Myhren Hilde, Ekeberg Oivind, Stokland Olav
Intensive Care Unit, Oslo University Hospital, Ullevål, Oslo, Norway.
Crit Care Res Pract. 2013;2013:786176. doi: 10.1155/2013/786176. Epub 2013 Nov 5.
Introduction. Nurses and physicians working in the intensive care unit (ICU) may be exposed to considerable job stress. The study aim was to assess the level of and the relationship between (1) job satisfaction, (2) job stress, and (3) burnout symptoms. Methods. A cross-sectional study was performed at ICUs at Oslo University Hospital. 145 of 196 (74%) staff members (16 physicians and 129 nurses) answered the questionnaire. The following tools were used: job satisfaction scale (scores 10-70), modified Cooper's job stress questionnaire (scores 1-5), and Maslach burnout inventory (scores 1-5); high score in the dimension emotional exhaustion (EE) indicates burnout. Personality was measured with the basic character inventory. Dimensions were neuroticism (vulnerability), extroversion (intensity), and control/compulsiveness with the range 0-9. Results. Mean job satisfaction among nurses was 43.9 (42.4-45.4) versus 51.1 (45.3-56.9) among physicians, P < 0.05. The mean burnout value (EE) was 2.3 (95% CI 2.2-2.4), and mean job stress was 2.6 (2.5-2.7), not significantly different between nurses and physicians. Females scored higher than males on vulnerability, 3.3 (2.9-3.7) versus 2.0 (1.1-2.9) (P < 0.05), and experienced staff were less vulnerable, 2.7 (2.2-3.2), than inexperienced staff, 3.6 (3.0-4.2) (P < 0.05). Burnout (EE) correlated with job satisfaction (r = -0.4, P < 0.001), job stress (r = 0.6, P < 0.001), and vulnerability (r = 0.3, P = 0.003). Conclusions. The nurses were significantly less satisfied with their jobs compared to the physicians. Burnout mean scores are relatively low, but high burnout scores are correlated with vulnerable personality, low job satisfaction, and high degree of job stress.
引言。在重症监护病房(ICU)工作的护士和医生可能面临相当大的工作压力。本研究旨在评估(1)工作满意度、(2)工作压力和(3)倦怠症状的水平及其相互关系。方法。在奥斯陆大学医院的重症监护病房进行了一项横断面研究。196名工作人员中有145名(74%)(16名医生和129名护士)回答了问卷。使用了以下工具:工作满意度量表(得分10 - 70)、改良的库珀工作压力问卷(得分1 - 5)和马氏倦怠量表(得分1 - 5);情感耗竭(EE)维度得分高表明存在倦怠。使用基本性格量表测量人格。维度包括神经质(易感性)、外向性(强度)和控制/强迫性,范围为0 - 9。结果。护士的平均工作满意度为43.9(42.4 - 45.4),而医生为51.1(45.3 - 56.9),P < 0.05。倦怠平均值(EE)为2.3(95%可信区间2.2 - 2.4),平均工作压力为2.6(2.5 - 2.7),护士和医生之间无显著差异。女性在易感性方面得分高于男性,分别为3.3(2.9 - 3.7)和2.0(1.1 - 2.9)(P < 0.05),且有经验的工作人员比无经验的工作人员更不易感,分别为2.7(2.2 - 3.2)和3.6(3.0 - 4.2)(P < 0.05)。倦怠(EE)与工作满意度(r = -0.4,P < 0.001)、工作压力(r = 0.6,P < 0.001)和易感性(r = 0.3,P = 0.003)相关。结论。与医生相比,护士对工作的满意度显著较低。倦怠平均得分相对较低,但高倦怠得分与易感性人格、低工作满意度和高度工作压力相关。