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1
Health Science - Nursing Research, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
2
Department of Physician Assistant Studies, College of Health and Human Service, Northern Arizona University, Phoenix, Arizona.
3
Department of Health Sciences, Division of Community & Occupational Medicine, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
4
Faculty of Economics and Business, Human Resource Management & Organisational Behaviour, University of Groningen, Groningen, The Netherlands.
1
Health Science - Nursing Research, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
2
Department of Physician Assistant Studies, College of Health and Human Service, Northern Arizona University, Phoenix, Arizona.
3
Department of Health Sciences, Division of Community & Occupational Medicine, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
4
Faculty of Economics and Business, Human Resource Management & Organisational Behaviour, University of Groningen, Groningen, The Netherlands.
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.
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.
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.
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。.
Kuilman L, et al.
Scand J Caring Sci. 2022 Sep;36(3):863-873. doi: 10.1111/scs.13029. Epub 2021 Aug 26.
Scand J Caring Sci. 2022.
PMID:
34435706
Free PMC article.
Somma A, et al.
Personal Disord. 2020 Mar;11(2):100-107. doi: 10.1037/per0000388. Epub 2020 Jan 9.
Personal Disord. 2020.
PMID:
31916786
Porter TH, et al.
Health Care Manage Rev. 2024 Jul-Sep 01;49(3):198-209. doi: 10.1097/HMR.0000000000000405.
Health Care Manage Rev. 2024.
PMID:
38775751
Hoff T, et al.
Med Care Res Rev. 2019 Feb;76(1):3-31. doi: 10.1177/1077558717730157. Epub 2017 Sep 13.
Med Care Res Rev. 2019.
PMID:
28901205
Jean-Tron MG, et al.
BMC Med Educ. 2023 May 24;23(1):380. doi: 10.1186/s12909-023-04265-6.
BMC Med Educ. 2023.
PMID:
37226125
Free PMC article.
Kuilman L, et al.
Scand J Caring Sci. 2022 Sep;36(3):863-873. doi: 10.1111/scs.13029. Epub 2021 Aug 26.
Scand J Caring Sci. 2022.
PMID:
34435706
Free PMC article.
Thornberg R, et al.
Front Psychol. 2019 Jul 31;10:1752. doi: 10.3389/fpsyg.2019.01752. eCollection 2019.
Front Psychol. 2019.
PMID:
31417471
Free PMC article.
Kuilman L, et al.
J Eval Clin Pract. 2021 Aug;27(4):776-784. doi: 10.1111/jep.13462. Epub 2020 Aug 20.
J Eval Clin Pract. 2021.
PMID:
32816369
Free PMC article.
Bourdage R, et al.
Neuropsychol Rev. 2024 Dec;34(4):1048-1094. doi: 10.1007/s11065-023-09616-0. Epub 2023 Nov 17.
Neuropsychol Rev. 2024.
PMID:
37975971
