Wang Ke, Mi Yuanyuan, Wu Yanli, Sun Huimin
Zhongnan Hospital, Wuhan University, Wuhan, China.
Union Hospital, Huanzhong University of Science and Technology, Wuhan, Hebei, China.
Front Psychol. 2025 Mar 24;16:1512533. doi: 10.3389/fpsyg.2025.1512533. eCollection 2025.
To investigate the simultaneous effects of ethical sensitivity and career calling on intensive care nurses' decision-making ability.
A total 361 intensive care nurses in Hubei Province were selected as survey subjects. The survey employed a general information questionnaire, a nurse career calling scale, a Chinese version of the nursing ethics decision-making ability questionnaire, and an ethics sensitivity questionnaire. A structural equation model was constructed using the AMOS software.
The ethical decision-making ability of intensive care nurses earned a score of (267.62 ± 28.15). Ethical sensitivity ( = 0.584, < 0.001) and career calling ( = 0.566, < 0.001) positively correlated with ethical decision-making ability in nursing. Career calling partially mediates between ethical sensitivity and nursing ethical decision-making ability, with a mediation effect of 0.246.
Intensive care nurses exhibited moderate ethical decision-making ability and require further improvement. Career calling partly mediates between moral sensitivity and nursing ethical decision-making ability. Enhancing ethical sensitivity and career calling can help improve ethical decision-making ability among intensive care nurses.
探讨伦理敏感性和职业使命感对重症监护护士决策能力的综合影响。
选取湖北省361名重症监护护士作为调查对象。调查采用一般资料问卷、护士职业使命感量表、中文版护理伦理决策能力问卷和伦理敏感性问卷。使用AMOS软件构建结构方程模型。
重症监护护士的伦理决策能力得分为（267.62±28.15）。伦理敏感性（β = 0.584，P < 0.001）和职业使命感（β = 0.566，P < 0.001）与护理伦理决策能力呈正相关。职业使命感在伦理敏感性和护理伦理决策能力之间起部分中介作用，中介效应为0.246。
重症监护护士的伦理决策能力处于中等水平，有待进一步提高。职业使命感在道德敏感性和护理伦理决策能力之间起部分中介作用。提高伦理敏感性和职业使命感有助于提升重症监护护士的伦理决策能力。
