Journal of Hayat
حیات
Hayat
Medical Sciences
http://hayat.tums.ac.ir
1
admin
1735-2215
2008-188X
fa
jalali
1405
1
1
gregorian
2026
4
1
32
1
online
1
fulltext
fa
بررسی ارتباط استقلال حرفهای با شجاعت اخلاقی و خودکارآمدی شغلی در مدیران پرستاری شاغل در مراکز آموزشی و درمانی دانشگاه علوم پزشکی شهید بهشتی
Investigating the relationship between professional autonomy, moral courage, and job self efficacy among nursing managers in teaching hospitals affiliated with Shahid Beheshti university of medical sciences
مراقبتهاي پرستاري
Nursing Care
پژوهشي
Research
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">زمینه و هدف: </span></span></span></i></b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">کسب استقلال از چالشهای اصلی حرفه پرستاری است. این در حالی است که پرستاران باید ضمن کسب استقلال حرفهای، از شجاعت اخلاقی لازم برخوردار باشند و نتایج آن به ارتقای خودکارآمدی شغلی منجر شود. پژوهش حاضر با هدف تعیین ارتباط استقلال حرفهای با شجاعت اخلاقی و خودکارآمدی شغلی در مدیران پرستاری اجرا شد.</span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"></span></span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:-.2pt">روش بررسی:</span></span></span></span></i></b><i> </i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">این مطالعه توصیفی همبستگی در مورد 200 نفر از مدیران ارشد پرستاری با پست سازمانی مدیریت پرستاری و مدیران میانی پرستاری با پست سوپروایزر و مدیران عملیاتی پرستاری با پست سرپرستار، شاغل در یازده بیمارستان آموزشی و درمانی تحت پوشش دانشگاه علوم پزشکی شهید بهشتی در سال 1403 انجام گرفت. جهت جمعآوری دادهها از فرم مشخصات جمعیتشناختی و حرفهای، پرسشنامه استقلال حرفهای جانگ، پرسشنامه شجاعت اخلاقی پرستاران صدوقی اصل و پرسشنامه خودکارآمدی ریگز استفاده شد. تجزیه و تحلیل دادهها با استفاده از نرمافزار </span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black">SPSS</span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"> نسخه 21 و </span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black">LISREL</span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"> نسخه 8 و آزمونهای آماری ضریب همبستگی پیرسون و تحلیل مسیر انجام یافت<span style="letter-spacing:-.2pt">.</span></span></span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="tab-stops:163.05pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:.1pt">یافتهها</span></span></span></span></i></b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black"><span style="letter-spacing:.1pt">: </span></span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">میانگین استقلال حرفهای مدیران 6/6</span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"Cambria",serif"><span style="color:black">±</span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">92/26 (در حد متوسط)، شجاعت اخلاقی 52/39</span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"Cambria",serif"><span style="color:black">±</span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">11/422 (در حد بالا) و خودکارآمدی شغلی 38/11</span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"Cambria",serif"><span style="color:black">±</span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">98/114 (در حد بالا) بود. اسـتقلال حرفهای مدیران با شجاعت اخلاقی (187/0=</span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black">r</span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">، 008/0=</span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black">p</span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">) و شجاعت اخلاقی با خودکارآمدی شغلی (41/0=</span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black">r</span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">، 001/0</span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black">p<</span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">)</span></span></span></i><i> </i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">ارتباط مستقیم و معناداری داشت. نتایج تحلیل مدل ساختاری نشان داد تمام مسیرها (001/0</span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black">p<</span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">)</span></span></span></i><i> </i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">به جز مسیر استقلال حرفهای به خودکارآمدی شغلی (635/0=</span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black">p</span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">) معنادار است<span style="letter-spacing:.1pt">.</span></span></span></span></i></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">نتیجهگیری: </span></span></span></i></b><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">نتایج</span></span></span></i><i> </i><i><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Yagut""><span style="color:black">این مطالعه نشان داد که با افزایش استقلال حرفهای میتوان شجاعت اخلاقی و خودکارآمدی شغلی مدیران پرستاری را ارتقا داد. استفاده از این یافته مهم میتواند مقدمهای برای طراحی برنامهها و مداخلات مؤثر در این زمینه باشد</span></span></span></i><i><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Yagut"">.</span></span></i></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><i><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span></i></span></span></span></span></span></span></span><br>
<span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="vertical-align:top"><b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black">Background & Aim:</span></span></span></b> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:#0f1115">Achieving autonomy remains a significant challenge within the nursing profession. Nurses must possess moral courage to attain professional autonomy, which should consequently enhance their job self‑efficacy. This study aimed to investigate the relationship between professional autonomy, moral courage, and job self‑efficacy among nursing managers</span></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black">.</span></span></span></span></span></span></span><br>
<span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="vertical-align:top"><b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black">Methods & Materials:</span></span></span></b> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:#0f1115">This descriptive‑correlational study was conducted on 200 nursing managers, including senior nursing managers in organizational positions, middle managers serving as supervisors, and operational managers working as head nurses across eleven teaching hospitals affiliated with Shahid Beheshti University of Medical Sciences in 2024. Data were collected using a demographic and professional characteristics form, Jung's Professional Autonomy Questionnaire, Sadoughi‑Asl's Nurses' Moral Courage Questionnaire, and Riggs' Self‑Efficacy Scale. Data analysis was performed using SPSS version 21 and LISREL version 8, employing Pearson's correlation coefficients and path analysis</span></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">.</span></span></span></span></span></span><br>
<span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><span style="vertical-align:top"><b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"><span style="letter-spacing:-.2pt"><span style="layout-grid-mode:line">Results:</span></span></span></span></span></b> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:#0f1115"><span style="letter-spacing:-.2pt">The mean scores were as follows: professional autonomy was 26.92±6.6 (moderate level), moral courage was 422.11±39.52 (high level), and job self‑efficacy was 114.98±11.38 (high level). Professional autonomy demonstrated a direct and significant positive correlation with moral courage (r=0.187, <i>P</i>=0.008), and moral courage showed a significant positive correlation with job self‑efficacy (r=0.41, <i>P</i><0.001). The structural model analysis revealed that all path coefficients were significant (<i>P</i><0.001), except for the path from professional autonomy to job self‑efficacy (<i>P</i>=0.635)</span></span></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"><span style="letter-spacing:-.2pt">.</span></span></span></span></span></span></span></span><br>
<span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"><span style="layout-grid-mode:line">Conclusion:</span></span></span></span></b> <span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:#0f1115">The findings of this study suggest that enhancing professional autonomy can improve the moral courage and job self‑efficacy of nursing managers. This important finding can serve as a foundation for designing effective programs and interventions in this field</span></span></span><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">.</span></span></span></span></span><br>
<span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:normal"><b><span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"><span style="color:black"></span></span></span></b></span></span></span><br>
استقلال حرفهای, شجاعت اخلاقی, خودکارآمدی شغلی, مدیران پرستاری
professional autonomy, moral courage, job self efficacy, nursing managers
88
100
http://hayat.tums.ac.ir/browse.php?a_code=A-10-5050-2&slc_lang=fa&sid=1
Roghayeh
Shavandi
رقیه
شوندی