Viotti Sara, Converso Daniela, Loera Barbara
Dipartimento di Psicologia, Università degli Studi di Torino, Italy.
G Ital Med Lav Ergon. 2012 Apr-Jun;34(2 Suppl B):B52-60.
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 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.
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.
Current study highlighted several differences among ICU and non-ICU workers' referred to work environment and psychological reactions.
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。
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。
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)。
(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。
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。