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重症监护病房护理人员职业互动与情绪困扰之间的关联探究。

Exploration of the association between professional interactions and emotional distress of intensive care unit nursing personnel.

作者信息

Karanikola Maria N K, Papathanassoglou Elizabeth D E, Kalafati Maria, Stathopoulou Hariklia

机构信息

Cyprus University of Technology-School of Nursing, Limassol.

出版信息

Dimens Crit Care Nurs. 2012 Jan-Feb;31(1):37-45. doi: 10.1097/DCC.0b013e31823a55b8.

Abstract

: Several studies provide evidence for the association between the quality of collaboration among intensive care unit (ICU) professionals and patients' outcomes, as well as nurses' moral distress and professional satisfaction. However, potential associations between collaboration and nurses' mental health indices have not been explored. The aim of this descriptive correlational study was to investigate the degree of satisfaction from interaction among ICU nursing personnel, as well as between ICU nursing personnel and physicians, and potential associations with ICU nursing personnel's anxiety symptoms. The sample consisted of ICU nursing personnel from 11 adult general hospitals in Greece (n = 229). Hamilton's Anxiety scale was applied for the quantitative assessment of anxiety symptoms and Stamps' Index of Work Satisfaction for the appraisal of nursing personnel's satisfaction from professional interactions. Demographic, vocational, and educational data were also recorded. Descriptive statistics were explored, and group comparisons, correlation, and regression analysis were used. The average satisfaction score from interaction among nursing personnel was moderate to high (5.3 [SD, 1.0]) and from nurse-to-physician interaction was moderate (4.0 [SD, 1.4]) (scale range, 1-7). The score of satisfaction from nurse-to-physician interaction was negatively mildly correlated with participants' (a) total anxiety score (τ = -0.160, P = .001), (b) tension (τ = -0.125, P = .015), and (c) depressive symptoms (τ = -0.148, P = .005). Weak negative correlations were detected between satisfaction from interaction among nursing personnel and participants' (a) total anxiety state (τ = -0.139, P = .003), (b) tension (τ = -0.137, P = .008), and (c) sleep disturbances (τ = -0.150, P = .003). Overall, female respondents had higher levels of anxiety symptoms than male respondents (Mann-Whitney U, P = .007). Satisfaction from professional interaction was not a strong predictor of anxiety symptoms among ICU nursing personnel (R² = 0.046, ?0.15). Nursing personnel in Greek ICUs seem to be satisfied with the quality of relationships among them, as well as with physicians. Despite that anxiety symptoms associate with the degree of satisfaction from professional interaction, the latter may not be a significant indicator of ICU nurses' well-being. Further qualitative research is needed to identify mediating factors.

摘要

多项研究为重症监护病房(ICU)专业人员之间的协作质量与患者预后、护士的道德困扰和职业满意度之间的关联提供了证据。然而,协作与护士心理健康指标之间的潜在关联尚未得到探讨。这项描述性相关性研究的目的是调查ICU护理人员之间以及ICU护理人员与医生之间互动的满意度,以及与ICU护理人员焦虑症状的潜在关联。样本包括希腊11家成人综合医院的ICU护理人员(n = 229)。采用汉密尔顿焦虑量表对焦虑症状进行定量评估,采用斯坦普斯工作满意度指数对护理人员专业互动的满意度进行评估。还记录了人口统计学、职业和教育数据。进行了描述性统计,并使用了组间比较、相关性分析和回归分析。护理人员之间互动的平均满意度得分中等偏高(5.3[标准差,1.0]),护士与医生互动的平均满意度得分中等(4.0[标准差,1.4])(量表范围为1 - 7)。护士与医生互动的满意度得分与参与者的(a)总焦虑得分(τ = -0.160,P = 0.001)、(b)紧张程度(τ = -0.125,P = 0.015)和(c)抑郁症状(τ = -0.148,P = 0.005)呈轻度负相关。护理人员之间互动的满意度与参与者的(a)总焦虑状态(τ = -0.139,P = 0.003)、(b)紧张程度(τ = -0.137,P = 0.008)和(c)睡眠障碍(τ = -0.150,P = 0.003)之间存在弱负相关。总体而言,女性受访者的焦虑症状水平高于男性受访者(曼 - 惠特尼U检验,P = 0.007)。专业互动的满意度并非ICU护理人员焦虑症状的有力预测指标(R² = 0.046,β = -0.15)。希腊ICU的护理人员似乎对他们之间以及与医生之间的关系质量感到满意。尽管焦虑症状与专业互动的满意度程度相关,但后者可能不是ICU护士幸福感的重要指标。需要进一步的定性研究来确定中介因素。

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