Department of Health and Behavioural Sciences, Friedensau Adventist University, Friedensau, Germany.
Int J Ment Health Nurs. 2013 Apr;22(2):180-9. doi: 10.1111/j.1447-0349.2012.00855.x. Epub 2012 Jun 20.
Working in a health-care profession is correlated with high levels of stress and potential burnout that are likely to increase over time. Few studies differentiate psychosocial stress between nurses in different clinical settings or professional stages. In this cross-sectional study, we compared the work-related behaviour and experience of nurses (n=389) and physicians (n=344) and of nurses across different career stages and clinical settings in Germany. Nurses had the lowest proportion of a healthy behaviour and experience pattern (11.6%) compared with student nurses (32.6%), senior nurses (25%), and physicians (16.7%). They also had the highest proportion of a burnout-related behaviour and experience pattern (32.8% vs 26.1% of student nurses, 18.3% of senior nurses, and 27.3% of physicians). In comparison with medical nurses, psychiatric nurses presented a significantly (P<0.01) lower proportion with a healthy (10.6% vs 21.8%) and burnout-related behaviour pattern (23.5% vs 29.6%), and a higher proportion showing a low commitment to work (61.4% vs 34.4%). Differences in health-related dimensions were primarily observed in the domains of professional commitment and stress resistance. The observed differences in behaviour and experience patterns as a function of health-care settings and career stages emphasize the need for specific interventions.
在医疗保健行业工作与高强度的压力和潜在的倦怠相关,且这些问题可能会随着时间的推移而加剧。很少有研究对不同临床环境或职业阶段的护士的社会心理压力进行区分。在这项横断面研究中,我们比较了德国不同职业阶段和临床环境中的护士(n=389)和医生(n=344)的工作相关行为和经验。与实习护士(32.6%)、资深护士(25%)和医生(16.7%)相比,护士具有健康行为和经验模式的比例最低(11.6%)。他们还具有倦怠相关行为和经验模式的比例最高(32.8%,相比之下,实习护士为 26.1%,资深护士为 18.3%,医生为 27.3%)。与内科护士相比,精神科护士表现出明显较低的健康行为和经验模式比例(10.6%,而 21.8%为实习护士,18.3%为资深护士,27.3%为医生),以及更高的低工作投入比例(61.4%,而 34.4%为实习护士)。健康相关维度的差异主要出现在职业承诺和抗压能力的领域。根据医疗保健环境和职业阶段观察到的行为和经验模式的差异,强调需要采取具体的干预措施。