护士的护理伦理敏感性现状及影响因素Meta分析

doi:10. 20223 / j. cnki. 1000-8535. 2026. 01. 008

摘要/Abstract

摘要： 目的系统评价护士的护理伦理敏感性现状及影响因素,为针对性干预提供参考。方法检索国内外相关数据库,检索时限为2024年7月护士的护理伦理敏感性现状及影响因素的相关文献。由两名分析人员独立筛选文献、提取资料、质量评价后采用Stata 15.0和RevMan 5.3软件进行meta分析。结果纳入16篇文献,包括4 961例研究对象。Meta分析结果显示,护士的护理伦理敏感性处于中等偏高水平,总分为[OR=67.29,95%CI（53.24,81.34）]分。年龄[OR=2.78,95%CI（1.45,5.33）, P=0.002]、工作年限[OR=3.55,95%CI（1.35,9.33）,P=0.001]、伦理知识教育[OR=14.60,95%CI（4.24,50.32）, P<0.001]、共情能力[OR=1.35,95%CI（1.01,1.80）, P<0.001]、工作场所氛围[OR=1.85,95%CI（0.42,4.51）, P<0.001]、工作嵌入量[OR=3.60,95%CI（0.40,32.84）, P=0.001]是护士护理伦理敏感性的主要影响因素。结论当前证据表明, 护士的护理伦理敏感性处于中等偏高水平, 影响因素较多, 管理者需结合人群特征实施干预,以提高护士护理伦理敏感性水平。

关键词: 护士, 伦理敏感性, 影响因素, Meta分析

Abstract: Objective To systematically evaluate the current status of nurses' ethical sensitivity in nursing and influencing factors that influence it,in order to inform targeted interventions. Methods Domestic and international databases were searched to collect literature related to the current status of nurses' ethical sensitivity in nursing and the factors influencing it from the year of construction to July 2024.Meta-analysis was performed by two analysts independently screening the literature,extracting information,and quality evaluation using Stata 15.0 and RevMan 5.3 software. Results Sixteen papers including 4 961 study subjects were included.Meta-analysis results showed that nurses had moderately high level of ethical sensitivity in nursing with a total score of 67.29（95%CI[53.24,81.34]）.Age（OR=2.78,95%CI[1.45,5.33],P=0.002）,years of experience（OR=3.55,95%CI[1.35,9.33], P=0.001）, education on ethical knowledge（OR=14.60,95%CI[4.24,50.32],P<0.001）, and empathic ability（OR=1.35,95%CI[1.01,1.80],P<0.001）, workplace atmosphere（OR=1.85,95%CI[0.42,4.51], P<0.001）, and the amount of job embeddedness（OR=3.60,95%CI[0.40,32.84], P=0.001） were the main influences on nurses' ethical sensitivity in nursing. Conclusions The previous evidence suggests that nurses have moderately high levels of nursing ethical sensitivity,with a high number of influencing factors,and managers need to give interventions that incorporate the characteristics of the population in order to increase the level of nursing ethical sensitivity among nurses.

Key words: nurses, ethical sensitivity, influencing factors, meta-analysis

张瑞玲, 王玉茹. 护士的护理伦理敏感性现状及影响因素Meta分析[J]. 广州医药, 2026, 57(1): 56-62.

ZHANG Ruiling, WANG Yuru. Meta-analysis of the current status and influencing factors of nurses' ethical sensitivity in nursing[J]. Guangzhou Medical Journal, 2026, 57(1): 56-62.

