Piko Bettina F
The University of Szeged, Department of Psychiatry, Behavioural Sciences Group, Szeged, Hungary.
Int J Nurs Stud. 2006 Mar;43(3):311-8. doi: 10.1016/j.ijnurstu.2005.05.003. Epub 2005 Jun 16.
There is a growing interest in the psychosocial work environment of health care staff since they are at high risk for burnout, role conflict and job dissatisfaction. Burnout, as a type of prolonged response to chronic job-related stressors, has a special significance in health care where staff experience both psychological-emotional and physical stress. Burnout and the other negative aspects of the job of health care staff have major behavioural and health implications.
The present study investigated the interrelationships among burnout, role conflict and job satisfaction in a sample of Hungarian health care staff. The study also investigated how these indicators of psychosocial work climate influence respondents' frequency of psychosomatic symptoms.
A questionnaire survey (anonymous questionnaires) has been carried out to detect these interrelationships.
Two major hospitals in Szeged, Hungary.
Questionnaires were distributed to 450 health care staff among whom 55.7% were registered nurses. All together, 201 questionnaires were returned and analyzed, giving a response rate of 44.6%.
Questionnaire contained items on work and health-related information (i.e., burnout, job satisfaction, role conflict, and psychosomatic symptoms) and on some basic sociodemographics. Beyond descriptive statistics, correlation and multiple regression analyses were computed.
Findings show that emotional exhaustion and depersonalization scores were higher, while scores on personal accomplishment was lower as compared to Canadian, Norwegian or US samples. Burnout, particularly emotional exhaustion (p<.001), was found to be strongly related to job dissatisfaction. Schooling was inversely related to satisfaction with the job (p<.05). While job satisfaction was a negative predictor of each type of burnout subscale (p<.001), role conflict was a factor contributing positively to emotional exhaustion (p<.001) and depersonalization scores (p<.001).
The study results underline the importance of the role of psychosocial work environment and the interrelationships among burnout, role conflict, job satisfaction and psychosomatic health among Hungarian health care staff.
医护人员的心理社会工作环境日益受到关注，因为他们面临着职业倦怠、角色冲突和工作不满的高风险。职业倦怠作为对慢性工作相关压力源的一种长期反应，在医护工作中具有特殊意义，因为医护人员会经历心理情感和身体上的压力。职业倦怠以及医护人员工作的其他负面因素对行为和健康有重大影响。
本研究调查了匈牙利医护人员样本中职业倦怠、角色冲突和工作满意度之间的相互关系。该研究还调查了这些心理社会工作氛围指标如何影响受访者的心身症状频率。
进行了一项问卷调查（匿名问卷）以检测这些相互关系。
匈牙利塞格德的两家主要医院。
向450名医护人员发放了问卷，其中55.7%为注册护士。共收回并分析了201份问卷，回复率为44.6%。
问卷包含与工作和健康相关的信息（即职业倦怠、工作满意度、角色冲突和心身症状）以及一些基本社会人口统计学信息。除描述性统计外，还进行了相关性和多元回归分析。
研究结果表明，与加拿大、挪威或美国的样本相比，情感耗竭和去个性化得分更高，而个人成就感得分更低。职业倦怠，尤其是情感耗竭（p<0.001），与工作不满密切相关。受教育程度与工作满意度呈负相关（p<0.05）。虽然工作满意度是每种职业倦怠子量表的负向预测因子（p<0.001），但角色冲突是导致情感耗竭（p<0.001）和去个性化得分（p<0.001）升高的一个因素。
研究结果强调了心理社会工作环境的作用以及匈牙利医护人员中职业倦怠、角色冲突、工作满意度和心身健康之间相互关系的重要性。
