护理研究2026，Vol.40Issue(2)：177-184,8.DOI:10.12102/j.issn.1009-6493.2026.02.001
精神科护士人文执业能力、道德困境、道德复原力的潜在剖面分析及与离职意愿的关系
Latent profile analysis of humanistic practice competence,moral distress,and moral resilience of psychiatric nurses and their relationship with turnover intention
摘要
Abstract
Objective:To explore the categories based on humanistic practice competence,moral distress,and moral resilience of psychiatric nurses,and to analyze the relationship between different categories and turnover intention.Methods:A total of 370 psychiatric nurses from one psychiatric specialty hospital and three second grade A and above general hospitals in Guangdong Province were selected as the study subjects spanned from January 20,2025 to February 18,2025.A general information questionnaire,the Nurse Humanistic Practice Competence Scale,the Moral Distress Scale for psychiatric nurses,the Chinese version of Rushton Moral Resilience Scale,and Intent to Quit Scale were used for the survey.Mplus 8.3 was used for latent profile analysis to explore the different categories based on humanistic practice competence,moral distress,and moral resilience of psychiatric nurses.Regression analysis was used to explore the differences in turnover intention among nurses in different categories.Results:Psychiatric nurses could be divided into three categories based on their humanistic practice competence,moral distress,and moral resilience.The high competence-low distress group accounted for 67.57%.The balanced group accounted for 21.89%.The low competence-high distress group accounted for 10.54%.There were statistically significant differences in terms of turnover intention scores among psychiatric nurses in different categories(F=14.587,P<0.01).The results of the regression analysis showed that the turnover intention of psychiatric nurses in the balanced group and the low competence-high distress group were higher(P<0.05).Conclusions:Psychiatric nurses can be divided into three categories based on their humanistic practice competence,moral distress,and moral resilience.The turnover intention of psychiatric nurses in the low competence-high distress group and the balanced group are higher.Managers should pay more attention to these groups and develop targeted strategies to reduce the turnover rate of psychiatric nurses.关键词
精神科护士/人文执业能力/道德困境/道德复原力/离职意愿/潜在剖面分析Key words
psychiatric nurses/humanistic practice competence/moral distress/moral resilience/turnover intention/latent profile analysis引用本文复制引用
杨洁惠,张容,钟运铃,王亚娜,刘声语..精神科护士人文执业能力、道德困境、道德复原力的潜在剖面分析及与离职意愿的关系[J].护理研究,2026,40(2):177-184,8.基金项目
广东省卫生经济学会科研项目,编号:2024-WJMF-01 （）
佛山市卫生健康局医学科研课题,编号:20250186 （）
