实习护生道德敏感性与人文关怀能力在保护患者隐私认知与行为间的中介作用  

Mediating effect of intern nursing students'moral sensitivity and humanistic caring ability in the relationship between the cognition and behavior of protecting patients'privacy

作　　者：张立娜 张经纬 关晓青 魏玉莲[2] 王玥旸 Zhang Lina;Zhang Jingwei;Guan Xiaoqing;Wei Yulian;Wang Yueyang(Trauma Orthopedics Department at the West Campus,Zibo Central Hospital,Zibo 255000,China)

机构地区：[1]淄博市中心医院西院创伤骨科,山东淄博255000 [2]淄博市中心医院护理部,山东淄博255000 [3]滨州医学院护理学院

出　　处：《护理学杂志》2024年第22期78-82,共5页Journal of Nursing Science

摘　　要：目的探讨实习护生道德敏感性、人文关怀能力在保护患者隐私认知与行为间的中介效应,为制订措施提升护生保护患者隐私行为提供参考。方法采用关爱能力评价量表、护生道德敏感性量表、患者隐私保护能力量表对山东省5所三级医院的498名实习护生进行调查。运用AMOS24.0软件建立结构方程模型进行路径分析。结果实习护生的人文关怀、道德敏感性、保护患者隐私认知及行为得分为(197.57±28.74)分、(59.60±5.53)分、(117.09±12.85)分、(111.58±21.49)分;实习护生保护患者隐私认知与行为总分比较差异有统计学意义,且两者与人文关怀能力、道德敏感性呈正相关(均P<0.05);道德敏感性、人文关怀能力在保护患者隐私认知与行为间存在平行中介效应,中介效应占总效应的44.41%。结论实习护生保护患者隐私行为与认知间存在一定差距,护理教育者可通过增强护生道德敏感性,提升人文关怀能力,丰富护生保护患者隐私认知,以提高护生保护患者隐私能力。Objective To explore the mediating effect of intern nursing students'moral sensitivity and humanistic caring ability in the relationship between the cognition and behavior of protecting patients'privacy,and to provide reference for the development of measures to improve their behavior of protecting patients'privacy.Methods A total of 498 nursing interns from 5 tertiary hospitals in Shandong province were investigated by using the Caring Ability Inventory(CAI),the Moral Sensitivity Questionnaire for Nursing Students(MSQ-NS)and the Patient Privacy Scale(PPS).AMOS24.0 software was used to establish structural equation model for path analysis.Results The scores of humanistic care,moral sensitivity,and the cognition and behavior of protection of patient privacy were(197.57±28.74),(59.60±5.53),(117.09±12.85),(111.58±21.49).There was statistical difference between the cognitive and behavioral score of protecting patient privacy among nursing interns(P<0.05).The total score of the intern nursing students'patient privacy protection cognition and behavior were positively correlated with humanistic care ability and moral sensitivity(both P<0.05).Moral sensitivity and humanistic care ability had parallel mediating effect between cognition and behavior of protecting patients'privacy,and the mediating effect accounts for 44.41%of the total effects.Conclusion There is a certain gap between intern nursing students'behavior and cognition of protecting patients'privacy.Nursing educators can enhance the moral sensitivity and humanistic care ability of the nursing interns,and enrich the awareness of protecting patient privacy,so as to improve the ability of nursing interns to protect patient privacy.

关 键 词：护生 临床教学 保护患者隐私 人文关怀 道德敏感性 认知 行为 中介效应 职业道德培养 

分 类 号：R47[医药卫生—护理学] G424.4[医药卫生—临床医学]