بررسی ارتباط بین تنش اخلاقی و تمایل به ترک خدمت در پرستاران بخشهای مراقبت ویژه
مجله اخلاق پزشکی - علمی پژوهشی,
دوره 14 شماره 45 (1399),
30 فروردین 2020
,
صفحه 1-12
https://doi.org/10.22037/mej.v14i45.29033
چکیده
زمینه و هدف: پرستاران نقش بسیار مهم و پررنگ در مجموعه بهداشت و درمان دارند و ترک خدمت از طرف آنها موجب اختلال در کارکرد سازمان میشود. عواملی زیادی میتواند در ارتباط با ترک خدمت از طرف پرستاران باشد. هدف از این تحقیق بررسی ارتباط بین تنش اخلاقی در بخشهای مراقبت ویژه و تمایل به ترک خدمت توسط پرستاران میباشد.
مواد و روشها: این مطالعه یک پژوهش توصیفی ـ همبستگی میباشد که با استفاده از نمونهگیری به روش سرشماری بر روی 117 نفر از پرستاران شاغل در بخشهای مراقبت ویژه (Intensive Care Units) بیمارستانهای شهر قم در سال 1395 انجام شد. دادهها با استفاده مقیاس 12 سؤالی پیشبینی ترک خدمت هینشاو (Hinshaw) و پرسشنامه 30 سؤالی جامتون جمعآوری شد. سپس دادهها توسط نرمافزار SPSS 16 آمار توصیفی و آزمونهای آماری رگرسیون چندمتغیره لجستیک، مورد تجزیه و تحلیل قرار گرفت.
یافتهها: نتایج نشان داد که بین تنش اخلاقی و تمایل به ترک خدمت در پرستاران بخشهای مراقبت ویژه ارتباط معنیدار وجود دارد (p=0.03, OR:2.44). میانگین نمره تنش اخلاقی در شرکتکنندگان در پژوهش 137/53 با انحراف معیار 23/14 بود. همچنین میانگین نمره تمایل به ترک خدمت در پرستاران 3/44 با انحراف معیار 0/948 بود.
ملاحظات اخلاقی: این مقاله حاصل طرح پژوهشی مصوب در دانشگاه علوم پزشکی قم میباشد. در طول فرایند پژوهش سیاستهای اخلاقی دانشگاه مطابق با اصول بیانیه هلسینکی از جمله اخذ رضایت آگاهانه از واحدهای پژوهش و آزادبودن آنها جهت شرکت در پژوهش رعایت شد.
نتیجهگیری: با توجه به نتایج این مطالعه لزوم توجه هرچه بیشتر مسؤولین حوزه سلامت به تنش اخلاقی و ترک خدمت توسط پرستاران نمایان است، لذا تدابیری باید در نظر گرفت تا چالشهای اخلاقی، تنش اخلاقی و به دنبال آن ترک خدمت در محیط بالینی کمتر شود.
- تنش اخلاقی؛ تمایل به ترک خدمت؛ پرستاران بخش مراقبتهای ویژه
ارجاع به مقاله
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