护士伦理胜任力现状及影响因素分析  

Analysis of the current sitnation and influencing factors of nurses′ethical competence

作　　者：徐鋆卉 马玥[2] 张楠[1] 郝丽丽[1] 王静 张妍 班俊坤 张正涛 Xu Junhui;Ma Yue;Zhang Nan;Hao Lili;Wang Jing;Zhang Yan;Ban Junkun;Zhang Zhengtao(Department of Nursing,Tianjin Chest Hospital,Tianjin 300222,China;Department of Respiratory and Critical Care Medicine Ward,Tianjin Chest Hospital,Tianjin 300222,China;Department of Coronary Care Unit,Tianjin Chest Hospital,Tianjin 300222,China;Graduate School,Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China)

机构地区：[1]天津市胸科医院护理部,天津300222 [2]天津市胸科医院呼吸与危重症医学科,天津300222 [3]天津市胸科医院冠心病监护病房,天津300222 [4]天津中医药大学研究生院,天津301617

出　　处：《中国实用护理杂志》2024年第24期1903-1909,共7页Chinese Journal of Practical Nursing

基　　金：2023年度天津市医学伦理学会科研项目(tjyxll0308)。

摘　　要：目的了解护士伦理胜任力水平现状并分析其影响因素,为制订针对性培养方案提供参考。方法采用横断面调查法,于2023年7—8月以便利抽样法选取天津市胸科医院825名临床护士作为调查对象,采用一般资料问卷、伦理胜任力量表、伦理胜任力支持量表和伦理安全量表进行问卷调查。结果共回收有效问卷818份。818名护士中,男48名,女770名,年龄(33.19±7.40)岁。护士伦理胜任力总分(118.08±19.96)分,伦理胜任力支持总分(215.07±32.02)分,伦理安全总分(48.93±7.55)分,均处于高水平;护士伦理胜任力总分与伦理胜任力支持、伦理安全呈正相关(r=0.856、0.830,均P<0.01);多元线性回归分析显示,科室、伦理胜任力支持以及伦理安全是伦理胜任力水平的影响因素(t=5.19、12.35、3.88,均P<0.01)。结论护士的伦理胜任力、伦理胜任力支持以及伦理安全均处于高水平,科室、伦理胜任力支持水平以及伦理安全水平是伦理胜任力水平的影响因素。护理管理者可提供更多伦理教育并在多专业讨论中解决伦理问题,加强对护士伦理胜任力的组织和个人支持,提高护士的伦理安全,帮助他们实施良好的伦理护理。ObjectiveTo understand the current state of ethical competence levels of nurses and analyse the factors that influence them,in order to inform the development of targeted training programmes.MethodsThis study adopted a cross-sectional survey method and used convenience sampling to select 825 clinical nurses from Tianjin Chest Hospital as the survey objects from July to August,2023,and a questionnaire survey was conducted using the General Information Questionnaire,the Ethical Competence Scale,Ethical Competence Support Scale,and Ethical Safety Scale.ResultsA total of 818 valid questionnaires were retracted.Among the 818 nurses,48 were males and 770 were females,the age was(33.19±7.40)years.The total score of nurses′Ethical Competence,Ethical Competence Support and Ethical Safety were(118.08±19.96),(215.07±32.02),(48.93±7.55)points,all of which were at a high level.The total score of nurses′ethical competence were positively correlated with ethical competence support and ethical safety(r=0.856,0.830,both P<0.01);multivariate linear regression analysis showed that the department,the level of ethical competence support,and the level of ethical safety were the influencing factors of the level of ethical competence(t=5.19,12.35,3.88,all P<0.01).ConclusionsNurses′ethical competence,ethical competence support,and ethical safety were at a high level,and the department,the level of ethical competence support,and the level of ethical safety were the factors influencing the level of ethical competence.Nursing managers can provide more ethical education and address ethical issues in multiprofessional discussions,strengthen organizational and personal support for nurses′ethical competence,improve nurses′ethical safety,and help them implement good ethical care.

关 键 词：伦理学 护理 护理管理人员 护士 伦理胜任力 伦理安全 伦理胜任力支持 

分 类 号：R47[医药卫生—护理学]