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香港急症外科病房护士工作压力水平与应对策略的关系。

Relationship between job stress level and coping strategies used by Hong Kong nurses working in an acute surgical unit.

机构信息

The Nethersole School of Nursing, The Chinese University of Hong Kong, China.

出版信息

Appl Nurs Res. 2011 Nov;24(4):238-43. doi: 10.1016/j.apnr.2009.09.003. Epub 2009 Oct 23.

Abstract

OBJECTIVE

The aim of this study is to explore the relationship between job stress and coping strategies of Hong Kong nurses working in an acute surgical unit.

METHOD

This is a descriptive correlational study. Data were collected from 98 Hong Kong surgical nurses using the Nursing Stress Scale and the Jalowiec Coping Scale.

RESULTS

Results showed that workload (M = 15.36), lack of support (M = 13.32), and inadequate preparation (M = 12.33) are the most common stressors for Hong Kong surgical nurses. The most frequent strategies used by nurses to cope with stress can be characterized as evasive (M = 19.23), confrontive (M = 17.46), and optimistic (M = 15.81), all of which are also rated as the most effective strategies in reducing stress levels. Only the confrontive, optimistic, supportant, and emotive coping strategies reveal significant correlations (p < .05) with the stress levels of nurses, whereas the evasive, fatalistic, palliative, and self-reliant strategies showed no significant correlation with stress levels (p > .05).

CONCLUSION

Recognizing the impacts of job-related stress and making use of effective coping methods play a vital role in reducing nurse's stress. A change in leadership styles from the managerial level and reallocation of manpower may help reduce job stress. The use of confrontive and optimistic coping strategies in reducing job-related stress for surgical nurses should be advocated and promoted in their daily work.

摘要

目的

本研究旨在探讨香港急症外科病房护士的工作压力与应对策略之间的关系。

方法

这是一项描述性相关性研究。研究采用护理压力量表和 Jalo-wiec 应对量表,从 98 名香港外科护士中收集数据。

结果

结果表明,工作量(M=15.36)、缺乏支持(M=13.32)和准备不足(M=12.33)是香港外科护士最常见的压力源。护士应对压力最常使用的策略可以概括为逃避(M=19.23)、对抗(M=17.46)和乐观(M=15.81),这三种策略也被评为最有效的减轻压力水平的策略。只有对抗、乐观、支持和情感应对策略与护士的压力水平呈显著相关(p<.05),而逃避、宿命、姑息和自力更生的策略与压力水平无显著相关(p>.05)。

结论

认识到与工作相关的压力的影响并采用有效的应对方法对于减轻护士的压力至关重要。从管理层面改变领导风格和重新分配人力可能有助于减轻工作压力。应提倡并促进外科护士在日常工作中使用对抗和乐观的应对策略来减轻与工作相关的压力。

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