护理学报2025，Vol.32Issue(16)：23-27,5.DOI:10.16460/j.issn2097-6569.2025.16.023
临床护士伦理氛围在道德型领导力和道德困境间的中介效应
Mediating effect of ethical climate between moral leadership and moral distress among clinical nurses
孟俊彤 1周璐 2徐晓冰 3夏晓琳 3曹婉璐 3刘晔4
作者信息
- 1. 山东大学护理与康复学院,山东 济南 250012
- 2. 山东大学齐鲁医院心外ICU,山东 济南 250012
- 3. 青岛大学护理学院,山东 青岛 266071
- 4. 山东大学齐鲁医院(青岛)审计部,山东 青岛 266035
- 折叠
摘要
Abstract
Objective To explore the mediating effect of ethical climate between ethical leadership and moral distress.Methods By convenient sampling,606 clinical nurses from 5 tertiary grade-A general hospitals in Shandong Province were selected as the research objects from August to September 2023,and The Ethical Climate Scale,Moral Leadership Scale and Moral Distress Scale were used to understand the current status and correlation of clinical nurses'ethical climate,moral leadership,and moral distress.Mediating effect of ethical climate between moral leadership and moral distress was explored.Results In this study,the score of moral distress,ethi-cal leadership and ethical climate was 1.00(0.23,2.1),6.06±1.18,and 4.23±0.57,respectively;spearman correlation analysis showed that ethical climate was negatively correlated with moral distress(r=-0.416,P<0.001),and positively correlated with ethical leadership(r=0.717,P<0.001);ethical leadership was negatively correlated with moral distress(r=-0.245,P<0.001).Ethical climate had a com-plete mediating effect between moral leadership and moral distress.Conclusion The score of moral dilemma of clinical nurses is lower,but that of moral leadership and ethical climate are higher.Moral leadership could reduce moral dilemma of clinical nurses through ethical atmosphere.Ethical literacy and management competency of nursing managers should be enhanced to create a favorable ethical climate in the department and reduce psychological pressure caused by moral distress among clinical nurses,thus to stabilize nursing team.关键词
道德型领导/伦理氛围/道德困境/护理管理/中介效应Key words
ethical leadership/ethical climate/moral distress/nursing management/mediating effect分类
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孟俊彤,周璐,徐晓冰,夏晓琳,曹婉璐,刘晔..临床护士伦理氛围在道德型领导力和道德困境间的中介效应[J].护理学报,2025,32(16):23-27,5.
