肿瘤科护士伦理行为现状及影响因素分析
Ethical behavior and its influencing factors among oncology nurses
李珍英 1陈琦慧 1徐晓霞 2张一帆 3刘腊梅 1代秋维 1徐梦娜1
作者信息
- 1. 郑州大学护理与健康学院(河南郑州,450001)
- 2. 郑州大学附属肿瘤医院(河南省肿瘤医院)护理部
- 3. 郑州大学附属肿瘤医院(河南省肿瘤医院)放疗科
- 折叠
摘要
目的 了解肿瘤科护士伦理行为现状,分析其影响因素,为制定针对性干预措施提供参考.方法 便利抽取郑州市3所三级甲等医院肿瘤科护士 552人,采用一般资料调查表、护士伦理行为量表、拉什顿道德复原力量表、医院伦理氛围量表进行调查.结果 肿瘤科护士伦理行为得分为(75.85±10.75)分.多元线性回归分析结果显示,工作年限、道德韧性、医院伦理氛围是肿瘤科护士伦理行为的主要影响因素(均P<0.05),共解释总变异的50.0%.结论 肿瘤科护士伦理行为处于中等偏上水平.护理管理者可通过提升肿瘤科护士道德韧性水平,营造良好的医院伦理氛围,从而改善肿瘤科护士伦理行为.
Abstract
Objective To understand the current status of ethical behavior among oncology nurses,and to analyze its influencing fac-tors,so as to provide a reference for developing targeted intervention.Methods A total of 552 oncology nurses from three tertiary hospitals in Zhengzhou were selected by using convenience sampling method,then they were surveyed by utilizing a general infor-mation questionnaire,the Ethical Behavior Scale for Nurses-Revise(EBSN-R),the Rushton Moral Resilience Scale(RMRS)and the Hospital Ethical Climate Survey(HECS).Results The total score of the EBSN-R among oncology nurses was(75.85±10.75).Multiple linear regression analysis showed that,years of working experience,the score of RMRS and HECS were the main factors affecting the ethical behavior of oncology nurses(all P<0.05),which explained 50.0%of the total variance.Conclusion Ethical behavior among oncology nurses is at a medium and above level.Nursing managers can improve oncology nurses'ethical behavior by enhancing their moral resilience and creating a good hospital ethical climate.
关键词
肿瘤科/护士/伦理行为/道德韧性/道德困扰/道德困境/医院伦理氛围/护理管理Key words
oncology department/nurses/ethical behavior/moral resilience/moral distress/ethical dilemma/hospital ethical climate/nursing management引用本文复制引用
基金项目
河南省医学科技攻关计划(RKX202102009)
出版年
2024