آموزش و اخلاق در پرستاری
Education and Ethics In Nursing ISSN: 2322-5300

پیش بینی تصمیم‌گیری اخلاقی بر مبنای حساسیت اخلاقی، هوش اخلاقی به واسطه رضایت از زندگی خانوادگی در پرستاران

10.22034/ethic.2026.2085860.1227
دوره 15، شماره 1
فروردین 1405
صفحه 43-56
آموزش و اخلاق در پرستاری

نوع مقاله : مقاله پژوهشی اصیل

نویسندگان

زهرا سلطان زاده 1
عذرا محمدپناه اردکان 2
یاسر رضاپور میرصالح 3
زهراالسادات لقمانی 1

1 کارشناسی ارشد، گروه مشاوره، دانشکده علوم انسانی و اجتماعی، دانشگاه اردکان، یزد، ایران

2 گروه روانشناسی، دانشکده علوم انسانی و اجتماعی، دانشگاه اردکان، یزد، ایران

3 گروه مشاوره، دانشکده علوم انسانی و اجتماعی، دانشگاه اردکان، یزد، ایران

چکیده
هدف: پژوهش حاضر با هدف بررسی پیش‌بینی تصمیم‌گیری اخلاقی بر مبنای حساسیت اخلاقی، هوش اخلاقی به واسطه رضایت از زندگی خانوادگی در پرستاران انجام شد.
روش کار: جامعةآماری پژوهش شامل کلیه پرستاران شاغل متاهل در بیمارستان‌های استان خوزستان در سال 1403 هستند. که از میان آن‌ها با روش نمونه‌گیری در دسترس نمونه ای به حجم 300 نفر به صورت تصادفی در دسترس انتخاب شدند. برای گردآوری داده‌ها پرسشنامه‌های مدیریت تاثیر، هوش اخلاقی (MCI)، حساسیت اخلاقی (MSQ) و رضایت از زندگی خانوادگی (SWFL) استفاده شد. تجزیه و تحلیل داده‌ها با استفاده از روش مدل‌یابی معادلات ساختاری و به کمک نرم افزارهای SPSS-26و AMOS-24انجام گرفت.
یافته‌ها: یافته‌ها نشان داد که هوش اخلاقی بر تصمیم‌گیری اخلاقی پرستاران اثر مستقیم دارد و رابطه هوش اخلاقی با تصمیم‌گیری اخلاقی پرستاران به صورت مستقیم برابر با و 0/37= β است. حساسیت اخلاقی بر تصمیم‌گیری اخلاقی پرستاران اثر مستقیم دارد و رابطه حساسیت اخلاقی با تصمیم‌گیری اخلاقی پرستاران به صورت مستقیم برابر با 0/69= β است و رضایت از زندگی خانوادگی بر تصمیم‌گیری اخلاقی پرستاران اثر مستقیم دارد و رابطه رضایت از زندگی خانوادگی بر تصمیم‌گیری اخلاقی به صورت مستقیم برابر با 0/35= β است. همچنین هوش اخلاقی بر تصمیم‌گیری اخلاقی با میانجی‌گری رضایت از زندگی خانوادگی پرستاران با در سطح‌معنی‌داری 0/008 اثر غیرمستقیم و معنی‌دار دارد. علاوه بر این حساسیت اخلاقی بر تصمیم‌گیری اخلاقی با میانجی‌گری رضایت از زندگی خانوادگی پرستاران در سطح معنی‌داری 0/13 اثر غیرمستقیم و معنی‌دار دارد. همچنین مدل پژوهش برای تببین تصمیم‌گیری اخلاقی بر اساس هوش اخلاقی و حساسیت اخلاقی با نقش میانجی‌گری رضایت از زندگی خانوادگی در داده‌ها برازش مطلوبی دارد.
نتایج: بر اساس یافته‌های پژوهش می‌توان نتیجه گرفت که با بهبود و توانمندسازی مهارت‌های تصمیم‌گیری اخلاقی، هوش اخلاقی و حساسیت اخلاقی می‌توان میزان رضایت از زندگی خانوادگی پرستاران را ارتقا بخشید.

کلیدواژه‌ها

تصمیم‌گیری اخلافی
هوش اخلاقی
حساسیت اخلاقی
پرستاران
رضایت زناشویی
موضوعات

عنوان مقاله English

Predicting Ethical Decision-Making Based on Moral Sensitivity and Moral Intelligence Mediated by Family Life Satisfaction in Nurses

نویسندگان English

Zahra Soltanzadeh 1
azra Mohammadpanah Ardakan 2
Yasser Rezapour Mirsaleh 3
Zahrasadat Loghmani 1
1 Department of Counseling, Faculty of Humanities and Social Sciences, Ardakan University, Yazd, Iran
2 Department of Psychology, Faculty of Humanities and Social Sciences, Ardakan University, Yazd, Iran
3 Department of Counseling, Faculty of Humanities and Social Sciences, Ardakan University, Yazd, Iran
چکیده English

