Abstract：
BACKGROUND: Nurses\' sensitivity to moral issues, especially in emergency and intensive care units is essential for providing complex nursing care. Therefore, the present study aimed to determine the correlation between moral sensitivity and clinical competence in emergency and intensive care nurses.
METHODS: The present multi-center cross-sectional correlational study was conducted in 2022 on 180 nurses in five emergency departments and four intensive care units of general hospitals affiliated to Semnan University of Medical sciences. The study tools include a demographic questionnaire, 25 item Lutzen Moral Sensitivity Questionnaire (MSQ), and a standardized Competency Inventory for Registered Nurses (CIRN). Data were analyzed by mean, standard deviation and MANOVA, Pearson\'s correlation coefficient test.
RESULTS: The two groups did not have significant differences in demographic characteristics (p < 0.05). Majority of two emergency department nurses (83.9%) and Intensive care nurses (81.8%) had a moderate level of moral sensitivity. Also, clinical competence of majority of emergency department nurses (73.3%) and Intensive care nurses (75.8%) were in moderate level. There was significant positive relationship between moral sensitivity with Clinical competence in emergency department nurses (p ≤ 0.01, r = 0.61). No significant relationship was observed between moral sensitivity and the clinical competence of intensive care nurses (p > 0.05, r = 0.15).
CONCLUSIONS: There is need for improving the level of knowledge of nurses about moral principles and increasing moral sensitivity which can expand the components of clinical competence, especially in intensive care units.
METHODS: The present multi-center cross-sectional correlational study was conducted in 2022 on 180 nurses in five emergency departments and four intensive care units of general hospitals affiliated to Semnan University of Medical sciences. The study tools include a demographic questionnaire, 25 item Lutzen Moral Sensitivity Questionnaire (MSQ), and a standardized Competency Inventory for Registered Nurses (CIRN). Data were analyzed by mean, standard deviation and MANOVA, Pearson\'s correlation coefficient test.
RESULTS: The two groups did not have significant differences in demographic characteristics (p < 0.05). Majority of two emergency department nurses (83.9%) and Intensive care nurses (81.8%) had a moderate level of moral sensitivity. Also, clinical competence of majority of emergency department nurses (73.3%) and Intensive care nurses (75.8%) were in moderate level. There was significant positive relationship between moral sensitivity with Clinical competence in emergency department nurses (p ≤ 0.01, r = 0.61). No significant relationship was observed between moral sensitivity and the clinical competence of intensive care nurses (p > 0.05, r = 0.15).
CONCLUSIONS: There is need for improving the level of knowledge of nurses about moral principles and increasing moral sensitivity which can expand the components of clinical competence, especially in intensive care units.
摘要：
背景：护士对道德问题的敏感性，尤其是在急诊和重症监护病房，提供复杂的护理至关重要。因此,本研究旨在确定急诊和重症监护护士的道德敏感性与临床能力之间的相关性。
方法：本研究于2022年对森南医科大学附属综合医院5个急诊科和4个重症监护病房的180名护士进行了多中心横断面相关研究。研究工具包括人口统计问卷，25项Lutzen道德敏感性问卷(MSQ)，以及注册护士标准化能力量表(CIRN)。数据按平均值分析，标准偏差和MANOVA，皮尔逊相关系数检验。
结果：两组在人口统计学特征上没有显着差异（p<0.05）。2名急诊科护士(83.9%)和重症监护护士(81.8%)的道德敏感性处于中等水平。此外，大多数急诊科护士(73.3%)和重症监护护士(75.8%)的临床能力处于中等水平。急诊科护士道德敏感性与临床能力呈显著正相关(p≤0.01,r=0.61)。重症监护护士的道德敏感性与临床能力之间没有显着关系（p>0.05，r=0.15）。
结论：需要提高护士对道德原则的知识水平，增加道德敏感性，这可以扩大临床能力的组成部分，特别是在重症监护病房。
方法：本研究于2022年对森南医科大学附属综合医院5个急诊科和4个重症监护病房的180名护士进行了多中心横断面相关研究。研究工具包括人口统计问卷，25项Lutzen道德敏感性问卷(MSQ)，以及注册护士标准化能力量表(CIRN)。数据按平均值分析，标准偏差和MANOVA，皮尔逊相关系数检验。
结果：两组在人口统计学特征上没有显着差异（p<0.05）。2名急诊科护士(83.9%)和重症监护护士(81.8%)的道德敏感性处于中等水平。此外，大多数急诊科护士(73.3%)和重症监护护士(75.8%)的临床能力处于中等水平。急诊科护士道德敏感性与临床能力呈显著正相关(p≤0.01,r=0.61)。重症监护护士的道德敏感性与临床能力之间没有显着关系（p>0.05，r=0.15）。
结论：需要提高护士对道德原则的知识水平，增加道德敏感性，这可以扩大临床能力的组成部分，特别是在重症监护病房。
