中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
CHINESE JOURNAL OF PRACTICAL NURSING
2014年
1期
55-59
,共5页
护士%道德困境%影响因素%决策
護士%道德睏境%影響因素%決策
호사%도덕곤경%영향인소%결책
Nurses%Moral distress%Influencing factors%Decision-making
目的 探讨护士道德困境的现状及其影响因素.方法 采用立意取样法对济南市3所三级甲等医院的252名临床护士使用中文版护士道德困境量表(MDS-R)和工作诊断调查表(JDS)进行问卷调查,了解护士道德困境的现状及其影响因素.结果 护士道德困境频率(MDF)平均得分(1.06.46)分,道德困境强度(MDI)平均得分(1.05±0.63)分,护士道德困境总分的均分为(38.86±26.26)分,无效护理是引起护士道德困境高频率和高强度的主要原因.不同年龄、工作年限、第一学历、职称、职务、科室、编制及收入的护士的道德困境得分比较差异有统计学意义.多元逐步回归分析得出影响护士道德困境的因素有:年龄、第一学历、科室、职称及工作特征中的任务重要性、工作自主性和合作性.结论 提示护士应加强护理伦理知识的学习,提高自身伦理决策能力;护理管理者应重视科室管理,加强医护合作关系,提高护士工作自主性,营造良好的科室氛围,提高护士应对与决策能力,降低道德困境水平.
目的 探討護士道德睏境的現狀及其影響因素.方法 採用立意取樣法對濟南市3所三級甲等醫院的252名臨床護士使用中文版護士道德睏境量錶(MDS-R)和工作診斷調查錶(JDS)進行問捲調查,瞭解護士道德睏境的現狀及其影響因素.結果 護士道德睏境頻率(MDF)平均得分(1.06.46)分,道德睏境彊度(MDI)平均得分(1.05±0.63)分,護士道德睏境總分的均分為(38.86±26.26)分,無效護理是引起護士道德睏境高頻率和高彊度的主要原因.不同年齡、工作年限、第一學歷、職稱、職務、科室、編製及收入的護士的道德睏境得分比較差異有統計學意義.多元逐步迴歸分析得齣影響護士道德睏境的因素有:年齡、第一學歷、科室、職稱及工作特徵中的任務重要性、工作自主性和閤作性.結論 提示護士應加彊護理倫理知識的學習,提高自身倫理決策能力;護理管理者應重視科室管理,加彊醫護閤作關繫,提高護士工作自主性,營造良好的科室氛圍,提高護士應對與決策能力,降低道德睏境水平.
목적 탐토호사도덕곤경적현상급기영향인소.방법 채용립의취양법대제남시3소삼급갑등의원적252명림상호사사용중문판호사도덕곤경량표(MDS-R)화공작진단조사표(JDS)진행문권조사,료해호사도덕곤경적현상급기영향인소.결과 호사도덕곤경빈솔(MDF)평균득분(1.06.46)분,도덕곤경강도(MDI)평균득분(1.05±0.63)분,호사도덕곤경총분적균분위(38.86±26.26)분,무효호리시인기호사도덕곤경고빈솔화고강도적주요원인.불동년령、공작년한、제일학력、직칭、직무、과실、편제급수입적호사적도덕곤경득분비교차이유통계학의의.다원축보회귀분석득출영향호사도덕곤경적인소유:년령、제일학력、과실、직칭급공작특정중적임무중요성、공작자주성화합작성.결론 제시호사응가강호리윤리지식적학습,제고자신윤리결책능력;호리관리자응중시과실관리,가강의호합작관계,제고호사공작자주성,영조량호적과실분위,제고호사응대여결책능력,강저도덕곤경수평.
Objective To explore the current situation and influencing factors of moral distress among nurses.Methods 252 clinical registered nurses from 3 Grade-3 Level-A hospitals in Jinan were investigated by the Chinese version of Moral Distress Scale-Revised and Job Diagnostic Survey.Results The mean score of MDF was (1.06±0.46) points and the mean score of MDI was (1.05±0.63) points.The total score of MDS-R was (38.86+26.26) points.Futile care was the main source for the high frequency and high intensity of moral distress among nurses.There were significant differences in the level of moral distress among different groups of age,years of nursing experience,first education degree,professional title,position,department,staffing of government affiliated institutions and income.The result of multiple linear regression analysis showed that age,first education degree,department,professional title,and the importance of assignment,autonomy,collaboration of work were the influencing factors for moral distress of nurses.Contusions It suggested that nurses should strengthen the study of knowledge about ethics to improve their capacity of ethical decision-making,and nurse managers should pay attention to department management,strengthen the medical cooperation,and improve nurses' job autonomy to improve nurses' capacity of coping and decision-making and reduce the level of moral dilemmas.
