Abstract:
AIM:To explore the direct and indirect effect of the personality meta-traits 'Stability' and 'Plasticity' on moral reasoning among nurse practitioners (NPs) and physician assistants (PAs). BACKGROUND:Moral reasoning is influenced by being prone to moral disengagement and personality traits. Moral disengagement is observed among professionals in many fields, including healthcare providers. Moral disengagement is known to be provoked by environmental stressors and influenced by certain personality traits. DESIGN:A cross-sectional approach was used including self-report questionnaires. METHODS:A convenience sample of Dutch NPs (N = 67) and PAs (N = 88) was surveyed via online questionnaires between January and March 2015, using (a) the Defining Issues Test; (b) the BIG five inventory; and (c) the Moral Disengagement Scale. Structural equation modelling (SEM) was employed for estimating the construct validity of two meta-traits of personality and to test unidirectional influences on moral reasoning. RESULTS:Only the Stability trait was a direct predictor of moral reasoning whereas both Stability and Plasticity were precursors of moral disengagement. Both personality meta-traits had statistically significant indirect effects on moral reasoning through a low level of moral disengagement. The influence of both personality traits on the level of moral reasoning was increased by strong self-censure on entering into morally disengaged interactions. CONCLUSION:The personality meta-trait 'Stability' is an indicator of moral reasoning and is explained by a lower propensity to morally disengage among highly stable people. Although the meta-trait Plasticity exerts an indirect effect through moral disengagement on moral reasoning, it is not a direct indicator of moral reasoning. :目的: 探讨人格元特质中”稳定性”和”可塑性”对执业护士和助理医师道德理性的直接和间接影响。 背景: 道德理性受道德推脱倾向和人格特质的影响。许多领域的专业人员,包括医疗保健提供者,都存在道德推脱现象。众所周知,道德推脱由环境压力引起,并受某些人格特征的影响。 设计: 采用横断面方法,包括自我报告问卷。 方法: 2015年1月至3月间,通过在线问卷对荷兰执业护士(N = 67)和助理医师(N = 88)进行调查。问卷采用了(a)界定问题测验,(b)五大问卷,(c)道德推脱量表。运用结构方程模型(SEM)对人格两个元特质的结构有效性进行了评估,并检验了单向性对道德理性的影响。 结果: 只有稳定性特征是道德理性的直接预测因子,稳定性和可塑性是道德推脱的先兆。两种人格元特质都通过较低水平的道德推脱对道德理性产生了具有统计学意义的间接影响。两种人格特质对道德理性水平的影响都由强烈的自我谴责导致。 结论: 人格元特质”稳定性”是道德理性的一个指标。高度稳定的人具有较低的道德推脱倾向。虽然可塑性这一元特质会通过道德推脱对道德理性产生间接影响,但并不是道德理性的直接指标。.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
Kuilman L,Jansen GJ,Middel B,Mulder LB,Roodbol PFdoi
10.1111/jan.13939subject
Has Abstractpub_date
2019-06-01 00:00:00pages
1252-1262issue
6eissn
0309-2402issn
1365-2648journal_volume
75pub_type
杂志文章abstract:BACKGROUND:An important purpose of theories is to challenge practice, create new approaches to practice and remodel the structures of rules and principles. Therefore, it is of interest to study whether it is possible to make use of nursing theories in care of older people, when the aim is to support them in the process...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2003.02594.x
更新日期:2003-04-01 00:00:00
abstract:AIM:This paper is a report of a study to explore what service users with a range of life-limiting conditions identify as their key experiences and needs generally and, specifically, from health and social care services. BACKGROUND:Whilst internationally palliative care has a primary focus on service users who have can...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2008.04638.x
更新日期:2008-06-01 00:00:00
abstract:AIMS:To investigate the readability, comprehensiveness and transparency of web pages about medical abortion in the second trimester of pregnancy. DESIGN:A cross-sectional descriptive study of Swedish web pages. METHODS:Six systematic searches were performed in Google during January 2017. The first 10 hits of each sea...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.14080
更新日期:2019-11-01 00:00:00
abstract::The purpose of this study was to identify the stressors perceived by individuals with rheumatoid arthritis (RA) and to describe coping strategies used to cope with illness-related stressors and their perceived effectiveness. Data were collected from 53 patients attending a rheumatology clinic. Results revealed that pa...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1997.19970251144.x
更新日期:1997-06-01 00:00:00
abstract:AIM:To report on a study examining policy development for advanced practice nursing from intent of policy to realization in practice. BACKGROUND:Inclusion of advanced practice nursing roles in the healthcare workforce is a worldwide trend. Optimal advanced nursing practice requires supportive policies. Little is known...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.12915
更新日期:2016-06-01 00:00:00
abstract:AIM:To report a study conducted to explore childrearing concerns through an analysis of online parenting message boards managed by popular parenting magazines. Background. Increasingly, mothers appear to be turning to the Web for childrearing advice and support. However, no previous studies have examined the childrear...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2012.06030.x
更新日期:2013-03-01 00:00:00
abstract:AIMS:To report a study of patients' views of patient-centred care. The study aimed to explore patients' understanding and conceptualization of patient-centred care and link it to existing literature on the topic. BACKGROUND:Patient-centred care currently lacks a widely accepted definition, with much of the literature ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2012.05965.x
更新日期:2012-12-01 00:00:00
abstract::The natural sciences have an influential effect on society, contemporary world-views, and other scientific disciplines. A brief history of the major advances in the natural sciences and the associated philosophies provides a platform for scholarly discourse regarding the subsequent influence on nursing epistemology. T...
