差错反感文化在护士内部人身份认知与道德勇气间的中介作用

Mediating role of error aversion culture between perceived insider status and moral courage among nurses

目的探讨差错反感文化对护士内部人身份认知与道德勇气的影响及机制,为提高其道德勇气提供依据。方法抽取湖南省湘西自治州7所二级医院的693名护士,采用一般资料调查表、差错反感文化量表、内部人身份认知量表及道德勇气量表进行调查。结果护士的差错反感文化、内部人身份认知、道德勇气总分分别为(26.05±4.92)分、(27.99±3.15)分、(84.28±9.48)分。差错反感文化与道德勇气呈负相关,内部人身份认知与道德勇气呈正相关(均P<0.01),差错反感文化在内部人身份认知与道德勇气间发挥部分中介作用,间接效应占总效应的15.74%。结论护士的道德勇气总体水平较高,可以通过合理管理差错反感文化、增强内部人身份认知来提高护士道德勇气。

Objective To explore the impact and mechanism of error aversion culture on perceived insider status and moral courage among nurses,and to provide references for strategies to improve nurses′moral courage.Methods With convenient sampling,693 nurses in seven secondary hospitals in Xiangxi Autonomous Prefecture,Hunan Province were selected and surveyed by the general information questionnaire,the Error Aversion Culture Scale,the Perceived Insider Status Scale and the Moral Courage Scale.Results The scores of error aversion culture,perceived insider status and moral courage of nurses were(26.05±4.92),(27.99±3.15)and(84.28±9.48)points respectively.Error aversion culture was negatively correlated to moral courage(P<0.01);perceived insider status was positively correlated with moral courage(P<0.01);error aversion culture had partial mediating role between perceived insider status and moral courage status,with the mediating effect accounting for 15.74%of the total effect.Conclusion The overall level of moral courage among nurses was relatively high,and it could be improved by agreeably managing error aversion culture and enhancing perceived insider status.