Department of Nursing, Umeå University, Sweden.
J Adv Nurs. 2010 Aug;66(8):1708-18. doi: 10.1111/j.1365-2648.2010.05288.x. Epub 2010 Jun 16.
This paper is a report of a study of patterns of perceptions of conscience, stress of conscience and burnout in relation to occupational belonging among Registered Nurses and nursing assistants in municipal residential care of older people.
Stress and burnout among healthcare personnel and experiences of ethical difficulties are associated with troubled conscience. In elder care the experience of a troubled conscience seems to be connected to occupational role, but little is known about how Registered Nurses and nursing assistants perceive their conscience, stress of conscience and burnout.
Results of previous analyses of data collected in 2003, where 50 Registered Nurses and 96 nursing assistants completed the Perceptions of Conscience Questionnaire, Stress of Conscience Questionnaire and Maslach Burnout Inventory, led to a request for further analysis. In this study Partial Least Square Regression was used to detect statistical predictive patterns.
Perceptions of conscience and stress of conscience explained 41.9% of the variance in occupational belonging. A statistical predictive pattern for Registered Nurses was stress of conscience in relation to falling short of expectations and demands and to perception of conscience as demanding sensitivity. A statistical predictive pattern for nursing assistants was perceptions that conscience is an authority and an asset in their work. Burnout did not contribute to the explained variance in occupational belonging.
Both occupational groups viewed conscience as an asset and not a burden. Registered Nurses seemed to exhibit sensitivity to expectations and demands and nursing assistants used their conscience as a source of guidance in their work. Structured group supervision with personnel from different occupations is needed so that staff can gain better understanding about their own occupational situation as well as the situation of other occupational groups.
本研究报告旨在探讨注册护士和护理助理在市级老年人居住护理机构中的职业归属感与良心感知、良心压力和职业倦怠之间的关系模式。
医护人员的压力和倦怠以及伦理困境的经历与良心不安有关。在老年护理中，良心不安的经历似乎与职业角色有关，但对于注册护士和护理助理如何感知自己的良心、良心压力和职业倦怠，人们知之甚少。
先前对 2003 年收集的数据进行分析的结果，其中 50 名注册护士和 96 名护理助理完成了良心感知问卷、良心压力问卷和马斯拉赫倦怠量表，这导致了进一步分析的请求。在这项研究中，使用偏最小二乘回归来检测统计预测模式。
良心感知和良心压力解释了职业归属感的 41.9%。注册护士的统计预测模式是与未能达到期望和要求以及感知良心要求敏感性有关的良心压力。护理助理的统计预测模式是将良心视为工作中的权威和资产的感知。职业倦怠对职业归属感的解释方差没有贡献。
两个职业群体都将良心视为一种资产，而不是一种负担。注册护士似乎表现出对期望和要求的敏感性，而护理助理则将良心用作工作指导的来源。需要对来自不同职业的人员进行结构化的小组监督，以便员工能够更好地了解自己的职业状况以及其他职业群体的状况。
