ICU护士道德韧性状况及影响因素分析  

Moral resilience and its influencing factors among ICU nurses

作　　者：郑硕 张卫青[1] 吴雅萱 王鑫媛 曹雅冰 宋洁露 Zheng Shuo;Zhang Weiqing;Wu Yaxuan;Wang Xinyuan;Cao Yabing;Song Jielu(Department of Nursing,The Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450014,China)

机构地区：[1]郑州大学第二附属医院护理部,河南郑州450014 [2]河南省儿童医院早产儿重症监护室 [3]郑州大学护理与健康学院

出　　处：《护理学杂志》2023年第9期95-98,共4页Journal of Nursing Science

基　　金：2020年河南省医学科技攻关计划项目(RKX202002025)。

摘　　要：目的 了解ICU护士道德韧性状况并分析其影响因素,为制定针对性培养方案提供参考。方法 便利抽取郑州市3所三级甲等医院ICU护士322人,采用一般资料调查表、拉什顿道德复原力量表、医院伦理氛围量表、护士自我概念问卷进行调查。结果 ICU护士道德韧性条目均分为(3.03±0.50)分。ICU护士道德韧性总分与医院伦理氛围总分、专业自我概念总分呈正相关(均P<0.01)。多元线性逐步回归分析显示,ICU工作年限、接受过道德伦理课程培训、医院伦理氛围、专业自我概念是ICU护士道德韧性的影响因素(均P<0.05),共解释总变异的49.6%。结论 ICU护士道德韧性处于中等偏上水平,护理管理者可多关注ICU工作年限较低的护士,加强医院伦理氛围营造,提升ICU护士专业自我概念水平,针对性制定道德韧性培养方案,从而提升ICU护士道德韧性水平。Objective To describe the level and determinants of moral resilience of ICU nurses and to provide reference for the formulation of targeted training programs.Methods A convenient sample of 322 ICU nurses from three tertiary hospitals in Zhengzhou was recruited and surveyed using a demographic questionnaire,the Rushton Moral Resilience Scale,the Hospital Ethical Climate Survey,and the Nurses′Self-Concept Questionnaire.Results The average score of moral resilience among ICU nurses was 3.03(scale mean divided by number of items)with a standard deviation of 0.50.The total moral resilience score was positively correlated with the total scores of hospital ethical climate and nurses′self-concept(both P<0.05).Multiple linear stepwise regression showed that years of ICU work,previous training experience regarding ethics,hospital ethical climate,and professional self-concept were factors affecting moral resilience among ICU nurses(all P<0.05),explaining 49.6%of the total variance.Conclusion Moral resilience of ICU nurses is at moderate to high level.Nursing managers need to pay more attention to nurses with lower job tenure,create hospital ethical climate,enhance nurses′professional self-concept,and develop targeted training programs to enhance moral resilience of ICU nurses.

关 键 词：ICU 护士 道德韧性 医院伦理氛围 专业自我概念 护理管理 

分 类 号：R47[医药卫生—护理学] R192.6[医药卫生—临床医学]