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[工作满意度、职业倦怠及其与工作和患者特征的关系:重症监护病房(ICU)与非重症监护病房(非ICU)的比较]

[Job satisfaction, job burnout and their relationships with work'and patients' characteristics: a comparison between intensive care units (ICU) and not-intensive care units (not-ICU)].

作者信息

Viotti Sara, Converso Daniela, Loera Barbara

机构信息

Dipartimento di Psicologia, Università degli Studi di Torino, Italy.

出版信息

G Ital Med Lav Ergon. 2012 Apr-Jun;34(2 Suppl B):B52-60.

Abstract

INTRODUCTION

Health worker's population is espoused to high level of stress, and several studies highlight differences between intensive care units (ICU) and non-intensive care unit (non-ICU). Particular features of the job in ICU concern responsibilities for critically patients, highly advanced technology and need for quick decision.

AIMS

Aims of this study are: (1) to examine differences between ICU's and not-ICU's workers on several dimensions describing work environment and workers' health; (2) investigate which specific work conditions have a role in determining psychological work reactions in ICU's and not-ICU's workers.

METHOD

144 ICUs' and not-ICU's 114 workers employed in an Italian Hospital filled out a questionnaire concerning decision authority, autonomy, colleagues' and supervisors' support, physical and cognitive demands as antecedents; job satisfaction and job burnout (EE, DP) as consequences.

RESULTS

  1. MANOVA highlighted how ICU workers reported significantly higher scores on depersonalization, job satisfaction, aggressive customers, while physical demands and proportionate customer expectations were significantly higher for not-ICU workers; (2) Six Multiple Linear Regressions were carried out. Those indicated decision authority, autonomy and supervisors' support as predictors of emotional exhaustions in ICU. In not-ICU only cognitive demands and colleagues' support are significant predictors. Depersonalization is predicted in ICU by colleagues' support. Predictors of job satisfaction both in ICU and not-ICU are: decision authority and colleagues support.

CONCLUSION

Current study highlighted several differences among ICU and non-ICU workers' referred to work environment and psychological reactions.

摘要

引言

医护人员群体承受着高水平的压力,多项研究强调了重症监护病房(ICU)和非重症监护病房(非ICU)之间的差异。ICU工作的特殊之处在于对重症患者的责任、高度先进的技术以及快速决策的需求。

目的

本研究的目的是:(1)在描述工作环境和员工健康的几个维度上,考察ICU和非ICU工作人员之间的差异;(2)调查哪些具体工作条件在决定ICU和非ICU工作人员的心理工作反应中起作用。

方法

意大利一家医院的144名ICU和114名非ICU工作人员填写了一份问卷,内容涉及决策权力、自主权、同事和上级的支持、作为前提条件的身体和认知需求;作为结果的工作满意度和职业倦怠(情感耗竭、去个性化)。

结果

(1)多变量方差分析表明,ICU工作人员在去个性化、工作满意度、难缠客户方面的得分显著更高,而非ICU工作人员的身体需求和相称的客户期望显著更高;(2)进行了六项多元线性回归。结果表明,决策权力、自主权和上级支持是ICU中情感耗竭的预测因素。在非ICU中,只有认知需求和同事支持是显著的预测因素。在ICU中,同事支持是去个性化的预测因素。ICU和非ICU中工作满意度的预测因素都是:决策权力和同事支持。

结论

当前研究突出了ICU和非ICU工作人员在工作环境和心理反应方面的若干差异。

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