肿瘤科护士道德勇气的潜在类别及影响因素分析

Latent categories of moral courage among nurses in oncology department and its influencing factors

目的探讨肿瘤科护士道德勇气的潜在类别并分析其影响因素。方法2022年8—9月,采用便利抽样法选取郑州市某三级甲等医院502名肿瘤科护士为研究对象,采用一般资料调查表、护士道德勇气量表、心理韧性量表对其进行现况调查。采用Mplus 8.0进行潜在剖面分析,采用有序多分类Logistic回归分析评估各因素对护士道德勇气的影响。结果肿瘤科护士道德勇气可分为3个潜在类别,分别为:低水平道德勇气组(42.8%)、中等水平道德勇气组(39.9%)和高水平道德勇气组(17.3%),其影响因素包括年龄和心理韧性得分(均P<0.05)。结论肿瘤科护士道德勇气分为3个潜在类别,年龄、心理韧性是影响肿瘤科护士道德勇气的影响因素,为肿瘤科护士制定针对性的干预方案提供依据。

Objective To explore the latent categories of moral courage of nurses in oncology department and analyze its influencing factors.Methods From August to September 2022,a total of 502 oncology nurses from a tertiary grade-A hospital in Henan Province were selected as the research objects by convenience sampling.The General Information Questionnaire,Nurses’Moral Courage Scale and Psychological Resilience Scale were used the investigation.Mplus 8.0 was used for potential profile analysis,and ordered multiple logistic regression analysis was used to evaluate the influencing of each factor on different types.Results The moral courage of oncology nurses could be divided into three latent categories:low level moral courage group(42.8%),medium level moral courage group(39.9%)and high level moral courage group(17.3%).The influencing factors included age and resilience score(all P<0.05).Conclusion There are three latent categories of moral courage of nurses in oncology department.Age and mental toughness are important factors affecting the potential types of moral courage,which provide basis for developing targeted interventions for oncology nurses with different types of moral courage.