| 王静,廖巧玲,刘睿.护生共情对道德勇气的影响：道德敏感性的作用路径[J].四川精神卫生杂志,2024,37(2):168-172.Wang Jing,Liao Qiaoling,Liu Rui,Influence of nursing students empathy on moral courage： the path of moral sensitivity[J].SICHUAN MENTAL HEALTH,2024,37(2):168-172 |
| 护生共情对道德勇气的影响：道德敏感性的作用路径 |
| Influence of nursing students empathy on moral courage： the path of moral sensitivity |
| 投稿时间：2023-01-28 |
| DOI：10.11886/scjsws20230128001 |
| 中文关键词: 护生 共情 道德勇气 道德敏感性 中介分析 |
| 英文关键词:Nursing students Empathy Moral courage Moral sensitivity Mediation analysis |
| 基金项目:西南医科大学2022年高等教育教学研究与改革项目（项目名称：医学生共情能力与道德勇气的关系：以道德敏感性为中介变量，项目编号：JG2022239） |
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| 中文摘要: |
| 背景 护士道德勇气是一种特殊的利他行为，是促进患者安全的关键因素之一。共情能力可正向预测利他行为，且道德敏感性的中介作用明显。目前未查见探讨道德敏感性在共情与道德勇气之间作用路径的研究报道。目的 探讨护生道德敏感性在共情与道德勇气之间的作用路径，为提高护生道德勇气水平提供参考。方法 于2022年6月1日—30日，便利选取绵阳市某三级甲等医院的622名护生为研究对象，采用中文版人际反应指针量表（IRI-C）、道德敏感性量表中文修订版（MSQ-R-CV）以及护士道德勇气量表（NMCS）进行调查。使用Pearson相关分析考查各量表评分的相关性。采用Process插件分析道德敏感性在共情与道德勇气之间的作用路径。结果 共回收有效问卷602份，有效问卷回收率为96.78%。护生IRI-C评分与MSQ-R-CV评分和NMCS评分均呈正相关（r=0.269、0.146，P均<0.01），MSQ-R-CV评分与NMCS评分呈正相关（r=0.722，P<0.01）。以IRI-C评分为自变量、MSQ-R-CV评分为中介变量、NMCS评分为因变量构建中介效应模型，结果显示，护生共情能力对道德勇气的直接效应不显著（直接效应值为-0.052，95% CI：-0.178~0.008）。道德敏感性在共情能力与道德勇气之间的间接效应显著（间接效应值为0.189，95% CI：0.209~0.407）。结论 护生的道德敏感性在很大程度上可能是共情与道德勇气之间的作用路径。 |
| 英文摘要: |
| Background Nurses' moral courage is a special type of altruistic behavior， which is considered to be a key factor to improve patient safety. Empathy level can positively predict altruistic behavior， and moral sensitivity exerts an obvious mediation role in the positive prediction. At present， there is no relevant research to explore the path role of moral sensitivity in the relationship between empathy and moral courage.Objective To verify the mediation role of moral sensitivity in the relationship between empathy and moral courage among nursing students， so as to provide references for increasing the moral courage among nursing students.Methods From June 1 to June 30， 2022， a total of 602 nursing students were recruited via convenience sampling from a tertiary grade A hospital in Mianyang， and participants were assessed using Interpersonal Reactivity Index-Chinese （IRI-C）， Moral Sensitivity Questionnaire-Revised Chinese Version （MSQ-R-CV） and Nurses' Moral Courage Scale （NMCS）. Pearson correlation analysis was used to assess the correlation among above scales. The Process macro plug-in for SPSS was used to test the mediation effect of moral sensitivity on the relationship between empathy and moral courage.Results A total of 602 valid questionnaires were collected， with an effective recovery rate of 96.78%. IRI-C score of nursing students was positively correlated with MSQ-R-CV score and NMCS score （r=0.269， 0.146， P<0.01）. MSQ-R-CV score was positively correlated with NMCS score （r=0.722， P<0.01）. The mediation effect model was established with IRI-C score as independent variable， MSQ-R-CV score as intermediary variable， and NMCS score as dependent variable. Analysis showed that the direct effect of empathy on moral courage among nursing students was not significant （direct effect value of -0.052， 95% CI： -0.178~0.008）， while analysis yielded a significant indirect effect of empathy on moral courage via moral sensitivity （indirect effect value of 0.189， 95% CI： 0.209~0.407）.Conclusion The moral sensitivity of nursing students plays a significant mediation role in the relationship between empathy and moral courage. ［Funded by 2022 Higher Education Teaching Research and Reform Project of Southwest Medical University （number， JG2022239）］ |
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