护士长的道德领导力、道德敏感性和道德勇气之间的关系。
The relationship between ethical leadership, moral sensitivity, and moral courage among head nurses.
作者信息
Meng Juntong, Guo Xiaoling
机构信息
School of Nursing and Rehabilitation, Shandong University, Jinan, 250102, China.
Weifang People's Hospital, 151 Guangwen Street, Kuiwen District, Weifang City, Shandong Province, China.
出版信息
BMC Nurs. 2025 May 15;24(1):538. doi: 10.1186/s12912-025-03170-1.
BACKGROUND
Moral courage is a key factor in accelerating the implementation of moral behavior. Effective ethical leadership can enhance head nurses' moral competence-particularly moral sensitivity, which serves as a cornerstone of the moral decision-making process. However, there is limited evidence on how ethical leadership influences moral courage. This study aimed to examine the mediating role of moral sensitivity in the relationship between ethical leadership and moral courage among head nurses in China.
METHODS
A cross-sectional study was conducted between April and May 2024. The study sample consisted of 202 head nurses who agreed to participate in the study. Data were collected using the Ethical Leadership Scale, the Moral Sensitivity Scale, and the Moral Courage Scale.
RESULTS
A total of 212 head nurses participated in this study. The total scores of ethical leadership, moral sensitivity and moral courage of Chinese head nurses were 92.66(16.34), 45.05(6.40) and 84.64(14.84), respectively. Ethical leadership was positively correlated with moral sensitivity (r = 0.16, P < 0.05), ethical leadership was positively correlated with moral courage (r = 0.32, P < 0.01), and moral sensitivity was positively correlated with moral courage (r = 0.31, P < 0.01). Process analysis showed that ethical leadership enhanced the moral courage of head nurses through moral sensitivity, which was a partial mediating effect model, and the total indirect effect accounted for 13.79%.
CONCLUSIONS
This study demonstrates that ethical leadership significantly enhances head nurses' moral sensitivity and courage, with moral sensitivity serving as a critical mediating factor. The study reveals a cascade effect: the moral quality of senior managers shapes the ethical standards of head nurses, and then affects the behavior of clinical nurses, and ultimately forms the ethical organizational culture.
CLINICAL TRIAL NUMBER
Not applicable.
背景
道德勇气是加速道德行为实施的关键因素。有效的道德领导可以提高护士长的道德能力，尤其是道德敏感性，而道德敏感性是道德决策过程的基石。然而，关于道德领导如何影响道德勇气的证据有限。本研究旨在探讨道德敏感性在中国护士长道德领导与道德勇气关系中的中介作用。
方法
于2024年4月至5月进行横断面研究。研究样本包括202名同意参与研究的护士长。使用道德领导量表、道德敏感性量表和道德勇气量表收集数据。
结果
共有212名护士长参与本研究。中国护士长道德领导、道德敏感性和道德勇气的总分分别为92.66（16.34）、45.05（6.40）和84.64（14.84）。道德领导与道德敏感性呈正相关（r = 0.16，P < 0.05），道德领导与道德勇气呈正相关（r = 0.32，P < 0.01），道德敏感性与道德勇气呈正相关（r = 0.31，P < 0.01）。过程分析表明，道德领导通过道德敏感性增强了护士长的道德勇气，这是一个部分中介效应模型，总间接效应占13.79%。
结论
本研究表明，道德领导显著提高了护士长的道德敏感性和勇气，道德敏感性是关键的中介因素。该研究揭示了一种级联效应：高级管理人员的道德品质塑造了护士长的道德标准，进而影响临床护士的行为，最终形成道德组织文化。
临床试验编号
不适用。
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