ICU护士道德勇气与医院伦理氛围的相关性分析

Correlation Analysis between Moral Courage of ICU Nurses and Hospital Ethical Climate

目的探讨ICU护士道德勇气与医院伦理氛围的关系,为提升ICU护士的道德勇气提供理论依据。方法采用便利抽样法,选取陕西省8所三级甲等医院的468名ICU护士作为研究对象,采用一般资料调查表、医院伦理氛围量表、护士道德勇气量表进行问卷调查。结果共发放问卷468份,回收有效问卷463份,有效回收率98.93%。ICU护士医学伦理氛围评分为(100.69±19.76)分,道德勇气评分为(83.67±15.48)分,医院伦理氛围与道德勇气呈正相关(r=0.866,P<0.001)。分层回归分析显示,医院伦理氛围进入了ICU护士道德勇气影响因素模型,可独立解释ICU护士道德勇气57.00%的变异。结论ICU护士道德勇气处于中等水平,且与医院伦理氛围呈正相关,即ICU护士感知的医院伦理氛围越好,其道德勇气水平越高。护理管理者应注重深化医院伦理氛围,并通过科学的方法提升医院伦理氛围水平,促进ICU护士道德勇气的提升。

Objective:To explore the relationship between the moral courage of nurses in Intensive Care Unit(ICU)and the hospital ethical climate,and to provide a theoretical basis for enhancing the moral courage of ICU nurses.Methods:A total of 468 ICU nurses from 8 tertiary A hospitals in Shaanxi Province were selected as the subjects by convenience sampling method,and the General Information Form,Hospital Ethical Climate Survey,and Nurses'Moral Courage Scale were used for the questionnaire survey.Results:A total of 468 questionnaires were distributed and 463 valid questionnaires were returned,with an effective recovery rate of 98.93%.The score of hospital ethical climate for ICU nurses was(100.69±19.76),and the score of moral courage was(83.67±15.48).There was a positive correlation between hospital ethical climate and moral courage(r=0.866,P<0.001).Hierarchical multiple regression analysis showed that hospital ethical climate entered the influencing factor model of ICU nurses'moral courage,which can independently explain 57%of the variation in ICU nurses'moral courage.Conclusion:The moral courage of ICU nurses was at a medium level,and positively correlated with the hospital ethical climate,that is,the better the hospital ethical climate perceived by ICU nurses,the higher their level of moral courage.Nursing managers should focus on deepening the hospital ethical climate,and enhance the level of hospital ethical climate through scientific methods to promote the improvement of ICU nurses'moral courage.