医院的道德气候调解了道德敏感性和道德决策能力
Fan Xu1, Hongjuan Wang1, Siyuan Tang1
1Central South University.
Nursing ethics
|June 13, 2025
概括
医院的伦理气候调解了护理实习生的道德敏感性和他们的伦理决策之间的联系. 干预措施应解决两者,以改善医疗保健中的临床判断.
科学领域:
- 护理伦理学 护理伦理学
- 医疗保健管理的管理
- 医学教育 医学教育
背景情况:
- 对于面临复杂临床情况的高级护理实习生来说,道德决策至关重要.
- 医院道德气候在将道德敏感性与道德决策联系起来的调解作用还未得到充分研究.
- 这种知识差距阻碍了基于证据的战略,以提高实习生的道德能力和患者护理质量.
研究的目的:
- 研究医院伦理气候在高级护理实习生中道德敏感性和伦理决策之间的关系中的调解作用.
- 确定道德敏感性,医院道德气候和道德决策之间的相互关系.
主要方法:
- 一项涉及1096名来自中国七个地区44所大学的高级护理实习生的横截面相关研究.
- 通过在线问卷收集的数据评估了一般信息,护理决策,道德敏感性和医院的伦理气候.
- 统计分析包括描述性统计,皮尔森相关性和使用PROCESS宏观的调解分析.
主要成果:
- 85.3%的回复率产生了935个有效的问卷.
- 参与者表现出适度的道德决策能力,道德敏感性和感知到医院的道德气候.
- 在所有三个变量之间都发现了显著的正相关性 (r = 0.2480.474,p < 0.05).
- 医院的道德气候显著调解了道德敏感性和道德决策之间的关系 (β = 0.2520.580,p < 0.05).
结论:
- 医院的伦理气候在高级护理实习生中起到道德敏感性和伦理决策之间的重要调解作用.
- 干预措施应同时针对道德敏感性和医院的伦理气候,以加强实习生的伦理决策.
- 需要进一步的研究来探索针对这一群体的具体干预策略.
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