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护士职业倦怠:作为预测因素的个人和环境因素

Nurse burnout: personal and environmental factors as predictors.

作者信息

Wang Shanshan, Liu Yanhui, Wang Linlin

机构信息

Tianjin University of Traditional Chinese Medicine, Tianjin, China; Nursing College of Zhengzhou University, Zhengzhou, China.

出版信息

Int J Nurs Pract. 2015 Feb;21(1):78-86. doi: 10.1111/ijn.12216. Epub 2013 Nov 15.

Abstract

The aim of this study is to investigate the level of burnout of clinical nurses and to examine the influence of personal and environmental factors on nurse burnout. A total of 717 full-time nurses from six hospitals in Tianjin, China, completed five questionnaires: a demographic questionnaire, the Maslach Burnout Inventory, the General Self-Efficacy Scale, the Practice Environment Scale of the Nursing Work Index and the Nurse Job Stressor Scale. The participants had moderate levels of emotional exhaustion (mean score 23.95 ± 11.11) and depersonalization (mean score 7.90 ± 6.58) and a high level of reduced personal accomplishment (mean score 27.51 ± 10.96). Both personal and environmental factors were correlated with nurse burnout; however, personal factors played bigger roles in predicting personal accomplishment, whereas environmental factors played bigger roles in predicting emotional exhaustion and depersonalization. In order to reduce nurse job burnout effectively, administrators should pay more attention to the improvement of nurses' self-efficacy and professional nursing practice environment and the reduction of stressors.

摘要

本研究旨在调查临床护士的职业倦怠水平,并探讨个人因素和环境因素对护士职业倦怠的影响。来自中国天津六家医院的717名全职护士完成了五份问卷:一份人口统计学问卷、马氏职业倦怠量表、一般自我效能量表、护理工作指数的执业环境量表和护士工作压力源量表。参与者的情感耗竭水平中等(平均得分23.95±11.11),去人格化水平中等(平均得分7.90±6.58),个人成就感降低水平较高(平均得分27.51±10.96)。个人因素和环境因素均与护士职业倦怠相关;然而,个人因素在预测个人成就感方面发挥更大作用,而环境因素在预测情感耗竭和去人格化方面发挥更大作用。为有效降低护士职业倦怠,管理人员应更加关注提高护士的自我效能感、改善专业护理执业环境并减少压力源。

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