Objective: The present study was conducted with the aim of investigating the prediction of ethical decision-making based on moral sensitivity and moral intelligence through satisfaction with family life in nurses.
Methods: The statistical population of the study included all married nurses working in hospitals in Khuzestan province in 1403. From among them, a sample of 300 people was randomly selected using the convenience sampling method. The questionnaires for managing impact, moral intelligence (MCI), moral sensitivity (MSQ), and satisfaction with family life (SWFL) were used to collect data. Data analysis was performed using structural equation modeling and SPSS-26 and AMOS-24 software.
Findings: The findings showed that moral intelligence has a direct effect on nurses' ethical decision-making and the relationship between moral intelligence and nurses' ethical decision-making is directly equal to and β=0.37. Moral sensitivity has a direct effect on nurses' ethical decision-making, and the relationship between moral sensitivity and nurses' ethical decision-making is directly equal to β=0.69, and satisfaction with family life has a direct effect on nurses' ethical decision-making, and the relationship between satisfaction with family life and ethical decision-making is directly equal to β=0.35. Also, moral intelligence has an indirect and significant effect on nurses' ethical decision-making through the mediation of nurses' family life satisfaction at a significance level of 0.008. In addition, moral sensitivity has an indirect and significant effect on nurses' ethical decision-making through the mediation of nurses' family life satisfaction at a significance level of 0.13. Also, the research model for explaining ethical decision-making based on moral intelligence and moral sensitivity with the mediating role of family life satisfaction in the data has a good fit.
Results: Based on the research findings, it can be concluded that by improving and empowering ethical decision-making skills, moral intelligence, and moral sensitivity, the level of satisfaction with nurses' family life can be improved.

