Department of Health Sciences, Lund University, Lund, Sweden; The Swedish Institute for Health Sciences (Vårdalinstitutet), Lund University, Lund, Sweden.
J Nurs Manag. 2015 Apr;23(3):368-79. doi: 10.1111/jonm.12145. Epub 2013 Aug 8.
The aim was to investigate job strain and stress of conscience among nurse assistants working in residential care and to explore associations with personal and work-related aspects and health complaints.
It is important to investigate job strain and stress of conscience, both for the well-being of the nurse assistants themselves and for the impact on the quality of care they provide.
Questionnaires measuring job strain, stress of conscience, personal and work-related aspects and health complaints were completed by NAs (n = 225). Comparisons of high and low levels of job strain and stress of conscience and multiple linear regression analyses were performed.
Organisational and environmental support and low education levels were associated with low levels of job strain and stress of conscience. Personalised care provision and leadership were related to stress of conscience and the caring climate was related to job strain.
There is a need for support from the managers and a supportive organisation for reducing nurse assistants work-related stress, which in turn can create a positive caring climate where the nurse assistants are able to provide high quality care.
The managers' role is essential when designing supportive measures and implementing a value-system that can facilitate personalised care provision.
调查从事住宅护理工作的助理护士的工作压力和良心压力，并探讨其与个人和工作相关方面以及健康投诉的关联。
调查工作压力和良心压力对于助理护士自身的福祉以及对他们提供的护理质量的影响都很重要。
通过问卷调查测量了助理护士的工作压力、良心压力、个人和工作相关方面以及健康投诉。对高和低水平的工作压力和良心压力进行了比较，并进行了多元线性回归分析。
组织和环境支持以及低教育水平与低工作压力和良心压力相关。个性化护理提供与良心压力有关，而关怀氛围与工作压力有关。
需要管理者提供支持和一个支持性的组织，以减轻助理护士的工作压力，从而创造一个积极的关怀氛围，使助理护士能够提供高质量的护理。
在设计支持措施和实施一个能够促进个性化护理提供的价值体系时，管理者的角色至关重要。
