Zhao Xinyang, Zhang Yingying, Luan Jiahui, Luan Zhenggang, Zhang Jun
Department of Respiratory and Critical Care, The First Affiliated Hospital of China Medical University, 155 Nanjing North Street, Shenyang, Liaoning Province, 110001, China.
Human Resources Office of China Medical University, 77 Puhe Road, Shenyang, Liaoning Province, 110001, China.
BMC Nurs. 2025 Jul 1;24(1):751. doi: 10.1186/s12912-025-03352-x.
Moral decision-making in clinical nursing interns is a critical aspect of core nursing competencies. Empathy plays a dual role in moral decision-making, with both positive and negative influences. This study aimed to explore the impact of empathy on the moral decision-making of clinical nursing interns as well as other factors that influence their moral decision-making.
A cross-sectional study was conducted in July 2024 among 528 clinical nursing interns rotating through hospitals affiliated with six universities. Data were collected using a general information questionnaire, the Ethical Decision-Making Competence Scale (EDM-CS), and the Interpersonal Reactivity Index-C (IRI-C). Statistical analysis was performed using SPSS version 22.0.
The level of empathy among clinical nursing interns was found to be moderately low. Notably, there was a weak correlation between empathy and the level of moral decision-making among the interns. Additionally, moral decision-making was associated with maintaining good relationships with mentors or patients during the internship period.
Strengthening ethical education and interpersonal communication skills before nursing students enter their clinical internship phase is crucial. Particular emphasis should be placed on shaping the personality traits of nursing students, appropriately maintaining their empathy, and finding a balanced distance between empathetic engagement and rational thinking.
Not applicable.
临床护理实习生的道德决策是核心护理能力的关键方面。同理心在道德决策中发挥着双重作用，既有积极影响，也有消极影响。本研究旨在探讨同理心对临床护理实习生道德决策的影响以及其他影响其道德决策的因素。
2024年7月对在六所大学附属医院轮转的528名临床护理实习生进行了横断面研究。使用一般信息问卷、道德决策能力量表（EDM-CS）和人际反应指数-C（IRI-C）收集数据。使用SPSS 22.0版进行统计分析。
发现临床护理实习生的同理心水平中等偏低。值得注意的是，实习生的同理心与道德决策水平之间存在弱相关性。此外，道德决策与实习期间与带教老师或患者保持良好关系有关。
在护理专业学生进入临床实习阶段之前，加强伦理教育和人际沟通技巧至关重要。应特别强调塑造护理专业学生的性格特质，适当保持他们的同理心，并在同理心参与和理性思考之间找到平衡的距离。
不适用。
