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护士的伦理敏感性、关怀行为与护理质量之间的关系:一项系统综述。

The relationship between ethical sensitivity, caring behavior and quality of care in nurses: A systematic review.

作者信息

Nazari Amir Mohamad, Bakhtiari-Dovvombaygi Hossein, Borhani Fariba, Abbaszadeh Abbas, Gholami Mostafa, Bakhshalizadeh Rashti Samin

机构信息

Master Student in Medical-Surgical Nursing, Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Medical Ethics and Law Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

BMC Nurs. 2025 Mar 26;24(1):329. doi: 10.1186/s12912-025-02916-1.

Abstract

BACKGROUND

In their daily practice, nurses face difficult ethical challenges. To ensure the provision of humane care, it is imperative for nurses to be sensitive to ethical dilemmas. The main objective of this study was to investigate the correlation between ethical sensitivity, caring behavior, and the overall quality of care that is being delivered by nurses.

METHODS

In accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, we conducted a thorough search of the PubMed, Web of Science, Scopus, and ProQuest databases to ensure a comprehensive review. Our research focused on analyzing studies that met the inclusion criteria, which included publications from the year 2000 up until the end of August 2024. These studies were selected based on their investigation of the relationship between ethical sensitivity, caring behavior, and the quality of care provided by nurses. The exclusion criteria for this study included not having access to full-text articles, articles written in languages other than Persian and English, protocol studies, case studies, brief reports, reviews, and qualitative studies. The assessment of quality was performed using the JBI tool.

RESULTS

Out of the 2957 records that were retrieved, only 11 studies were ultimately selected and included in this review. Among these included studies, 6 specifically focused on examining the correlation between ethical sensitivity and caring behavior displayed by nurses, while the remaining 5 studies focused on exploring the relationship between ethical sensitivity and the quality of care in nurses. The results of this study discovered that ethical sensitivity has the potential to significantly influence the caring behavior and quality of care provided by nurses.

CONCLUSION

The quality of nursing care can be influenced by ethical sensitivity; therefore, it is advisable to arrange regular training programs in clinical settings to educate nurses on ethical principles, with the goal of fostering their ethical sensitivity.

摘要

背景

在日常工作中,护士面临着艰难的伦理挑战。为确保提供人道护理,护士必须对伦理困境保持敏感。本研究的主要目的是调查护士的伦理敏感性、关怀行为与所提供护理的整体质量之间的相关性。

方法

根据系统评价和Meta分析的首选报告项目指南,我们对PubMed、科学网、Scopus和ProQuest数据库进行了全面检索,以确保进行全面综述。我们的研究重点是分析符合纳入标准的研究,这些研究包括2000年至2024年8月底的出版物。这些研究是根据对伦理敏感性、关怀行为与护士提供的护理质量之间关系的调查来选择的。本研究的排除标准包括无法获取全文文章、用波斯语和英语以外的语言撰写的文章、方案研究、案例研究、简短报告、综述和定性研究。使用JBI工具进行质量评估。

结果

在检索到的2957条记录中,最终仅选择了11项研究纳入本综述。在这些纳入研究中,6项专门关注检查护士表现出的伦理敏感性与关怀行为之间的相关性,而其余5项研究则侧重于探索伦理敏感性与护士护理质量之间的关系。本研究结果发现,伦理敏感性有可能显著影响护士提供的关怀行为和护理质量。

结论

护理质量会受到伦理敏感性的影响;因此,建议在临床环境中安排定期培训项目,对护士进行伦理原则教育,以培养他们的伦理敏感性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21dc/11948935/3a25a18408e1/12912_2025_2916_Fig1_HTML.jpg

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