کلیدواژه‌ها English

  • Ethical decision-making
  • moral intelligence
  • moral sensitivity
  • nurses
  • marital satisfaction
1. Geramipour E, Soudagar, Sheida, and Bahramihidji, Maryam. Investigating the role of self-control and self-compassion in predicting resilience based on perceived stress and emotional alexithymia in nurses. Clinical and Counseling Psychology Research. 2015;15(1):115-34.
2. Jalalian Larki M ZMF, Mohajerani H. The effectiveness of Maikenbaum psychological immunization training on improving the mental health of women seeking divorce. Quarterly Cultural-Educational Journal of Women and Family. 2018;13(42):127-42.
3. Maunder RG, Heeney ND, Greenberg RA, Jeffs LP, Wiesenfeld LA, Johnstone J, et al. The relationship between moral distress, burnout, and considering leaving a hospital job during the COVID-19 pandemic: a longitudinal survey. BMC nursing. 2023;22(1):243. 10.1186/s12912-023-01407-5.
4. Jasemi M, Rasoulgoli R, Khalkhali H. Effects of teaching nursing codes of ethics through lecture on moral sensitivity and moral performance of nursing students–a single blind, quasi experimental study. Pak J Med Health Sci. 2020;14(2):1276-80.
5. Rizalar S, Baltaci N. Ethical decision-making levels of nurses and it’s affecting factors. Int J Caring Sci. 2020;13(1):42-52.
6. Ibrahim AM. Nurses’ ethical responsibilities: whistleblowing and advocacy in patient safety. Nursing ethics. 2024;31(7):1289-314. 10.1177/09697330241235306.
7. Afenigus AD, Sinshaw MA. Ethical dilemmas and decision-making in emergency and critical care nursing in Western Amhara region, Northwest Ethiopia: a multi-method qualitative study. BMC nursing. 2025;24(1):295. 10.1186/s12912-025-02958-5.
8. Chen X, Wu C, Ji W, Bai D, Chen H, Hou C, et al. Development and psychometric properties of the nursing ethical decision-making ability scale. BMC Medical Ethics. 2025;26(1):35. 10.1186/s12910-025-01190-9.
9. Xu X, Wang Y, Meng J, Xia X, Cao W, Liu Y. The relationship between moral sensitivity, missed nursing care and moral distress among new nurses: a cross‐sectional study. Journal of Clinical Nursing. 2025;34(6):2262-75. 10.1111/jocn.17420.
10. Shahvali EA, Mohammadzadeh H, Hazaryan M, Hemmatipour A. Investigating the relationship between nurses' moral sensitivity and patients' satisfaction with the quality of nursing care. Eurasian Journal of Analytical Chemistry. 2018;13(3):7. 10.29333/ejac/85009.
11. Kim G-M, Lee O-K, Sim S-H. Impacts of ethical dilemma, job stress, and burnout on turnover intention of long-term care hospital nurses. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2024;33(2):210-9. 10.12934/jkpmhn.2024.33.2.210.
12. Majidi SA, Fakoorfard Z, Safarmohammadi H, Leily EK. The relationship between moral intelligence and patient safety culture in nurses. Journal of caring sciences. 2023;12(4):241. 10.34172/jcs.2023.30501.
13. Karabey T. Reflection of nurses' moral intelligence levels on care behaviors. Perspectives in Psychiatric Care. 2022;58(4):1622-31. 10.1111/ppc.12970.
14. Karçkay AT, Sarı T, Bakalım O. Satisfaction with family life scale: a validity and reliability study in the Turkish context. BMC psychology. 2024;12(1):510. 10.1186/s40359-024-02037-5.
15. Foucreault A, Ménard J, Houlfort N, Trépanier S-G, Lavigne GL. How work-family guilt, involvement with children and spouse’s support influence parents’ life satisfaction in a context of work-family conflict. Journal of Child and Family Studies. 2023;32(4):1065-7710.1007/s10826-022-02443-6.
16. Siu O-L, Kong Q, Ng T-K. Psychological capital and family satisfaction among employees: Do occupational stressors moderate the relationship? International journal of environmental research and public health. 2021;18(22):12260. 10.3390/ijerph182212260.
17. Javidpour M, Ramezani-Badr F, Hamidi L, Amini K. Balancing ethics, burnout and job satisfaction: the challenges facing nurses in teaching hospitals. BMC Health Services Research. 2025;25(1):28910.1186/s12913-025-12436-y.
18. Alinejad V, Parizad N, Almasi L, Cheraghi R, Piran M. Evaluation of occupational stress and job performance in Iranian nurses: the mediating effect of moral and emotional intelligence. BMC psychiatry. 2023;23(1):769. 10.1186/s12888-023-05277-8.
19. Ahvanuiee MR, Rajabi J, Farsi Z. Quality of work life in nurses: Family, career and psych contextual associations. Postmodern Openings. 2018;9(1):182-93. 10.18662/po/12.
20. Haji Matarsat HM, Rahman HA, Abdul-Mumin K. Work-family conflict, health status and job satisfaction among nurses. British Journal of Nursing. 2021;30(1):54-8. 10.12968/bjon.2021.30.1.54.
21. Poikkeus T, Suhonen R, Katajisto J, Leino-Kilpi H. Relationships between organizational and individual support, nurses’ ethical competence, ethical safety, and work satisfaction. Health care management review. 2020;45(1):83-93. 10.1097/HMR.0000000000000195.
22. Lachman V. Ethical challenges in health care: Developing your moral compass. Springer; 2011.
23. Reisinger Y, Turner L. A cultural analysis of Japanese tourists: challenges for tourism marketers. European Journal of Marketing. 1999;33(11-12):1203-27. 10.1108/03090569910292348.
24. Paulhus DL. Measurement and control of response bias. 1991. 10.1016/B978-0-12-590241-0.50006-X.
25. Hassanpoor M, Hosseini M, Fallahi Khoshknab M, Abbaszadeh A. Evaluation of the impact of teaching nursing ethics on nurses' decision making in Kerman social welfare hospitals in 1389. Iranian Journal of Medical Ethics and History of Medicine. 2011;4(5):58-64.
26. Kiel F, Lennick D. Moral intelligence: Enhancing business performance and leadership success: Pearson Education; 2005.
27. Bahrami MA, Asami M, Fatehpanah A, Dehghani Tafti A, Ahmadi Tehrani G. Moral intelligence status of the faculty members and staff of the Shahid Sadoughi University of Medical Sciences of Yazd. Iranian Journal of Medical Ethics and History of Medicine. 2012;5(6):81-95.
28.           Lützén K, Nordin C, Brolin G. Conceptualization and instrumentation of nurses' moral sensitivity in 
psychiatric practice. International Journal of Methods in Psychiatric Research. 1994.
29. Han H. Neural correlates of moral sensitivity and moral judgment associated with brain circuitries of selfhood: A meta-analysis. Journal of Moral Education. 2017;46(2):97-113. 10.1080/03057240.2016.1262834.
30. Maghami M, Yektatalab S, Torabizadeh C. The attitude and the level of ethical sensitivity of nurses towards elder patients in selected hospitals affiliated to Shiraz University of Medical Sciences. Journal title. 2018;4(2):35-46.
31. Olson DH. Circumplex model of marital and family systems. Journal of family therapy. 2000;22(2):144-67. 10.1111/1467-6427.00144.
32. Diener E, Emmons RA, Larsen RJ, Griffin S. The satisfaction with life scale. Journal of personality assessment. 1985;49(1):71-5. 10.1207/S15327752JPA4901_13.
33. Zabriskie RB, Ward PJ. Satisfaction with family life scale. Marriage & family review. 2013;49(5):446-63. 10.1080/01494929.2013.768321.
34. Suhr DD. Exploratory or confirmatory factor analysis?: SaS institute Cary, NC; 2006.
35. Hubert M, Rousseeuw PJ, Van Aelst S. High-breakdown robust multivariate methods. 2008. 10.1214/088342307000000087.
36. Tabachnick BG, Fidell LS, Ullman JB. Using multivariate statistics. 1996.
37. Polita NB, de Montigny F, Neris RR, Alvarenga WdA, Silva-Rodrigues FM, Leite ACAB, et al. The experiences of bereaved parents after the loss of a child to cancer: a qualitative metasynthesis. Journal of Pediatric Oncology Nursing. 2020;37(6):444-57. 10.1177/1043454220944059.
 
 

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