参考文献

[1] MILLIKEN A.Nurse ethical sensitivity:An integrative review[J].Nurs Ethics,2018,25(3):278-303.
[2] ELANGOVAN A R,KAR A,STEINKE C.Meaningful moves:A meaning-based view of nurses’ turnover[J].Health Serv Manage Res,2022,35(1):48-56.
[3] 岳鑫彦,王冬华.伦理敏感性与工作嵌入在护士感知的管理关怀与工作满意度间的链式中介效应[J].护理学报,2021,28(19):59-66.
[4] HINTON WALKER P,HUBBARD H.Nursing and the agency for healthcare research and quality (AHRQ):An agenda[J].Nurs Outlook,2003,51(1):3-4.
[5] HEMBERG J,BERGDAHL E.Ethical sensitivity and perceptiveness in palliative home care through co-creation[J].Nurs Ethics,2020,27(2):446-460.
[6] 黎丽,宋锦平,唐梦琳,等.四川省三级甲等医院儿科护士道德敏感性现状及影响因素[J].安徽医学,2025,46(3):371-377.
[7] 刘思,孙仲文,杜慧,等.肿瘤科护士伦理敏感性现状及影响因素分析[J].护理学杂志,2024,39(24):107-110.
[8] 刘云杰,孔燕.伦理敏感性影响因素分析[J].西南科技大学学报(哲学社会科学版),2024,41(6):95-102.
[9] 吴际军,荣娴,刘祯帆,等.安宁疗护病房护士的护理伦理敏感性现状及其影响因素[J].广西医学,2022,44(3):314-318.
[10] KHAGHANIZADEH M,KOOHI A,EBADI A,et al.The effect and comparison of training in ethical decision-making through lectures and group discussions on moral reasoning,moral distress and moral sensitivity in nurses:A clinical randomized controlled trial[J].BMC Med Ethics,2023,24(1):58.
[11] MOHAMMADI F,HABIBZADEH H,AGHAKHANI N.Factors affecting the formation of nurses’ moral sensitivity in cardiopulmonary resuscitation settings:A qualitative study[J].Nurs Ethics,2022,29(7-8):1670-1682.
[12] 曾宪涛,刘慧,陈曦,等.Meta分析系列之四:观察性研究的质量评价工具[J].中国循证心血管医学杂志,2012,4(4):297-299.
[13] LÜTZÉN K,JOHANSSON A,NORDSTRÖM G.Moral sensitivity:Some differences between nurses and physicians[J].Nurs Ethics,2000,7(6):520-530.
[14] BÉGAT I,IKEDA N,AMEMIYA T,et al.Comparative study of perceptions of work environment and moral sensitivity among Japanese and Norwegian nurses[J].Nurs Health Sci,2004,6(3):193-200.
[15] HUANG F F,YANG Q,ZHANG J,et al.Chinese nurses’ perceived barriers and facilitators of ethical sensitivity[J].Nurs Ethics,2016,23(5):507-522.
[16] PALAZOĞLU C A,KOÇ Z.Ethical sensitivity,burnout,and job satisfaction in emergency nurses[J].Nurs Ethics,2019,26(3):809-822.
[17] 岳鑫彦,王小平,田金莲,等 .三级医院护士伦理敏感性现状及影响因素分析[J].护理学杂志,2021,36(13):51-55.
[18] MERT BOĞA S,AYDIN SAYILAN A,KERSU Ö,et al.Perception of care quality and ethical sensitivity in surgical nurses[J].Nurs Ethics,2020,27(3):673-685.
[19] CHEN X L,HUANG F F,JIE Z,et al.Tertiary hospital nurses’ ethical sensitivity and its influencing factors:A cross-sectional study[J].Nurs Ethics,2022,29(1):104-113.
[20] REZAPOUR-MIRSALEH Y,AGHABAGHERI M,CHOOBFOROUSHZADEH A,et al.Mindfulness,empathy and moral sensitivity in nurses:A structural equation modeling analysis[J].BMC Nurs,2022,21(1):132.
[21] SEO H,KIM K.Factors influencing public health nurses’ ethical sensitivity during the pandemic[J].Nurs Ethics,2022,29(4):858-871.
[22] ÜZAR ÖZÇETIN Y S,SARıOĞLU G.The relationship between resilience,moral sensitivity,and cultural competence among nurses[J].Psychol Health Med,2022,27(8):1672-1681.
[23] YILDIRIM D,KOCATEPE V.Professional values and ethical sensitivities of nurses in COVID-19 pandemic[J].Nurs Forum,2022,57(6):1111-1119.
[24] 周思.某三级甲等儿童医院护士伦理敏感性现状及影响因素分析[J].护理研究,2022,36(18):3375-3378.
[25] YE B,LUO E,ZHANG J,et al.Moral sensitivity and emotional intelligence in intensive care unit nurses[J].Int J Environ Res Public Health,2022,19(9):5132.
[26] AYDIN DOGAN R,HUSEYINOGLU S,YAZICI S.Compassion fatigue and moral sensitivity in midwives in COVID-19[J].Nurs Ethics,2023,30(6):776-788.
[27] 何富容,李梅枝,龚沙,等.精神科护士的道德敏感性现状及其影响因素[J].护理学报,2023,30(16):19-23.
[28] 黄斌,陈偶英,张茜,等.神经外科护士伦理敏感性现状及影响因素研究[J].护理管理杂志,2024,24(1):6-10.
[29] BORHANI F,KESHTGAR M,ABBASZADEH A.Moral self-concept and moral sensitivity in Iranian nurses[J].J Med Ethics Hist Med,2015(8):4.
[30] 钟旋,麦晓文,王敏怡,等.构建”6+1”门诊服务同质化管理体系——以广东省某三甲综合医院为例[J].现代医院,2025,25(4):534-536,540.
[31] 李媛,孙皎,朱婉莹,等.临床护士工作嵌入影响因素的研究进展[J].现代临床护理,2019,18(9):77-83.