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精神科护士的工作场所压力。患病率、分布情况、相关因素及预测因素。

Workplace stress among psychiatric nurses. Prevalence, distribution, correlates, & predictors.

作者信息

Robinson J Renée, Clements Karen, Land Colleen

机构信息

School of Health Studies, Brandon University, 270 18th Street, Brandon, Manitoba, Canada R7A 6A9.

出版信息

J Psychosoc Nurs Ment Health Serv. 2003 Apr;41(4):32-41. doi: 10.3928/0279-3695-20030401-12.

Abstract

Vicarious trauma and burnout are serious manifestations of workplace stress. Both can have substantial consequences for health care professionals, health services, and consumers. This article reports results of a study examining the prevalence, distribution, correlates, and predictors of vicarious trauma and burnout among registered psychiatric nurses (RPNs). A survey was distributed to all practicing RPNs in Manitoba, Canada (N = 1,015). The survey contained the Maslach Burnout Inventory, the Traumatic Stress Institute Belief Scale (i.e., a measure of vicarious trauma), and a section on symptoms of posttraumatic stress disorder (PTSD). The RPNs were found to be experiencing high levels of emotional exhaustion (i.e., high burnout) and even higher levels of personal accomplishment (i.e., low burnout). No significant differences were found between respondents' total scores on the Traumatic Stress Institute Belief Scale and instrument norms for mental health care professionals. Predictors of burnout and vicarious trauma also are presented in this article. Stress experienced by RPNs, as well as strengths on which to build, clearly are evident in the study results. Strategies for reduction in workplace stress may benefit psychiatric nurses, clients, and health services.

摘要

替代性创伤和职业倦怠是工作场所压力的严重表现形式。两者都会给医护人员、医疗服务及消费者带来重大影响。本文报告了一项研究结果,该研究调查了注册精神科护士(RPN)中替代性创伤和职业倦怠的患病率、分布情况、相关因素及预测因素。一项调查问卷被分发给加拿大曼尼托巴省所有在职的注册精神科护士(N = 1015)。该调查问卷包含马氏职业倦怠量表、创伤应激研究所信念量表(即一种替代性创伤的测量工具)以及一个关于创伤后应激障碍(PTSD)症状的部分。研究发现,注册精神科护士正经历着高水平的情感耗竭(即高职业倦怠)以及更高水平的个人成就感(即低职业倦怠)。在创伤应激研究所信念量表上,受访者的总分与心理健康护理专业人员的工具常模之间未发现显著差异。本文还呈现了职业倦怠和替代性创伤的预测因素。注册精神科护士所经历的压力以及可据此建立的优势,在研究结果中清晰可见。减轻工作场所压力的策略可能会使精神科护士、患者及医疗服务受益。

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