临床带教老师护理伦理决策能力及影响因素研究

摘要

[目的]调查护理临床带教老师伦理决策能力现状及影响因素.[方法]整群选取无锡市10家医院84名护理带教老师,采用护理伦理决策问卷(JAND)进行测评.[结果]带教老师伦理决策能力评分为281.70分±20.80分;临床带教老师伦理决策能力随工龄的增长整体呈现先高后低再升高的波浪式曲线;护理职业情感为喜欢的带教老师伦理决策得分高于不喜欢的带教老师(P<0.05);担任护士长助理、护士长及以上职务的带教老师伦理决策能力得分高于未担任上述职务的带教老师(P<0.05).[结论]工龄、职业情感和担任护士长助理、护士长及以上职务是护理临床带教老师伦理决策能力的影响因素;护理管理者应根据临床带教老师不同工龄、职业情感及职务状况,针对性地开展培养和指导工作,提高临床护理带教老师的伦理决策垂范作用.%Objective:To probe into the status quo and influencing factors of ethical decision-making ability of teachers in clinical nursing teaching.Methods:The whole group selected 84 nursing teachers in 10 hospitals in Wuxi city were selected to teach teachers,using nursing ethics decision questionnaire(JAND) for evaluation.Results:The teacher''s decision-making ability score was 281.70±20.80.The clinical decision-making ability of clinical teachers was the same as that of seniority(P<0.05).The score of the ethics decision-making ability of the assistant teacher,assistant head nurse and above was higher than that of the teachers who did not(P<0.05).Conclusions:The service age,professional emotion and assistant head nurse,head nurse and above are the factors influencing the ethical decision-making ability of nursing teachers.Nursing managers should be based on different length of service,professional emotion and job status of clinical teaching teachers to carry out training and guidance work to improve the clinical nursing teachers'' ethical decision-making exemplary role.