广西壮族自治区开展“优质护理服务示范工程”后护理人员伦理认知状况的调查

Survey of the nursing ethics cognition status after carrying out the ＂High quality nursing service demonstration project＂ in Guangxi Zhuang Autonomous Region

目的了解广西壮族自治区开展“优质护理服务示范工程”后护理人员伦理认知现状及影响因素。方法2014年5-6月选取广西壮族自治区59所不同等级医院的379名临床护士为调查对象，采用自行设计的伦理认知问卷进行调查。结果开展优质护理服务后护士伦理认知的总得分为（51．29＋3．46）分，高于开展优质护理服务前2010年护士的伦理认知水平；进一步比较发现，两者在医疗保密认知方面差异无统计学意义，在医疗优化、患者知情同意权、生命价值方面的认知差异有统计学意义t值分别为11．389，7．448和2．126，P〈0．05。多重线性回归分析显示，护龄、医院等级对伦理认知总分有显著影响；学历、职称、护龄对医疗优化认知有显著影响；职称对患者知情同意认知有显著影响；护龄、所在科室、医院等级对医疗保密认知有显著影响；学历对生命价值认知有显著影响。结论优质护理服务有助于提高护士的伦理认知水平，今后应进一步完善护士的伦理继续教育系统，以提高护士伦理认知的全面性。

Objective We aimed to investigate the nurses＇ ethics cognition status and its influ- encing factors after carrying out the ＂High quality nursing service demonstration project＂ in Guangxi Zhuang Autonomous Region. Methods From May to June 2014, 379 clinical nurses from 59 hospitals of different grades in Guangxi Zhuang Autonomous Region were investigated with the self-designed questionnaire. Results After carrying out the ＂High quality nursing service demonstration project＂, the total score of the nurses＇ ethics cognition were （51.29_＋3.46）, which was higher than those in 2010. There was no statistical difference in cognition of medical confidentiality between 2014 and 2010, but it showed significant statistical differences in dimensions of medical optimization, informed consent, the value of life, t value was 11.389, 7.448 and 2.126, P 〈0.05. The multiple linear regression analysis showed that nurse-job seniority and hospital hierarchy of clinical nurses were influencing factors of nurses＇ ethics cog- nition; educational levels, professional title and nurse-job seniority of clinical nurses were influencing factors of medical optimization; nurses＇ professional title was influencing factor of informed consent; nurse-job seniority, department and hospital hierarchy of clinical nurses were influencing factors of medical confidentiali- ty; nurses＇ educational level was influencing factor of life value. Conclusions The ＂High quality nursing ser- vice demonstration project＂ contributes to improve the level of nurses＇ ethics cognition. We should strengthen the nursing ethics continuing education system, in order to improve the nurses ＇ comprehensive ethics cognition.