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护理学报 ›› 2024, Vol. 31 ›› Issue (13): 7-11.doi: 10.16460/j.issn1008-9969.2024.13.007

• 研究生园地 • 上一篇    下一篇

肿瘤科护士道德勇气的潜在类别及影响因素分析

张一帆1a, 徐晓霞1b, 王子佼2, 刘腊梅2, 李珍英2, 毛真雪1b   

  1. 1.郑州大学附属肿瘤医院 河南省肿瘤医院 a.放疗科;b.护理部,河南 郑州 450008;
    2.郑州大学护理与健康学院,河南 郑州 450001
  • 收稿日期:2024-02-18 出版日期:2024-08-05 发布日期:2024-08-05
  • 通讯作者: 徐晓霞(1970-),女,河南郑州人,本科学历,主任护师,护理部主任。E-mail:xuxiaoxia2007@126.com
  • 作者简介:张一帆(1998-),女,河南信阳人,本科学历,硕士研究生在读,护师。
  • 基金资助:
    河南省科技发展计划项目(222102310184)

Latent categories of moral courage among nurses in oncology department and its influencing factors

ZHANG Yi-fan1a, XU Xiao-xia1b, WANG Zi-jiao2, LIU La-mei2, LI Zhen-ying2, MAO Zhen-xue1b   

  1. 1a. Dept. of radiotherapy; 1b. Dept. of Nursing, Administration the Affiliated Cancer Hospitalof Zhengzhou University & Henan Cancer Hospital, Zhengzhou 450008, China;
    2. School of Nursing and Health, Zhengzhou University, Zhengzhou 450001, China
  • Received:2024-02-18 Online:2024-08-05 Published:2024-08-05

摘要: 目的 探讨肿瘤科护士道德勇气的潜在类别并分析其影响因素。方法 2022年8—9月,采用便利抽样法选取郑州市某三级甲等医院502名肿瘤科护士为研究对象,采用一般资料调查表、护士道德勇气量表、心理韧性量表对其进行现况调查。采用 Mplus 8.0进行潜在剖面分析,采用有序多分类Logistic回归分析评估各因素对护士道德勇气的影响。结果 肿瘤科护士道德勇气可分为 3个潜在类别,分别为:低水平道德勇气组(42.8%)、中等水平道德勇气组(39.9%)和高水平道德勇气组(17.3%),其影响因素包括年龄和心理韧性得分(均P<0.05)。结论 肿瘤科护士道德勇气分为 3个潜在类别,年龄、心理韧性是影响肿瘤科护士道德勇气的影响因素,为肿瘤科护士制定针对性的干预方案提供依据。

关键词: 潜在剖面分析, 肿瘤科, 护士, 道德勇气, 影响因素

Abstract: Objective To explore the latent categories of moral courage of nurses in oncology department and analyze its influencing factors. Methods From August to September 2022, a total of 502 oncology nurses from a tertiary grade-A hospital in Henan Province were selected as the research objects by convenience sampling. The General Information Questionnaire, Nurses' Moral Courage Scale and Psychological Resilience Scale were used the investigation. Mplus 8.0 was used for potential profile analysis, and ordered multiple logistic regression analysis was used to evaluate the influencing of each factor on different types. Results The moral courage of oncology nurses could be divided into three latent categories: low level moral courage group (42.8%), medium level moral courage group (39.9%) and high level moral courage group (17.3%). The influencing factors included age and resilience score (all P<0.05). Conclusion There are three latent categories of moral courage of nurses in oncology department. Age and mental toughness are important factors affecting the potential types of moral courage, which provide basis for developing targeted interventions for oncology nurses with different types of moral courage.

Key words: latent profile analysis, oncology department, nurse, moral courage, influencing factor

中图分类号: 

