养老机构养老护理员道德复原力现状及影响因素分析  

Current situation and influencing factors of moral resilience of elderly care workers in elderly care institutions

作　　者：方莹 郑智慧[1] FANG Ying;ZHENG Zhihui(School of Nursing,Fujian University of Traditional Chinese Medicine,Fuzhou 350122,China;School of Nursing,Zhangzhou Health Vocational College)

机构地区：[1]福建中医药大学护理学院,福建福州350122 [2]漳州卫生职业学院护理学院

出　　处：《沈阳医学院学报》2024年第6期564-569,共6页Journal of Shenyang Medical College

基　　金：福建中医药大学2022年护理学科开放课题(No.XHL2022008)

摘　　要：目的:调查养老机构养老护理员道德复原力现状,并分析其影响因素。方法:采用便利抽样法,于2023年9月至11月选取漳州市7所民营养老机构的225名养老护理员作为研究对象。采用一般资料问卷、拉什顿道德复原力量表、护士道德困境量表、护士道德勇气量表、社会支持评定量表、医院伦理氛围量表对其进行调查。养老护理员道德复原力与道德困境、道德勇气、社会支持、伦理氛围的相关性采用Spearman相关性分析。采用广义线性回归分析影响养老护理员道德复原力的主要因素。结果:养老机构养老护理员道德复原力总分为41.00(35.00,47.00)分。Spearman相关性分析结果显示,养老护理员道德复原力与道德困境得分、道德勇气得分均呈正相关(r值分别为0.364和0.279,P<0.01),与社会支持得分、伦理氛围得分均呈弱相关(P>0.05)。广义线性回归分析显示,道德勇气、道德困境是养老护理员道德复原力的主要影响因素(β值分别为0.041和0.216,P<0.01)。结论:养老机构养老护理员道德复原力处于中等水平。养老机构的管理者应制定相应措施提高养老护理员面对道德困境的处理能力、提升发挥道德勇气的内在潜质,从而提高养老护理员道德复原力水平。Objective:To investigate the current situation of moral resilience of elderly care workers in elderly care institutions and analyze its influencing factors.Methods:A total of 225 elderly care workers from 7 private elderly care institutions in Zhangzhou City were selected from Sep 2023 to Nov 2023 by convenience sampling.The general information questionnaire,Rushton moral resilience scale(RMRS),nurses'moral dilemma scale,nurses'moral courage scale,social support rating scale(SSRS),and hospital ethical atmosphere scale were used to investigate.Spearman correlation analysis was used to analyze the correlation of moral resilience with moral dilemma,moral courage,social support and ethical climate.Generalized linear regression was used to analyze the main factors affecting the moral resilience of elderly care workers.Results:The total score of moral resilience of elderly care workers in elderly care institutions was 41.00(35.00,47.00).Spearman correlation analysis showed that moral resilience was positively correlated with moral dilemma score and moral courage score(r=0.364 and 0.279,respectively,P<0.01),and weakly correlated with social support score and ethical atmosphere score(P>0.05).Generalized linear regression showed that moral courage and moral dilemma were the influencing factors of moral resilience of elderly care workers in elderly care institutions(β=0.041 and 0.216,respectively,P<0.01).Conclusions:The moral resilience of elderly care workers in elderly care institutions is at a medium level.Managers of elderly care institutions should formulate corresponding measures to improve the ability of elderly care workers to deal with moral dilemmas,enhance the inherent potential of moral courage,and then improve the moral resilience of elderly care workers.

关 键 词：养老护理员 道德复原力 道德困境 道德勇气 

分 类 号：R473.1[医药卫生—护理学]