journal_title:Journal of advanced nursing
pub_type: 历史文章,杂志文章
doi:10.1046/j.1365-2648.1999.01206.x
更新日期:1999-11-01 00:00:00
abstract::This study describes the meaning of pain and its implications for everyday life in 35 persons with symptoms of post-polio syndrome. The mean age of the study group is 65 years and the sex ratio of men to women is 1.5:1. The study persons were interviewed on two occasions in their homes and answered a pain questionnair...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1998.00695.x
更新日期:1998-09-01 00:00:00
abstract::Studies on utilization of hospital services by South Asian patients in the United Kingdom have consistently demonstrated levels of dissatisfaction with care in relation to meeting religious and cultural needs, although there are few studies on minority ethnic patients' utilization of acute hospital services. This stud...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2000.01415.x
更新日期:2000-07-01 00:00:00
abstract:AIM:This study aimed to explore the role and impact of advanced practice nurses (APNs) in care of patients following fragility hip fracture by systematically reviewing the available evidence. REVIEW DESIGN:Systematic review. DATA SOURCES:A search of the databases Ovid Medline, CINAHL, Embase, Emcare, Cochrane Library...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/jan.14692
更新日期:2020-12-15 00:00:00
abstract:INTRODUCTION:This pilot study aims to further document mindfulness-based stress reduction (MBSR)'s effect on well-being while exploring its impact on errors among hospital nurses. BACKGROUND:The concept of mindfulness has been found to be highly relevant to holistic nursing practices but remains understudied and under...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,随机对照试验
doi:10.1111/jan.13729
更新日期:2018-10-01 00:00:00
abstract:AIM:The aim of this paper is to describe guidance for nurses today from the lessons learned by nurses who served in the Vietnam War. BACKGROUND:There is little research focusing on nurses' experiences in the Vietnam War. Lessons learned and subsequent advice from nurses who served in Vietnam may be helpful to those se...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2004.03335.x
更新日期:2005-03-01 00:00:00
abstract:AIM:To investigate the content and meaning of nurses' administrative work. BACKGROUND:Nurses often report that administrative work keeps them away from bedside care. The content and meaning of this work remains insufficiently explored. DESIGN:Comparative case studies. METHOD:The investigation took place in 2014. It ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.13294
更新日期:2017-09-01 00:00:00
abstract::Nursing, with its historical roots in practice, has tended to have an uneasy relationship with theory. Whilst the benefits of theory to nursing have been propounded by many commentators, it remains that theory all too rarely informs nursing practice. This paper argues for the development and utilization of mid-range t...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1992.tb01876.x
更新日期:1992-02-01 00:00:00
abstract:AIM:The aim of this paper is to describe nursing education in Norway and some essential questions and challenges regarding the undergraduate and newly graduated nurses' competencies and functionally preparedness. BACKGROUND:The first formal training of nurses in Norway started in Oslo in 1886. Since then the education...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1046/j.1365-2648.2002.02179.x
更新日期:2002-05-01 00:00:00
abstract:AIM:This project has two aims: (a) What do relatives to brought in dead (BID) describe as helpful and supportive care when they arrive at the emergency department to see and say goodbye to a deceased? (b) What do nurses describe as good nursing practice for BID persons and their relatives and what may hinder or facilit...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.14353
更新日期:2020-07-01 00:00:00
abstract::Patient assessment underpins every aspect of nursing care. However, there is much evidence to suggest that many nurses lack the skills necessary to communicate effectively with their patients, and so assess their individual problems and concerns. Communication studies to date have been descriptive, or have concentrate...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,多中心研究
doi:10.1111/j.1365-2648.1996.tb02668.x
更新日期:1996-02-01 00:00:00
abstract:AIM:This paper is a report of an exploration of the effects of self-efficacy and different dimensions of self-management on quality of life among kidney transplant recipients. BACKGROUND:Self-efficacy is an important factor influencing self-management. Patients with higher self-efficacy have better self-management and...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2009.05243.x
