Mediating Effect Of Nurses’ Care Ability In Moral Sensitivity And Nursing-Patient Relationship

Objective:Thesis aims to analyze the influence of clinical nurses’ demographic characteristics,moral sensitivity,humanistic care ability and the level of nursing-patient relationship based on nurses’ perspective,analyze the influence of their demographic characteristics on moral sensitivity,humanistic care ability and nursing-patient relationship,as well as the relationship between moral sensitivity,humanistic care ability and nursing-patient relationship,and explore the role path of nurses’ moral sensitivity and humanistic care ability on the nursing-patient relationship,so as to provide a theoretical basis for further development of high-quality nursing and improvement of nursing-patient relationship.Method:Thesis is a cross-sectional survey study,367 clinical nurses were selected as research subjects by stratified sampling method in a tertiary hospital in Sichuan Province,from June 2022 to December 2022.The literature research method was used to collate,summarize and analyze the relevant literature on nurses’ humanistic care ability,moral sensitivity and nursing-patient relationship.The general demographic data questionnaire,Moral Sensitivity Questionnaire,the Caring Ability Inventory and the Nursing-Patient Relationship Scale based on the Nurse’s Perspective were used to investigate the level of clinical nurses’ moral sensitivity,humanistic care ability and nursing-patient relationship.All data were analyzed using SPSS21.0 and AMOS24.0.And the data were analyzed and processed by descriptive statistical analysis,independent sample t-test,one-way ANOVA,Pearson correlation analysis,multiple regression analysis,structural equation model,and mediation effect test.Outcome:1.The total score of moral sensitivity of clinical nurses(40.39±6.33)scores,of which the average scores of the two dimensions were moral responsibility,strength and moral burden in descending order;The total score of nurses’ humanistic care ability(193.68±22.24)scores,among which the average scores of the three dimensions were patience,cognition and courage in descending order;The total score of nursing-patient relationship based on the perspective of nurses(46.03 ± 6.64)scored in which the average scores of the two dimensions were patient-centered and nursing-patient trust in descending order.2.One-way ANOVA showed that the differences in moral sensitivity of clinical nurses in terms of age,education level,marital status,average monthly income,children,title,and working years were statistically significant(P<0.05);There were significant differences in humanistic care ability in terms of gender(P<0.05).There were significant differences in age,mean monthly earnings and department.(P<0.05).3.Correlation analysis of clinical nurses’ moral sensitivity,humanistic care ability and nursing-patient relationship: the nursing-patient relationship was positively correlated with moral sensitivity,as well as its two dimensions,moral responsibility,strength and moral burden(r=0.587,r=0.688,r=0.258,P<0.01).There was a positive correlation between the nursing-patient relationship and the humanistic care ability,as well as cognition,courage and patience in the three dimensions(r=0.600,r=0.618,r=0.211,r=0.577,P<0.01).Humanistic care ability,moral sensitivity,moral responsibility,strength and moral burden were positively correlated(r=0.348,r=0.522,r=0.025,P<0.01).4.Multiple linear regression showed that nursing-patient trust,patient-centeredness,cognition and courage entered the regression model of nurses’ moral sensitivity(P<0.05),nursing-patient trust,patient-centerness,moral responsibility and strength,moral burden and gender into nurses’ humanistic care ability(P<0.05),moral responsibility and strength,cognition,courage,patience and department into nurse-patient relationship based on nurses’ perspective(P<0.05).5.The structural equation model showed that humanistic care ability played a partial mediating role between clinical nurses’ moral sensitivity and nursing-patient relationship,and the indirect effect value of humanistic care ability was 0.508,Bias-Corrected 95% CI was(0.108,0.979),and the mediating effect accounted for31.05% of the total effect.Conclusion:1.The moral sensitivity of clinical nurses and their various dimensions are at a medium level,the humanistic care ability and its various dimensions are at a low level,the nursing-patient relationship is at a medium level,and the level of nursing-patient trust is low.2.Age,education level,marital status,average monthly income,children,title,and working years have a certain impact on the moral sensitivity of clinical nurses.Gender has a certain impact on the humanistic care ability of clinical nurses,and age,average monthly income,and department have a certain impact on the nursing-patient relationship based on the perspective of nurses.3.The moral sensitivity and humanistic care ability of clinical nurses have an impact on the nursing-patient relationship,and the higher the moral responsibility and strength score of moral sensitivity,the higher the score of nursing-patient relationship;The higher the cognition,courage and patience of humanistic care ability,the better the relationship between care and patient.4.The moral sensitivity of clinical nurses can directly affect the nursing-patient relationship,and can also indirectly affect the nursing-patient relationship through the regulation of humanistic care ability.