Modum Bad, NO-3370 Vikersund, Norway.
Patient Educ Couns. 2010 Feb;78(2):191-7. doi: 10.1016/j.pec.2009.07.008. Epub 2009 Aug 4.
Burnout among nurses is an issue of concern, and preventive interventions are important to implement and evaluate. This study investigated levels and predictors of change in burnout dimensions after an intervention for help-seeking nurses.
Nurses participating in a self-referral, counseling intervention, from 2004 to 2006 in Norway, were followed with self-reporting assessments. One-year follow-up was completed by 160/172 (93%, 155 women and 5 men).
Mean level of emotional exhaustion (one dimension of burnout, scale 1-5) was significantly reduced from 2.87 (SD 0.79) to 2.52 (SD 0.8), t=5.3, p<0.001, to the level found in a representative sample of Norwegian nurses. The proportion of nurses seeking psychotherapy increased after the intervention, from 17.0% (25/147) to 34% (50/147), p<0.001. Less reduction in emotional exhaustion was independently predicted by reporting a work-related conflict (beta -0.53 (SE 0.13), p<0.001) or by getting a period of sick leave (beta -0.28 (SE 0.12), p<0.05) after the intervention.
A short-term preventive intervention could contribute to reduction of emotional exhaustion in nurses. Work-related conflict and sick leave after the intervention were negatively associated with this reduction.
Preventive interventions to reduce burnout for nurses should be considered, as well as programs for preventing or handling conflicts at work.
护士职业倦怠是一个值得关注的问题，实施和评估预防干预措施非常重要。本研究调查了干预措施后寻求帮助的护士倦怠维度的变化水平和预测因素。
2004 年至 2006 年，挪威参与自我推荐、咨询干预的护士通过自我报告评估进行随访。172 名护士中有 160 名（93%，155 名女性和 5 名男性）完成了 1 年的随访。
情绪耗竭（倦怠的一个维度，量表 1-5）的平均水平从 2.87（SD 0.79）显著降低至 2.52（SD 0.8），t=5.3，p<0.001，达到了挪威护士代表性样本的水平。干预后，寻求心理治疗的护士比例从 17.0%（25/147）增加到 34%（50/147），p<0.001。干预后报告工作相关冲突（β-0.53（SE 0.13），p<0.001）或请病假（β-0.28（SE 0.12），p<0.05）与情绪耗竭减少较少独立相关。
短期预防干预措施可能有助于减少护士的情绪耗竭。干预后工作相关冲突和病假与这种减少呈负相关。
应考虑针对护士职业倦怠的预防干预措施，以及预防或处理工作冲突的计划。
