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ICU病人家属对病人生命末期临床决策相关态度及行为意向的调查分析 被引量:1
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作者 张婷婷 梅旭 +2 位作者 尹嫒妮 邱芳 刘梦婕 《护理研究》 北大核心 2021年第23期4137-4143,共7页
目的:调查重症监护病房(ICU)病人家属对病人生命末期病情真相告知态度、积极治疗态度及决策行为意向现状及影响因素。方法:采用方便抽样法抽取18家三级甲等医院ICU生命末期病人家属120人进行生命末期病情真相告知态度、积极治疗态度及... 目的:调查重症监护病房(ICU)病人家属对病人生命末期病情真相告知态度、积极治疗态度及决策行为意向现状及影响因素。方法:采用方便抽样法抽取18家三级甲等医院ICU生命末期病人家属120人进行生命末期病情真相告知态度、积极治疗态度及决策行为意向的问卷调查。采用多元线性逐步回归分析ICU家属生命末期临床决策相关态度及行为意向的影响因素。结果:ICU病人家属对病人生命末期病情真相告知态度条目均分为(3.349±0.561)分,生命末期积极治疗态度条目均分为(3.258±0.594)分,对积极治疗不再反应时的决策行为意向条目均分为(3.673±0.709)分;婚姻状况、是否曾看过他人施行心肺复苏术(CPR)、若自己进入生命末期时的选择以及决策行为意向是ICU病人家属对病人生命末期病情真相告知态度的影响因素(均P<0.05);决策行为意向、教育程度是ICU病人家属对病人生命末期积极治疗态度的影响因素(均P<0.001);积极治疗态度、病情真相告知态度是ICU病人家属对病人生命末期决策行为意向的影响因素(均P<0.001)。结论:ICU病人家属对病人生命末期病情真相告知态度较积极,决策行为意向趋于正向,而生命末期积极治疗态度有待进一步提升。医务人员应给予针对性的教育,引导并鼓励家属参与病情真相告知,促进ICU病人自主决策与合理决策。 展开更多
关键词 重症监护病房 生命末期 家属 病情真相告知 积极治疗 决策行为意向 护理
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Internal Whistle-Blowing Intentions: A Study of Demographic and Individual Factors
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作者 Syahrul Ahmar Ahmad Malcolm Smith Zubaidah Ismail 《Journal of Modern Accounting and Auditing》 2012年第11期1632-1645,共14页
Internal auditors hold a unique position in their organizations to prevent, deter, and detect corporate wrongdoings. However, the role of this profession in investigating their ethical decision-making behaviors toward... Internal auditors hold a unique position in their organizations to prevent, deter, and detect corporate wrongdoings. However, the role of this profession in investigating their ethical decision-making behaviors towards internal whistle-blowing intentions has been very often neglected. Furthermore, although extensive researches have been undertaken on the issue of whistle blowing globally, empirical studies on this area are still scarce in Malaysia. This paper examines internal whistle-blowing intentions among internal auditors in Malaysia by utilizing three independent vignettes. A mail survey was conducted to investigate demographic and individual factors that could influence internal auditors' ethical decision-making processes. The likelihood for internal whistle-blowing intentions was significant among internal auditors' ethical judgments for all the three vignettes. Demographic factors (gender, age, and tenure) and other individual factors (locus of control and organizational commitment) failed to explain the likelihood of internal auditors' internal whistle-blowing intentions. Findings should aid researchers in their understandings of the determinants of individuals' internal whistle-blowing behaviors. 展开更多
关键词 whistle blowing ETHICS internal auditors pro-social behavior
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