血液透析室护士职业认同在医院伦理氛围与道德敏感性之间的中介效应分析  

Analysis of the mediating effect of professional identity on the relationship between hospital ethical climate and the moral sensitivity of hemodialysis nurses

作　　者：张聪聪[1] 刘建平[2] 于雁[3] 姜玲[4] 赵会丽[4] 孙一凤[4] 崔超[5] ZHANG Congcong;LIU Jianping;YU Yan;JIANG Ling;ZHAO Huili;SUN Yifeng;CUI Chao(School of Nursing,Qingdao University,Qingdao,Shandong province,266071,China)

机构地区：[1]青岛大学护理学院,山东省青岛市266071 [2]青岛市市立医院西院区医患沟通办公室 [3]青岛市市立医院东院区病人服务中心 [4]青岛市市立医院东院区血液透析室 [5]青岛市市立医院本部院区血液透析室

出　　处：《中国护理管理》2025年第1期112-117,共6页Chinese Nursing Management

摘　　要：目的:分析血液透析室护士职业认同在医院伦理氛围与道德敏感性之间的中介效应,为提高临床护士的道德敏感性水平提供参考。方法:于2023年12月至2024年4月,采用方便抽样法抽取山东省6所综合医院的218名血液透析室护士为研究对象,采用一般资料调查表、护士职业认同评定量表、医院伦理氛围量表、护士道德敏感性问卷进行调查。结果:血液透析室护士道德敏感性、职业认同、医院伦理氛围得分分别为(40.35±7.45)、(118.52±19.58)、(104.64±16.47)分;医院伦理氛围与职业认同呈正相关(r=0.709,P<0.001),与道德敏感性呈正相关(r=0.536,P<0.001),职业认同与道德敏感性呈正相关(r=0.560,P<0.001);血液透析室护士职业认同在医院伦理氛围与道德敏感性之间起部分中介作用,中介效应占总效应的47.93%。结论:血液透析室护士职业认同是医院伦理氛围与道德敏感性的中介变量。医院管理者可以通过营造良好的伦理氛围,增强护士的职业认同感,从而提高护士的道德敏感性水平,提升护理服务质量。Objective:To analyze the mediating effect of nurses'professional identity in hemodialysis room on the relationship between hospital ethical atmosphere and moral sensitivity,so as to provide a reference for improving the level of moral sensitivity of clinical nurses.Methods:From December 2023 to April 2024,totally 218 nurses in hemodialysis room from 6 general hospitals in Shandong province were recruited by convenient sampling method,and the general information questionnaire,nurse professional identity rating scale,hospital ethical atmosphere scale and nurses'moral sensitivity questionnaire were used to investigate.Results:The scores of moral sensitivity,professional identity,and hospital ethical atmosphere of 218 nurses in hemodialysis room were 40.35±7.45,118.52±19.58,and 104.64±16.47 respectively.Hospital ethical atmosphere was positively correlated with professional identity(r=0.709,P<0.001)and moral sensitivity(r=0.536,P<0.001),and professional identity was positively correlated with moral sensitivity(r=0.560,P<0.001).Professional identity played a mediating role in the relationship between hospital ethical atmosphere and the moral sensitivity of nurses in hemodialysis room,and the mediating effect accounted for 47.93%of the total effects.Conclusion:The professional identity of nurses in hemodialysis room is a mediating variable of hospital ethical atmosphere and moral sensitivity.Hospital managers can enhance the professional identity of nurses by creating a good ethical atmosphere,thereby improving the moral sensitivity of nurses and improving the quality of nursing services.

关 键 词：血液透析室 护士 职业认同 道德敏感性 医院伦理氛围 中介效应 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]