主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
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ICU护士道德困境对其职业认同感的影响

林丽艳 李贤连 陈洁 胡碎钗   

  1. 温州医科大学附属第二医院ICU
  • 出版日期:2016-06-25 发布日期:2016-06-25

The influence of moral distress on professional identification of Intensive Care Unit nurses

  • Online:2016-06-25 Published:2016-06-25

摘要: 目的:分析ICU 护士道德困境对其职业认同感的影响。方法:采用便利抽样法抽取温州市3 所三级甲等医院的ICU 护士198 名进行问卷调查,了解ICU 护士道德困境和职业认同感的现状,并分析两者之间的关系。结果:ICU 护士职业认同感总分为(32.58±6.47) 分,ICU 护士道德困境与其职业认同感呈负相关,回归分析显示,控制人口学变量之后,价值冲突、个体责任共可以解释职业认同感的28.6%。结论:护理管理者应根据ICU 护士道德困境的不足之处,制定针对性的干预措施,增进ICU 护士的职业认同感。

Abstract: Objective: To determine the impact of moral distress of nurse on professional identification in intensive care unit nurses. Methods: A total of 198 intensive care unit nurses were recruited from four level 3, grade A hospitals in Wenzhou by convenience sampling. The participants were investigated with Moral Distress Scale and Professional Identification Scale. The relationship between moral distress and professional identification of nurse was analyzed.Results: The total score of professional identification in intensive care unit nurses was (32.58±6.47). There were significant negative correlations between score of moral distress and score of professional identification in intensive care unit nurses.Regression analysis showed the factor scores of moral distress in nurse like value conflicts and individual responsibility could independently explain 28.6% of the variance for professional identification after controlling demographic variables.Conclusion: Clinical managers should focus on the shortcomings of moral distress in intensive care unit nurses, and take effective measures to improve the professional identification in intensive care unit nurses.