更新日期:2010-04-01 00:00:00
abstract::Finnish mental health care went through a major change in the 1980s. Its institutions were being run down and there was a shift to a caring system that stresses non-institutional practices. The schooling and work of the mental health nurse had to adapt to the new situation. The purpose of my study was to describe and ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1994.tb01203.x
更新日期:1994-06-01 00:00:00
abstract::Recent surveys show that children are still restricted from visiting their critically ill family and friends on many adult intensive care units throughout the country. The purpose of this small-scale exploratory pilot study was to examine and describe the experiences and perceptions of trained nurses towards children ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2000.01293.x
更新日期:2000-02-01 00:00:00
abstract::This paper will examine the claim that caring is an appropriate ethical ideal for nursing. Initially it will examine nursing's philosophy of care and caring, highlighting some areas of difficulty and dissatisfaction articulated by many of its contemporary theorists. Evaluation of the notion of caring as an appropriate...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1046/j.1365-2648.1996.02391.x
更新日期:1996-10-01 00:00:00
abstract::Whilst ethics is now commonplace on nursing curricula in the United Kingdom there remains doubt as to how and what to teach. This doubt has its origins in interlinked uncertainties within nursing, ethics and education. In nursing there are uncertainties about whether we are teaching ethics to professionalize or becaus...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1995.22020374.x
更新日期:1995-08-01 00:00:00
abstract:AIM:To synthesize evidence on the use of social media in nursing and midwifery education. BACKGROUND:Social media is one type of online platform that is being explored to determine if there is value in using interactive, digital communication tools to support how nurses and midwives learn in a variety of settings. DE...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.13310
更新日期:2017-08-01 00:00:00
abstract:AIM:This paper is a report of a review conducted to identify, critically analyse and synthesize the humour literature across a number of fields related to health, health care and nursing. BACKGROUND:The humour-health hypothesis suggests that there is a positive link between humour and health. Humour has been a focus o...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2648.2007.04548.x
更新日期:2008-03-01 00:00:00
abstract::Recent advances in the prenatal diagnosis of birth defects including amniocentesis, ultrasound and fetoscopy are discussed. Indications, technical considerations and limitations are presented. Parental reactions to the stresses encountered during the process of prenatal diagnosis are related. Implications are identifi...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1979.tb00882.x
更新日期:1979-09-01 00:00:00
abstract:AIMS:To examine the effect of transformational leadership on early career nurses' intent to stay, job satisfaction and organizational commitment. BACKGROUND:Lack of leadership support is one of the top reasons staff nurses leave. Current studies reported mixed results about the impact of transformational leadership on...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.13055
更新日期:2016-11-01 00:00:00
abstract::This paper is concerned with the development of theory in the discipline of nursing as it is practised in Great Britain. It stems from dissatisfaction with the generally uncritical adoption by British nurses of models of nursing which have been developed to explain and enhance North American practice. After the introd...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1990.tb01666.x
更新日期:1990-01-01 00:00:00
abstract::Using a typical example this paper illustrates how health visitors use humour in child health clinics to introduce subjects on which health visitor and client may have different views. ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1984.tb00347.x
更新日期:1984-01-01 00:00:00
abstract:AIM:This paper is a report of a study conducted to (1) review and critique the published empirical research on nurses' intention to leave the profession and (2) synthesize the findings across studies. BACKGROUND:Lack of nurses and nurse turnover represent problems for the healthcare system in terms of cost, the abilit...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2648.2010.05322.x
更新日期:2010-07-01 00:00:00