佛山市13所医院肿瘤科护士伦理敏感性现状及其影响因素分析  

Ethical sensitivity among oncology nurses in 13 hospitals of Foshan:current status and influencing factors

作　　者：黄芸 梅俊[3] 向霞 张春燕[3] 李美秋[3] 周宏珍 Huang Yun;Mei Jun;Xiang Xia;Zhang Chunyan;Li Meiqiu;Zhou Hongzhen(School of Nursing,Southern Medical University,Guangzhou 510515,Guangdong Province,China;Nanfang Hospital,Southern Medical University,Guangzhou 510515,Guangdong Province,China;The First People's Hospital of Foshan,Foshan 528000,Guangdong Province,China)

机构地区：[1]南方医科大学护理学院,广东广州510515 [2]南方医科大学南方医院,广东广州510515 [3]佛山市第一人民医院,广东佛山528000

出　　处：《现代临床护理》2024年第8期27-33,共7页Modern Clinical Nursing

基　　金：2023年佛山市卫生健康局医学科研课题,项目编号为20230172。

摘　　要：目的探讨佛山市13所医院肿瘤科护士伦理敏感性现状并分析其影响因素,为制定有效的干预措施提供依据。方法2023年7月—9月,采用整群抽样法选择广东省佛山市13所三级甲等综合医院574名肿瘤科护士作为研究对象,采用一般资料调查表、中文版护士道德敏感性调查问卷(revised moral sensitivity questionnaire,MSQ-R-CV)、关怀行为量表(caring behaviour inventory,CBI)、中文版情绪智力量表(wong and Law emotional intelligence scale,WLEIS)进行横断面研究,采用单因素与多元线性逐步回归分析筛选影响因素。结果524名护士完成研究。肿瘤科护士伦理敏感性总分为(44.57±7.63)分;护士伦理敏感性的关怀行为总分为(125.86±17.95)分,护士情绪智力总分为(86.82±14.37)分。多元线性逐步回归结果显示,在肿瘤科工作年限、近3年内是否参加医学伦理与叙事护理培训、关怀行为、情绪智力变量是肿瘤科护士伦理敏感性的影响因素(均P<0.05),共解释因变量总变异的70.5%(F=94.253,P<0.001)。结论佛山市肿瘤科护士伦理敏感性处于较高水平,在肿瘤科工作年限≤20年、近3年内未参加医学伦理与叙事护理培训、关怀行为不足、情绪智力水平较低的护士,其伦理敏感性水平较低,应引起护理管理者重视,通过适当干预提升其伦理敏感性。Objective To investigate the current status of ethical sensitivity among oncology nurses and explore the influencing factors in 13 Grade IIIA hospitals in Foshan to provide guidance for formulating effective intervention measures.Methods From July to September 2023,a cluster convenience sampling method was used to select 574 oncology nurses from 13 Grade IIIA hospitals in Foshan City,Guangdong Province as the research subjects.A general data questionnaire,the Chinese version of the nurse moral sensitivity questionnaire(a revised moral sensitivity questionnaire,MSQ-R-CV),the caring behaviour inventory(CBI),and the Chinese version of emotional intelligence scale(Wong and Law emotional intelligence scale,WLEIS)were used for the cross-sectional study.Univariate and multivariate linear stepwise regression were used to analyse the influencing factors.Results A total of 574 questionnaires were collected,of which 524 were valid.The total scores of ethical sensitivity,caring behaviour,and emotional intelligence of oncology nurses were(44.57±7.63),(125.86±17.95)and(86.82±14.37),respectively.Results of multivariate linear stepwise regression showed that working years in oncology departments,whether participated in medical ethics and took narrative nursing training,the total score of caring behaviour and the total score of emotional intelligence were the influencing factors of oncology nurses'ethical sensitivity(all P<0.05),jointly explained 70.5%of the total variation of ethical sensitivity(F=94.253,P<0.001).Conclusion Oncology nurses in Foshan demonstrate a medium-level of ethical sensitivity.Nurses who have≤20 years of working experience,lacking the training in medical ethics and narrative nursing within the past three years,exhibiting a shortage of caring behaviour and possessing a low emotional intelligence are more likely to exhibit low ethical sensitivity.Nursing managers should prioritise the nurses in this category with appropriate measures to enhance their ethical sensitivity.

关 键 词：肿瘤科护士 伦理敏感性 情绪智力 关怀行为 横断面研究 

分 类 号：R47[医药卫生—护理学]