University of California Medical Center, San Diego, CA, USA.
J Adv Nurs. 2010 Aug;66(8):1819-31. doi: 10.1111/j.1365-2648.2010.05336.x. Epub 2010 Jun 16.
This paper is a report of a study of the relationships among compassion satisfaction, nurse job satisfaction, stress, burnout and compassion fatigue to nurse caring.
Nurse caring is the most influential dimension of patient advocation and is predictive of patient satisfaction. Qualitative studies have indicated that nurse caring is a key motivational factor impacting recruitment and retention.
A correlational study of nurses (N = 126) was conducted in 2008 at a single, academic medical center. The six variables of interest were operationalized using four valid and reliable research instruments: (1) the Mueller McCloskey Satisfaction Scale, (2) the Professional Quality of Life Scale, (3) the Stress in General Scale and (4) the Caring Behaviors Inventory.
Pearson Product-moment correlations showed statistically significant relationships between nurse caring and compassion satisfaction (r = 0.51, P < 0.001), nurse job satisfaction subscales (r = 0.16-0.28, P < 0.05), stress (r = -0.21, P < 0.05), and burnout (r = -0.22, P < 0.01). A statistically significant relationship was found between the nurse caring subscale of knowledge and skill and compassion fatigue (r = -0.22, P < 0.01). Hierarchical multiple regression analysis demonstrated that compassion satisfaction (R(2) = 0.287, beta = 0.536, P = 0.000) and nurse satisfaction with social interaction opportunities related to work (beta = 0.223, P = 0.032) explained variability in nurse caring.
Fostering compassion satisfaction and social interaction opportunities among nurses may improve nurse caring, potentially sustaining long-term improvements in patient.
本文是一项研究报告,探讨了同情满足感、护士工作满意度、压力、倦怠和同情疲劳与护士关怀之间的关系。
护士关怀是患者倡导中最具影响力的维度,可预测患者满意度。定性研究表明,护士关怀是影响招聘和留任的关键激励因素。
2008 年,在一家学术医疗中心对护士(N=126)进行了一项相关性研究。使用四个有效的可靠研究工具来操作六个感兴趣的变量:(1)Mueller McCloskey 满意度量表,(2)职业生活质量量表,(3)一般压力量表和(4)关怀行为量表。
Pearson 积矩相关显示,护士关怀与同情满足感(r=0.51,P<0.001)、护士工作满意度子量表(r=0.16-0.28,P<0.05)、压力(r=-0.21,P<0.05)和倦怠(r=-0.22,P<0.01)之间存在统计学上的显著关系。护士关怀子量表的知识和技能与同情疲劳(r=-0.22,P<0.01)之间也存在统计学显著关系。分层多元回归分析表明,同情满足感(R²=0.287,β=0.536,P=0.000)和护士对与工作相关的社交互动机会的满意度(β=0.223,P=0.032)可以解释护士关怀的变异性。
培养护士的同情满足感和社交互动机会可能会提高护士关怀,从而有可能长期提高患者的满意度。