实习护生护理伦理缺失调查及强化教育效果评价

目的分析实习护生护理伦理缺失现象，评价强化教育效果。方法选取340名实习护生，采用自行设计调查问卷对强化教育前后尊重、情感、公正、审慎、慎独5个维度、共计40个条目展开问卷调查；对所有实习护生定时进行医学伦理理论知识学习、尊重患者的知情同意权和隐私权、规范工作流程、强化服务意识、加强人文关怀教育、培养审慎的工作态度及培养慎独的人格修养等全方位的伦理强化教育。结果强化教育后实习护生尊重、情感、审慎、慎独几个维度评分明显提高，与强化教育前比较差异具有统计学意义仁2．663、2．542、2．749、2．2815，P〈0．05）；公正维度评分与强化教育前比较差异无统计学意义忙1．257，P〉0．05）；各维度排名前三位条目评分均有效改善。结论实习护生均存在一定程度的护理伦理缺失现象，通过护理伦理强化教育，可以有效提高实习护生护理伦理道德水准。

Survey of ethics missing in nursing students and the effect of strengthened education

Objective To analyze the ethical missing in nursing students and evaluating the effect of strengthened education. Methods A total of 340 nursing students were selected and given self-designed questionnaire before and after strengthened education of respect, affection, justice, prudence and caution alone with a total of 40 entries. All nursing students were given theoretical knowledge of medical ethics, including respecting the patient＇s right to informed consent and privacy, standardizing the work processes, enhancing the service awareness, strength- ening humane care education, training and culturing prudent attitude and ＂caution alone＂ personality. Results After strengthened education, the dimensions scores of respect, affection, prudence and caution alone in nursing students were statistically significantly improved compared with before strengthened education （t=2.663, t=2.542, t=2.749, t= 2.281 5, P〈0.05）. There was no significant difference at the dimension score of justice between before and after strengthen the education （t=1.257, P〉0.05）. The scores of top three entries in each dimension were effectively improved. Conclusions To some degree, there is an absence of nursing ethics in nursing students, while it could be improved by strengthened education of nursing ethics.