背景:护理质量的提高与护士临床能力密切相关,使其成为卫生系统中的重要组成部分。
目的:本研究调查了护士临床能力之间的关系,道德认同,和COVID-19爆发期间的精神伤害。
方法:这项横断面研究是在一线护士中进行的,使用道德认同问卷(MIQ),道德伤害症状量表-医疗保健专业人员版(MISS-HP),和注册护士能力清单(CIRN)作为数据收集工具。
方法:和研究背景:本研究的研究人群包括伊朗南部一家医院的所有一线护士(n=251)。在COVID-19爆发期间,在2021年5月1日至2021年9月30日之间进行了采样。
方法:本研究得到了Rafsanjan医科大学研究伦理委员会的批准,项目编号99267和道德守则ID号。IR.RUMS.REC.1399.262,日期为15.02.2021。
结果:根据研究结果,42.2%的护士表现出很高的临床能力,51.4%表现出中等临床能力。结果表明,道德认同与临床能力呈正相关,而道德伤害与临床能力呈负相关。此外,发现道德认同和道德伤害变量可预测临床能力差异的10%。
结论:根据结果,道德认同和道德伤害对护士临床能力产生影响。因此,实施一项旨在增强道德认同的计划,并提供培训策略,以解决COVID-19大流行等危机期间的道德伤害,可以改善护士的临床能力和他们提供的整体护理质量。
BACKGROUND: The enhancement of nursing care quality is closely related to the clinical competence of nurses, making it a crucial component within health systems.
OBJECTIVE: The present study investigated the relationship between nurses\' clinical competence, moral identity, and moral injury during the COVID-19 outbreak.
METHODS: This cross-sectional study was carried out among frontline nurses, using the Moral Identity Questionnaire (MIQ), the Moral Injury Symptom Scale-Healthcare Professionals version (MISS-HP), and the Competency Inventory for Registered Nurse (CIRN) as data collection tools.
METHODS: and research context: The research population for this study consisted of all frontline nurses (n = 251) employed in a hospital in southern Iran. Sampling was conducted between May 1, 2021 and September 30, 2021, during the COVID-19 outbreak.
METHODS: The present study received approval from the research ethics committee of Rafsanjan University of Medical Sciences, with project No. 99267 and code of ethics ID No. IR. RUMS.REC.1399.262, dated 15.02.2021.
RESULTS: According to the study findings, 42.2% of the nurses demonstrated high clinical competence, while 51.4% exhibited moderate clinical competence. The results indicated a positive correlation between moral identity and clinical competence but a negative correlation between moral injury and clinical competence. Furthermore, the variables of moral identity and moral injury were found to predict 10% of the variance in clinical competence.
CONCLUSIONS: According to the results, moral identity and moral injury had an impact on the clinical competence of nurses. Therefore, implementing a program aimed at enhancing moral identity and providing training strategies to address moral injury during crises like the COVID-19 pandemic can lead to improvements in nurses\' clinical competence and the overall quality of care they provide.