Chinese Moral Sensitivity Questionnaire-Revised Version, and the Hospital Ethical Climate Survey. Descriptive statistics, t-tests, one-way analysis of variance, Pearson's correlation, and multivariate linear regression were conducted using SPSS 27.0 for data analysis.
Of the 1096 questionnaires, 935 were valid (85.3% response rate). The participants' mean scores for ethical decision-making ability, moral sensitivity, and hospital ethical climate were 276.41 (SD = 18.51), 42.01 (SD = 7.61), and 102.17 (SD = 14.63), respectively, reflecting moderate levels. Pearson's correlation revealed a positive relationship between the number of ways to acquire ethical knowledge and ethical decision-making ability (r = 0.077, p < 0.05). Regression analysis indicated that significant variables collectively accounted for 15.8% of the overall explanatory power on ethical decision-making ability (R = 0.158, P < 0.05).
Senior nursing interns exhibited moderate ethical decision-making ability. To enhance this ability, educators are encouraged to develop targeted interventions, such as increasing opportunities for senior nursing interns to acquire ethical knowledge and enhancing their moral sensitivity via educational programs. Clinical institutions should foster a positive hospital ethical climate. These measures are crucial for improving the quality of care.
由于医疗环境复杂，高级护理实习生经常面临伦理挑战。为了有效应对这些挑战，伦理决策能力尤为重要。识别他们的伦理决策能力水平及其影响因素对于设计有针对性的干预措施至关重要。
确定高级护理实习生的伦理决策能力水平并识别其影响因素。
横断面研究。
来自中国七个地区44所大学的1096名高级护理实习生参与了本研究。使用一般信息问卷、护理决策判断量表、中文版道德敏感性问卷修订版和医院伦理氛围调查问卷收集数据。使用SPSS 27.0进行描述性统计、t检验、单因素方差分析、Pearson相关性分析和多元线性回归分析以进行数据分析。
1096份问卷中，935份有效（应答率85.3%）。参与者的伦理决策能力、道德敏感性和医院伦理氛围的平均得分分别为276.41（标准差=18.51）、42.01（标准差=7.61）和102.17（标准差=14.63），反映出中等水平。Pearson相关性分析显示，获取伦理知识的途径数量与伦理决策能力之间存在正相关（r=0.077，p<0.05）。回归分析表明，显著变量共同占伦理决策能力总体解释力的15.8%（R=0.158，P<0.05）。
高级护理实习生表现出中等的伦理决策能力。为提高这种能力，鼓励教育工作者制定有针对性的干预措施，如增加高级护理实习生获取伦理知识的机会，并通过教育项目提高他们的道德敏感性。临床机构应营造积极的医院伦理氛围。这些措施对于提高护理质量至关重要。
