某三级甲等医院护士感知医院伦理氛围与其身体约束知识、态度和行为的相关性研究

Correlation between perceived hospital ethical climate and body constraint knowledge,attitude and practice among nurses in a ClassⅢGarde A hospital

目的了解护士对医院伦理氛围感知和身体约束知识、态度和行为的现状,探讨医院伦理氛围和护士身体约束知识、态度和行为的相关性。方法采用方便抽样法于2019年4—5月选取山西省某三级甲等医院临床注册护士400名为研究对象,采用一般资料调查表,医院伦理氛围量表(HECS),身体约束知识、态度、行为问卷进行调查,并分析医院伦理氛围对护士身体约束认知的影响。共发放问卷400份,有效回收387份,有效回收率96.75%。结果387名护士HECS总得分为(89.72±32.78)分,护士身体约束知识得分为(10.86±2.37)分,身体约束态度得分为(30.48±2.94)分,身体约束行为得分为(41.82±7.24)分;不同学历、职称、培训经历的护士身体约束的知识、态度、行为得分差异均有统计学意义(P<0.05);相关性分析结果显示,护士HECS各维度得分及总得分与身体约束知识、态度、行为得分均呈正相关(P<0.05);分层回归分析结果显示,HECS中与医师的关系、与患者的关系、与管理者的关系是护士身体约束知识和态度的影响因素,HECS中与医师的关系、与管理者的关系是护士身体约束行为的影响因素(P<0.05)。结论医院伦理氛围与护士身体约束知识、态度、行为密切相关,营造良好的医院伦理氛围有助于提高护士对身体约束的认知水平,从而规范护士的身体约束行为。

Objective To explore the status quo of nurses'perceived hospital ethical climate(HEC)and body constraint knowledge,attitude and practice,and discuss the correlation between HEC and body constraint knowledge,attitude and practice.Methods Between April and May 2019,totally 400 clinical registered nurses from a ClassⅢGarde A hospital in Shanxi province were selected using convenient sampling,and investigated with the general information questionnaire,Hospital Ethical Climate Survey(HECS)and knowledge,attitude and practice questionnaire.The effects of HEC on nurses'body constraint perception were analyzed.Totally 400 questionnaires were distributed,and 387 valid ones were collected,accounting for an effective recovery rate of 96.75%.Results The total HECS score of the 387 nurses was(89.72±32.78).Their scores of body constraint knowledge,attitude and practice were(10.86±2.37),(30.48±2.94),and(41.82±7.24),respectively.There were statistically significant differences in the knowledge,attitude and practice scores between nurses with different educational background,professional title and training experience(P<0.05).Correlation analysis revealed that the total score and scores of different HECS dimensions were positively correlated with body constraint knowledge,attitude and practice scores(P<0.05).Hierarchical regression analysis showed that the relationships with the doctor,the patient,and the manager in HEC were the influencing factors to nurses'body constraint knowledge and attitude,and the relationships with the doctor and the manager in HECS were the influencing factors to nurses'body constraint practice(P<0.05).Conclusions HEC is closely related to nurses'body constraint knowledge,attitude and practice.Creating a sound HEC will help improve nurses'perception of body constraints,thus standardizing nurses'body constraint practice.