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精神科住院护理人员的社会心理工作环境、压力因素及个人特征

Psychosocial work environment, stress factors and individual characteristics among nursing staff in psychiatric in-patient care.

作者信息

Hanna Tuvesson, Mona Eklund

机构信息

School of Health Science, Blekinge Institute of Technology, SE-37971 Karlskrona, Sweden.

出版信息

Int J Environ Res Public Health. 2014 Jan 20;11(1):1161-75. doi: 10.3390/ijerph110101161.

Abstract

The psychosocial work environment is an important factor in psychiatric in-patient care, and knowing more of its correlates might open up new paths for future workplace interventions. Thus, the aims of the present study were to investigate perceptions of the psychosocial work environment among nursing staff in psychiatric in-patient care and how individual characteristics--Mastery, Moral Sensitivity, Perceived Stress, and Stress of Conscience--are related to different aspects of the psychosocial work environment. A total of 93 nursing staff members filled out five questionnaires: the QPSNordic 34+, Perceived Stress Scale, Stress of Conscience Questionnaire, Moral Sensitivity Questionnaire, and Mastery scale. Multivariate analysis showed that Perceived Stress was important for Organisational Climate perceptions. The Stress of Conscience subscale Internal Demands and Experience in current units were indicators of Role Clarity. The other Stress of Conscience subscale, External Demands and Restrictions, was related to Control at Work. Two types of stress, Perceived Stress and Stress of Conscience, were particularly important for the nursing staff's perception of the psychosocial work environment. Efforts to prevent stress may also contribute to improvements in the psychosocial work environment.

摘要

社会心理工作环境是精神科住院护理中的一个重要因素,更多地了解其相关因素可能为未来的工作场所干预开辟新途径。因此,本研究的目的是调查精神科住院护理中护理人员对社会心理工作环境的看法,以及个人特征——掌控感、道德敏感性、感知压力和良心压力——如何与社会心理工作环境的不同方面相关。共有93名护理人员填写了五份问卷:北欧工作压力问卷34+、感知压力量表、良心压力问卷、道德敏感性问卷和掌控感量表。多变量分析表明,感知压力对组织氛围认知很重要。良心压力分量表“当前单位的内部要求和经历”是角色清晰度的指标。良心压力的另一个分量表“外部要求和限制”与工作控制有关。感知压力和良心压力这两种压力类型对护理人员对社会心理工作环境的认知尤为重要。预防压力的努力也可能有助于改善社会心理工作环境。

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