Ethical climate, moral resilience, and ethical competence of head nurses.

IF 2.9 1区哲学 Q1 ETHICS Nursing Ethics Pub Date : 2025-02-01 Epub Date: 2024-02-05 DOI:10.1177/09697330241230526

Qiang Yu, Chongmei Huang, Jin Yan, Liqing Yue, Yusheng Tian, Jiaxin Yang, Xuting Li, Yamin Li, Yuelan Qin

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Abstract

Background: The ethical competence of head nurses plays a pivotal role in nursing ethics. Ethical climate is a prerequisite for ethical competence, and moral resilience can positively influence an individual's ethical competence. However, few studies have focused on the relationship between ethical climate, moral resilience, and ethical competence among them.

Objectives: To investigate the relationship between ethical climate, moral resilience, and ethical competence, and examine the mediating role of moral resilience between ethical climate and ethical competence among head nurses.

Design: A quantitative, cross-sectional study.

Methods: A total of 309 Chinese head nurses completed an online survey, including ethical climate questionnaire, Rushton moral resilience scale, and ethical competence questionnaire. Inferential statistical analysis includes Pearson's correlation and a structural equation model.

Ethical considerations: This study received ethical approval from the Institutional Review Board of Xiangya Nursing School of Central South University (No. E2023146).

Results: Head nurses' ethical climate score positively impacted ethical competence (r = 0.208, p < .001), and ethical climate could affect ethical competence through the mediating role of moral resilience.

Conclusion: This study emphasized the value of ethical climate in moral resilience of head nurses, ultimately leading to an enhancement in their ethical competence.

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护士长的道德氛围、道德韧性和道德能力。

背景：护士长的道德能力在护理伦理中起着举足轻重的作用。伦理氛围是伦理能力的先决条件，而道德韧性可对个体的伦理能力产生积极影响。然而，很少有研究关注伦理氛围、道德韧性和伦理能力之间的关系：调查护士长的伦理氛围、道德韧性和伦理能力之间的关系，并研究道德韧性在伦理氛围和伦理能力之间的中介作用：方法：共有 309 名中国护士长填写了问卷：共有 309 名中国护士长完成了在线调查，包括伦理氛围问卷、Rushton 道德复原力量表和伦理能力问卷。推断统计分析包括皮尔逊相关性和结构方程模型：本研究获得了中南大学湘雅护理学院机构审查委员会的伦理批准（编号：E2023146）：护士长的伦理氛围得分对伦理胜任力有正向影响（r = 0.208，p < .001），伦理氛围可通过道德韧性的中介作用影响伦理胜任力：本研究强调了伦理氛围在护士长道德韧性中的价值，最终导致护士长道德能力的提高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Nursing Ethics 医学-护理

CiteScore

7.80

自引率

11.90%

发文量

117

审稿时长

6-12 weeks

期刊介绍： Nursing Ethics takes a practical approach to this complex subject and relates each topic to the working environment. The articles on ethical and legal issues are written in a comprehensible style and official documents are analysed in a user-friendly way. The international Editorial Board ensures the selection of a wide range of high quality articles of global significance.

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