【摘要】 目的 探讨医院伦理氛围与急诊科护士工作投入的相关性，为合理解决伦理问题、提高护士工作投入度提供依据。方法 2019年5月至2021年5月采用便利抽样方法选取西安市四所三级以上医院急诊科350名护士为研究对象。参照伦理氛围认知量表和工作投入量表进行医院伦理氛围和工作投入评估，分析二者相关性，并采用单因素分析和多因素进行影响因素分析。结果 急诊科护士工作投入得分为(51.69±11.09)分，伦理氛围得分为(72.78±11.45)分；单因素分析结果显示，不同学历、医院等级、医院聘用方式、是否接受伦理培训的急诊科护士工作投入得分差异均具有统计学意义(P<0.05);多因素分析结果显示，医院伦理氛围认知、医院聘用方式、是否接受伦理教育培训均是影响工作投入的因素(P<0.05)。结论医院伦理氛围与急诊科护士工作投入呈正相关，且伦理氛围和护士工作投入情况均处于中等水平，仍有较大提升空间，应继续加强急诊护理工作的管理支持，提高急诊科护士在组织中被认可、被尊重的感知水平。更多还原

【Abstract】 Objective: To explore the correlation between hospital ethics atmosphere and work engagement of nurses in emergency department, and provide a basis for reasonably solving ethical issues and improving nurses’ work engagement. Methods: From May 2019 to May 2021, the convenient sampling method was used to select 350 nurses from emergency departments of four tertiary or above hospitals in Xi’an as the research subjects. The Ethical Climate Cognitive Scale and the Work Engagement Scale were used to evaluate the hospital ethical atmosphere and work engagement of nurse, and analyze their correlation. The univariate factor analysis and multiple factor analysis were used to explore the influencing factors. Results: The work engagement score of emergency department nurses was(51.69±11.09) points, and the ethical atmosphere score was(72.78±11.45) points. The results of univariate analysis showed that there were statistically significant differences in the work engagement scores among emergency department nurses with different educational backgrounds, hospital grades, hospital employment methods, and whether they had received ethics training(P<0.05). The results of multiple factor analysis indicated that the cognition of hospital ethical atmosphere, hospital employment methods, and whether they had received ethics education and training were all factors that affected work engagement(P<0.05). Conclusion: The hospital ethical atmosphere is positively correlated with the work engagement of emergency department nurse. The ethical atmosphere and work engagement of nurses are both at a moderate level, with significant room for improvement. Therefore, it is necessary to continue to strengthen the management support of emergency nursing work and improve the perceived level of recognition and respect among emergency department nurses in the organization.更多还原