神经外科护士伦理敏感性现状及影响因素研究  

Study on the ethical sensitivity status and influencing factors of neurosurgical nurses

作　　者：黄斌 陈偶英[1] 张茜 龙波 陈晓霞 李婵[5] 吴景 张汝桢 欧阳海艳 HUANG Bin;CHEN Ouying;ZHANG Qian;LONG Bo;CHEN Xiaoxia;LI Chan;WU Jing;ZHANG Ruzhen;OUYANG Haiyan(School of Nursing,Hu'nan University of Chinese Medicine,Changsha 410036,China;Cancer Center,the Second Xiangya Hospital of Central South University,Changsha 410012,China;Department of Neurosurgery,the First Hospital of Hu'nan University of Chinese Medicine,Changsha 410007,China;Center Intensive Care Unit,Hu'nan Brain Hospital,Changsha 410021,China;Department of Neurosurgery,the Second Xiangya Hospital of Central South University,Changsha 410012,China;Department of Neurosurgery,Changsha Central Hospital,Changsha 410028,China;Department of Neurosurgery,Hu'nan Brain Hospital,Changsha 410021,China)

机构地区：[1]湖南中医药大学护理学院,长沙市410036 [2]中南大学湘雅二医院肿瘤中心,长沙市410012 [3]湖南中医药大学第一附属医院神经外科,长沙市410007 [4]湖南省脑科医院中心重症监护室,长沙市410021 [5]中南大学湘雅二医院神经外科,长沙市410012 [6]长沙市中心医院神经外科,410028 [7]湖南省脑科医院神经外科,长沙市410021

出　　处：《护理管理杂志》2024年第1期6-10,共5页Journal of Nursing Administration

摘　　要：目的调查神经外科护士伦理敏感性现状,分析其影响因素,为管理者制订针对性措施,提高护士伦理敏感性水平提供依据。方法采用一般资料调查问卷、中文版护士伦理敏感性问卷、医院伦理氛围量表、杰弗逊共情量表对长沙市3所三级甲等综合医院197名神经外科护士进行调查。结果神经外科护士伦理敏感性得分为(35.20±7.57)分,医院伦理氛围得分为(91.50±13.95)分,共情得分为(75.78±12.04)分;神经外科护士伦理敏感性与医院伦理氛围及共情得分均呈正相关(r_(1)=0.597,r_(2)=0.679,均P<0.01)。多元线性回归分析显示,护龄、工作强度、伦理道德教育经历、医院伦理氛围、共情是神经外科护士伦理敏感性的影响因素(P<0.05)。结论神经外科护士伦理敏感性处于中等水平,护龄短、工作强度大、无伦理道德教育经历、医院伦理氛围差、共情能力弱的护士伦理敏感性低,管理者应重视并制订针对性干预措施进一步提高其伦理敏感性。Objective To investigate the current situation of the ethical sensitivity of neurosurgery nurses,analyze its influencing factors,and provide a basis for managers to formulate targeted measures to improve the ethical sensitivity level of nurses.Methods The general information questionnaire,Moral Sensitivity Questionnaire Revised Chinese Version(MSQ-R-CV),the Hospital Ethical Climate Survey(HECS),and the Jefferson Scale of Empathy Health Professionals(JSE-HP)were used to survey 197 nurses in three ClassⅢGrade A general hospitals in Changsha city.Results MSQ-R-CV was(35.20±7.57),HECS was(91.50±13.95)and JSE-HP was(75.78±12.04).MSQ-R-CV was positively correlated with HECS and JSE-HP(r_(1)=0.597,r_(2)=0.679,P<0.01).Multiple regression analysis showed that nursing age,work intensity,whether they had participated in neurosurgery related ethics education,hospital ethical atmosphere and empathy were the main factors affecting the ethical sensitivity of neurosurgery nurses(P<0.05).Conclusion The ethical sensitivity of neurosurgical nurses is at the middle level.Nurses with short nursing experience,high work intensity,no experionce in ethical education,poor ethical atmosphere in hospitals,and weak empathy have lower ethical sensitivity.Managers should pay attention to and develop targeted interventions to improve their ethical sensitivity.

关 键 词：神经外科 护士 伦理敏感性 医院伦理氛围 共情能力 

分 类 号：R473.6[医药卫生—护理学]