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目的 探讨感染预防控制文化在儿科护士道德敏感性与安全行为间的中介效应。方法 采用便利抽样法，于2024年10月至12月，选取北京市7所三级甲等综合医院的478名儿科护士作为研究对象，采用一般资料调查表、中文版道德敏感性问卷、感染预防控制文化量表、护士安全行为问卷对其进行调查。结果 儿科护士道德敏感性、感染预防控制文化、安全行为得分依次为(46.91±6.12)分、(63.21±10.07)分、(50.50±8.47)分；道德敏感性、感染预防控制文化与安全行为呈两两正相关(r1=0.464,r2=0.504,r3=0.767;P<0.01)；感染预防控制文化在其道德敏感性与安全行为间发挥部分中介效应，占总效应的49.01%。结论 儿科护士道德敏感性和感染预防控制文化均处于中等偏上水平，安全行为处于较高水平，感染预防控制文化是其道德敏感性与安全行为间的中介变量，护理管理者应重视提高儿科护士道德教育，提高其道德敏感性，增强其感染预防控制文化认知水平，优化感染预防控制管理，从而保障患者安全。
Abstract：Objective To explore the mediating effect of infection prevention and control culture on the relationship between pediatric nurses' moral sensitivity and safe behavior.Methods Using convenient sampling,a total of 478 pediatric nurses from seven tertiary grade A general hospitals in Beijing were selected as study subjects from October to December 2024.Questionnaire surveys were conducted using general information questionnaire,Moral Sensitivity Questionnaire-Revised Chinese Version, Leading a Culture of Quality for Infection Prevention,Nurse Safety Behavior Questionnaire.Results The scores of pediatric nurses' moral sensitivity,infection prevention and control culture,and safe behavior were(46.91±6.12),(63.21±10.07),and(50.50±8.47) respectively.Moral sensitivity,infection prevention and control culture and safe behavior were positively correlated in pairs(r1=0.464,r2=0.504,r3=0.767,all P<0.01).Infection prevention and control culture played a partial mediating effect between moral sensitivity and safe behavior,accounting for 49.01% of the total effect.Conclusion The moral sensitivity and infection prevention and control culture of pediatric nurses are both at a moderately high level,and their safety behavior is at a relatively high level.Infection prevention and control culture serves is a mediating variable between their moral sensitivity and safe behaviors.Nursing managers should prioritize enhancing pediatric nurses' moral education,improving their moral sensitivity,enhancing their cognition of infection prevention and control culture,and optimizing infection prevention and control management to ensure patient safety.
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基本信息:
中图分类号:R473.72
引用信息:
[1]李道醒,蒋子涵,左力,等.感染预防控制文化在儿科护士道德敏感性与安全行为间的中介效应分析[J].护理管理杂志,2026,26(01):19-23.
2026-01-10
2026-01-10