急诊科护士伦理胜任力现状及其影响因素研究

doi:10.3761/j.issn.2096-7446.2026.04.007

Abstract

Abstract:

Objective To explore the current status and influencing factors of ethical competence among emergency department nurses. Methods A cross-sectional survey was conducted using a convenience sample of 623 nurses from the emergency departments of five tertiary hospitals in Shenzhen，Fuzhou，Zhangzhou，and Zhuhai. Data were collected online using a general information questionnaire，the Ethical Competence Support scale（48 items），the Ethical Competence scale（27 items），and the Ethical Safety scale（11 items）. Results The high-level proportions for ethical competence support，ethical competence，and ethical safety among emergency department nurses were 72.23%，70.14%，and 60.51%，respectively. Multivariate analysis showed that the influencing factors of ethical competence support were educational background，professional title，working years，having participated in ethical-related training，family members engaged in ethical-related work，and encountering ethical-related issues（P<0.05）. The influencing factors of ethical competence were educational background，professional title，working years，nurse rank，having participated in ethical-related training，family members engaged in ethical-related work，and actively acquiring ethical knowledge（P<0.05）. The influencing factors of ethical safety were educational background，professional title，working years，nurse rank，having participated in ethical-related training，family members engaged in ethical-related work，and actively acquiring ethical knowledge（P<0.05）. Conclusion The overall level of ethical competence among emergency nurses is good，but ethical safety needs improvement. Managers should strengthen systematic ethics education and build supportive ethical environments；nurses themselves should proactively acquire ethics knowledge and reflect on ethical practices to comprehensively enhance their ethical competence and professional identity.

Key words: Emergency Nurses, Ethical Competence, Ethical Safety, Influencing Factor

HUANG Shuixiu, LIANG Li, ZHANG Wei, XU Junhui, ZHAO Yu. Research on the current status and influencing factors of ethical competence of emergency department nurses[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(4): 432-439.

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Research on the current status and influencing factors of ethical competence of emergency department nurses

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