伊朗护士的道德敏感性:来自全国性的元分析的见解
Reza Ghanei Gheshlagh1,2, Fazel Dehvan3, Ladan Sedighi4
1Lahore School of Nursing, The University of Lahore, Lahore, Pakistan.
BMC nursing
|March 20, 2025
概括
这次元分析发现,伊朗护士的道德敏感程度中等,不同地区和研究类型存在差异. 需要进一步的研究来解决出版偏见,并充分了解影响因素.
科学领域:
- 护理伦理学 护理伦理学
- 医疗保健 专业主义 医疗保健 专业主义
- 患者护理质量 患者护理质量
背景情况:
- 对于护士来说,道德敏感性至关重要,以识别和解决伦理问题,提高患者的福祉和护理质量.
- 之前在伊朗进行的研究报告了有关护士道德敏感性的各种发现.
- 这次元分析的目的是确定伊朗护士的合并道德敏感度得分.
研究的目的:
- 为了估计伊朗护士的合并标准化的道德敏感度得分.
- 根据区域和研究特征,识别道德敏感性的潜在变化.
- 探索道德敏感性与人口统计/出版因素之间的关系.
主要方法:
- 系统地搜索国家和国际数据库,直到2023年6月,确定了563篇文章.
- 收录了52篇文章,其中有11,621名参与者,经过两位独立审稿人的选.
- 使用Stata软件 (17版) 进行统计分析,包括异质性评估 (I2指数),子组分析和元回归.
主要成果:
- 合并的道德敏感度得分为69% (95% CI:66-72%),具有显著的异质性 (I2 = 94.03%).
- 在第5区域 (73.6%) 和法西语发表的文章 (70.2%) 和较小样本大小 (<200) 的文章中观察到更高的得分.
- 在道德敏感度得分与年龄,出版年份或样本大小之间没有发现显著的关系. 发现了显著的出版偏差 (p=0.001).
结论:
- 伊朗护士表现出适度的道德敏感度.
- 区域和研究特定因素影响道德敏感度得分.
- 出版偏见需要更多的代表性研究,以全面了解影响护士道德敏感性的因素.
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