  • R473.73
[1] 杨云芳,佘东立,貟蓓,等. 护士心理资本在工作压力和职业倦怠间的中介效应[J]. 护理学报, 2020,27(19):62-66.DOI:10.16460/j.issn1008-9969.2020.19.062.
[2] 王丝瑶,魏丽丽,张艳,等. 护士道德勇气量表的汉化及信效度检验[J]. 护理学杂志, 2019, 34(21): 92-95.DOI:10.3870/j.issn.1001-4152.2019.21.092.
[3] Safarpour H, Ghazanfarabadi M, Varasteh S, et al.The association between moral distress and moral courage in nurses: a cross-sectional study in Iran[J]. Iran J Nurs Midwifery Res, 2020, 25(6):533-538.DOI:10.4103/ijnmr.IJNMR_156_19.
[4] Pakizekho S, Barkhordari-Sharifabad M.The relationship between ethical leadership,conscientiousness,and moral courage from nurses' perspective[J]. BMC Nurs, 2022, 21(1):164-172.DOI: 10.1186/s12912-022-00941-y.
[5] 徐艳玲,张小曼. ICU护士道德困境、职业倦怠及伦理决策能力相关性分析[J]. 职业与健康, 2022, 38(9):1172-1176.DOI:10.13329/j.cnki.zyyjk.2022.0224.
[6] Goktas S, Aktug C, Gezginci E.Evaluation of moral sensitivity and moral courage in intensive care nurses in Turkey during the COVID-19 pandemic[J]. Nurs Crit Care, 2023, 28(2): 261-271.DOI: 10.1111/nicc.12820.
[7] Mohammadi F, Tehranineshat B, Ghasemi A, et al.A study of how moral courage and moral sensitivity correlate with safe care in special care nursing[J]. Scientific World Journal, 2022, 9(1): 987-995.DOI: 10.1155/2022/9097995.
[8] 许娇,韩利,王娟,等. 精神科护士道德勇气及影响因素分析[J]. 护理学杂志, 2022, 37(16): 51-53.DOI:10.3870/j.issn.1001-4152.2022.16.051.
[9] 钟影,黄小娟,陈才女,等. 儿科护士与患儿家长伙伴关系的现状及影响因素分析[J]. 中国护理管理, 2022, 22(7): 1031-1035.DOI:10.3969/j.issn.1672-1756.2022.07.014.
[10] 孔琳姝,王婧妍,邓丽娜,等. 老年病医院临床护士道德勇气现状调查[J]. 解放军医院管理杂志, 2021, 28(4): 383-385.DOI:10.16770/J.cnki.1008-9985.2021.04.029.
[11] Khodaveisi M,Oshvandi K, Bashirian S,et al.Moral courage, moral sensitivity and safe nursing care in nurses caring of patients with COVID-19[J]. Nurs Open, 2021, 8(6): 3538-3546.DOI: 10.1002/nop2.903.
[12] Pirdelkhosh M, Mohsenipouya H, Mousavinasab N, et al.Happiness and moral courage among iranian nurses during the COVID-19 pandemic: the role of workplace social capital[J]. Front Psychiatry, 2022,13(8):901-909.DOI:10.3389/fpsyt.2022.844901.
[13] 陈祖森,叶碧容,杨盈盈,等. 护理实习生道德勇气现状及影响因素分析[J]. 医学理论与实践, 2022, 35(12):2152-2154.DOI:10.19381/j.issn.1001-7585.2022.12.072.
[14] Mohammadi F, Masoumi Z, Oshvandi K, et al.Death anxiety, moral courage, and resilience in nursing students who care for COVID-19 patients: a cross-sectional study[J]. BMC Nurs,2022,21(1):150-157.DOI:10.1186/s12912-022-00931-0.
[15] 王孟成. 潜变量建模与Mplus应用-进阶篇[M]. 重庆: 重庆大学出版社, 2018: 13-15.
[16] Numminen O, Katajisto J, Leino-Kilpi H.Development and validation of Nurses' Moral Courage Scale[J]. Nurs Ethics,2019, 26(7-8):2438-2455.DOI:10.1177/0969733018791325.
[17] Connor KM, Davidson JR.Development of a new resilience scale: the Connor-Davidson Resilience Scale (CD-RISC)[J]. Depress Anxiety,2003,18(2):76-82.DOI:10.1002/da.10113.
[18] 于肖楠,张建新. 自我韧性量表与Connor-Davidson韧性量表的应用比较[J]. 心理科学, 2007, (5):1169-1171.DOI:10.3969/j.issn.1671-6981.2007.05.038.
[19] Konings KJ, Gastmans C, Numminen OH, et al.Measuring nurses' moral courage: an explorative study[J].Nurs Ethics, 2022, 29(1):114-130.DOI:10.1177/09697330211003211.
[20] Giannetta N, Villa G, Bonetti L, et al.Moral distress scores of nurses working in intensive care units for adults using Corley's Scale: a systematic review[J]. Int J Environ Res Public Health, 2022, 19(17):10640-10653.DOI: 10.3390/ijerph191710640.
[21] Kleemola E, Leino-Kilpi H, Numminen O.Care situations demanding moral courage:content analysis of nurses' experiences[J]. Nurs Ethics, 2020,27(3):714-725.DOI:10.1177/0969733019897780.
[22] Fenton J.‘Four's a crowd'? making sense of neoliberalism, ethical stress, moral courage and resilience[J]. Ethics and Social Welfare, 2020, 14(1):6-20. DOI:10.1080/17496535.2019.1675738.
[23] 原曼,蔡卫新,尹志科,等. 护士对心理韧性相关执业环境支持需求的质性研究[J]. 中国护理管理, 2022, 22(6): 904-908.DOI:10.3969/j.issn.1672-1756.2022.06.020.
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