Dept, of Medicine, Innlandet Hospital Trust, Gjøvik, Norway.
BMC Nurs. 2010 Jun 4;9:8. doi: 10.1186/1472-6955-9-8.
Burnout is a psychological reaction triggered by interaction between personal characteristics and stress factors. Reorganizations and downsizing with increased workload imply stress for health-care professionals. This is a study of burnout in nurses during a period with two comprehensive reorganizations.
In this quasi-experimental retrospective cohort study, burnout was assessed in nurses with long work experience in three surveys during a 30 months' period with two comprehensive reorganizations and downsizing of a hospital unit with mostly seriously ill patients with cancer. Burnout was measured with Bergen Burnout Indicator (BBI) at each survey, and "Sense of Coherence" (SOC) with Antonovsky's questionnaire at the last survey.
One man and 45 women aged 30 to 65 years were invited to the surveys. There was a significant increase in burnout during the study period, the mean increase in BBI-score was 12.5 pr year (p < 0.001). The proportion of satisfied nurses at the first and last survey were 84% and 35% respectively, and the proportions with burnout were 0% and 29% respectively (p < 0.001). Except for auxiliary nurses with experience from the medical department, all subgroups experienced a significant increase in BBI. Burnout was associated with low SOC (p < 0.001, r square 0.33).
There was a significant development of burnout in a group of nurses during a period with two reorganizations and downsizing. Burnout was associated with low SOC. Working with seriously ill patients with cancer has probably made the nurses exceptionally vulnerable to the stress and workload related to the reorganizations.
burnout 是由个人特征和压力因素相互作用引发的一种心理反应。重组和裁员导致工作量增加，这对医疗保健专业人员来说意味着压力。这是一项在两次全面重组期间对护士 burnout 进行的研究。
在这项准实验性回顾性队列研究中，在一家主要收治癌症重症患者的医院科室进行了两次全面重组和裁员期间的 30 个月内，通过三次调查评估了具有长期工作经验的护士的 burnout 情况。每次调查都使用 Bergen Burnout Indicator (BBI) 测量 burnout，最后一次调查使用 Antonovsky 的问卷测量“Sense of Coherence”(SOC)。
共邀请了 1 名男性和 45 名年龄在 30 至 65 岁之间的女性参加调查。在研究期间，burnout 显著增加，BBI 评分平均每年增加 12.5 分（p<0.001）。第一次和最后一次调查时感到满意的护士比例分别为 84%和 35%，而 burnout 的比例分别为 0%和 29%（p<0.001）。除了来自医疗部门的辅助护士外，所有亚组的 BBI 都显著增加。burnout 与 SOC 低有关（p<0.001，r 平方 0.33）。
在两次重组和裁员期间，一组护士的 burnout 显著发展。burnout 与 SOC 低有关。与癌症重症患者一起工作可能使护士特别容易受到与重组相关的压力和工作量的影响。
