医务人员道德推脱与道德决策关系

目的探讨医务人员道德推脱与道德决策的关系以及组织承诺在两者之间的调节作用。方法采用整群抽样的方法对江西省5所三甲医院的286名医务人员进行问卷调查，采用SPSS 16.0进行数据分析。结果医务人员道德推脱、道德识别、道德判断、道德意图、组织承诺平均分分别为（88.10±16.78）、（18.53±3.47）、（13.47±3.58）、（30.43±9.95）、（67.28±8.57）分；不同学历的医务人员道德推脱、道德判断得分差异均有统计学意义（P<0.05），不同年龄医务人员道德识别、道德判断得分差异均有统计学意义（P<0.05）；医务人员道德推脱与道德识别呈负相关（r=-0.349，P<0.05），与道德判断和道德意图均呈正相关（r=0.301、0.211，P<0.01）；组织承诺对道德推脱和道德识别之间的关系产生显著的调节作用，对道德判断和道德意图产生直接作用。结论医务人员道德推脱与道德决策存在显著相关，组织承诺在道德推脱与道德识别关系中存在调节作用。

Moral disengagement and ethical decision-making among medical workers

ObjectiveTo explore the relationship between moral disengagement and ethical decision-making among medical workers and the moderating role of organizational commitment in the relationship.MethodsStratified cluster sampling method was used to investigate medical workers from five large general hospitals in Jiangxi province.SPSS 16.0 was used to perform statistical analyses and to test study hypotheses.ResultsThe average scores of moral disengagement,ethical identity,ethical judgement,ethical intention,and organizational commitment was 88.10±16.78,18.53±3.47,13.47±3.58,30.43±9.95,and 67.28±8.57,respectively,among the medical workers.Moral disengagement and ethical judgment were significantly different among the medical workers with different education level(P<0.05).Ethical identity and judgement were significantly different among the medical workers at various age(P<0.05).The correlation coefficients between moral disengagement and ethical identity,ethical judgement,and ethical intention were-0.349,0.301,and 0.211,respectively.Organizational commitment acted as a moderator between moral disengagement and ethical identity,and had direct effects on ethical judgement and intention.ConclusionMoral disengagement is correlated with ethical decision-making significantly among medical workers,and organizational commitment may act as a moderator between moral disengagement and ethical decision-making.