临床护理伦理行为现状及影响因素研究  

Study on the Current Status and Influencing Factors of Ethical Behavior in Clinical Nursing

作　　者：房芹 张晓君 丁瑞欣 赵鑫月 李明霞[2] FANG Qin;ZHANG Xiaojun;DING Ruixin;ZHAO Xinyue;LI Mingxia(Nursing Department,University Town Hospital,Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250300,China;School of Nursing,Shandong University of Traditional Chinese Medicine,Jinan 250355,China)

机构地区：[1]山东中医药大学附属医院大学城医院护理部,山东济南250300 [2]山东中医药大学护理学院,山东济南250355

出　　处：《医学与哲学》2025年第1期49-54,共6页Medicine and Philosophy

基　　金：2023年山东省社会科学规划研究项目(22CSZJ35);2024年学习贯彻习近平文化思想专项课题(WHSX202418);2024年山东省医药卫生科技项目(202414050594)。

摘　　要：选取采用一般资料调查表、中文版护理伦理行为问卷、中文版道德敏感性问卷和护士职业认同评定量表对济南市某二甲公立医院的270例临床护士进行调查,结果显示临床护士护理伦理行为问卷总得分为(89.25±13.25)分;多重线性回归分析显示,道德敏感性与职业认同感是临床护士护理伦理行为的影响因素(P<0.01);职业认同感在道德敏感性与护理伦理行为之间起部分中介作用,中介效应量为21.09%。临床护士的护理伦理行为处于中等水平,有较大提升空间,护理管理者可以通过改善护士道德敏感性,提升其职业认同感来改善护理伦理行为。A survey was conducted among 270 clinical nurses at a public hospital in Jinan using the general information questionnaire,the Chinese version of the Nursing Ethical Behavior Questionnaire,the Chinese version of the Moral Sensitivity Questionnaire,and the Nurse Professional Identity Scale.The results showed that the total score of the Nursing Ethical Behavior Questionnaire for clinical nurses was(89.25±13.25).Multiple linear regression analysis revealed that moral sensitivity and professional identity were significant influencing factors of ethical behavior in clinical nursing(P<0.01).Professional identity partially mediated the relationship between moral sensitivity and ethical behavior,with a mediation effect size of 21.09%.The ethical behavior of clinical nurses was found to be at a moderate level,indicating room for significant improvement.Nursing managers can enhance ethical behavior in nursing by improving nurses'moral sensitivity and professional identity.

关 键 词：临床护士 护理伦理行为 道德敏感性 职业认同感 

分 类 号：R-05[医药卫生]