急诊科护士道德勇气现状及影响因素研究

doi:10.3761/j.issn.2096-7446.2023.10.014

摘要/Abstract

摘要： 目的了解急诊科护士道德勇气现状并分析其影响因素。方法采用便利抽样方法,选取2022年12月—2023年2月在青岛市3所三级甲等综合医院工作的596名急诊科护士为研究对象,采用一般资料调查表、护士道德勇气量表、工作投入量表、心理一致感量表、组织公平感量表进行问卷调查。结果急诊科护士道德勇气量表总分为（71.92±17.30）分,工作投入量表总分为（55.94±12.72）分,心理一致感量表总分为（68.08±14.41）分,组织公平感量表总分为（67.89±10.63）分。急诊科护士道德勇气总分与工作投入、心理一致感及组织公平感总分均呈正相关（P<0.001）。多元线性回归分析结果显示,工作年限、平均月收入、工作投入、心理一致感及组织公平感为急诊科护士道德勇气的影响因素（P<0.05）。结论急诊科护士道德勇气水平处于中等偏上,护理管理者应多重视工作年限短、平均月收入少、工作投入程度较低、心理一致感较低及组织公平感水平较低的急诊科护士,采取有针对性的干预措施以提升急诊科护士的道德勇气;另外,急诊科护士也应注重自我修养,努力提升自身职业道德勇气。

关键词: 急诊科, 护士, 道德勇气, 影响因素分析, 护理管理研究

Abstract: Objective To investigate the status and its influencing factors of moral courage among emergency nurses. Methods Using the convenience sampling method,a total of 596 emergency department nurses who were worked in three general hospital of Qingdao from December 2022 to February 2023 were selected as the research objects. General data questionnaire,Nurses Moral Courage Scale（NMCS）,Utrecht Work Engagement Scale（UWES）,Sense of Coherence Scale（SOC-13）,and Organizational Justice Scale were used to conduct the questionnaire survey. Results The total score of moral courage among nurses in emergency department was （71.92±17.30）,the total score of Utrecht work engagement was（55.94±12.72）,the total score of sense of coherence was（68.08±14.41）,the total score of organizational justice was（67.89±10.63）. The total score of moral courage of emergency department nurses was positively correlated with the total score of Utrecht work engagement,sense of coherence and organizational justice（P<0.001）. Multiple linear regression analysis showed that working years,average monthly income,work engagement,sense of coherence and organizational justice were the factors affecting the moral courage of nurses in emergency department（P<0.05）. Conclusion The moral courage level of emergency department nurses is above average,nursing managers should pay more attention to emergency department nurses with short working experience,low average monthly income,low level of work engagement,low sense of psychological consistency and low level of organizational justice,and take targeted intervention measures to improve the moral courage of nurses in the emergency department,in addition,emergency department nurses should also pay attention to self-cultivation and strive to enhance their professional moral courage.

Key words: Department of Emergency, Nurses, Moral Courage, Root Cause Analysis, Nursing Administration Research

王田田, 苏晴晴, 张瑶瑶, 李琪, 吕静, 李海燕. 急诊科护士道德勇气现状及影响因素研究[J]. 中华急危重症护理杂志, 2023, 4(10): 930-935.

WANG Tiantian, SU Qingqing, ZHANG Yaoyao, LI Qi, LÜ Jing, LI Haiyan. Study on moral courage and its influencing factors of emergency nurses[J]. Chinese Journal of Emergency and Critical Care Nursing, 2023, 4(10): 930-935.

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