Arrogante Óscar
Unidad de Cuidados Intensivos, Hospital Universitario de Fuenlabrada, Madrid, España.
Enferm Clin. 2014 Sep-Oct;24(5):283-9. doi: 10.1016/j.enfcli.2014.06.003. Epub 2014 Aug 8.
To determine the relationships between 3 burnout dimensions (Emotional Exhaustion, Depersonalization, and Reduced Personal Accomplishment), health (physical and mental health), and resilience, as well as to analyse the mediator role of resilience in relationships between burnout and health in a sample of Nursing staff.
A correlational and cross-sectional study with probabilistic sampling was conducted on a sample of 194 Nursing staff of University Hospital of Fuenlabrada (Madrid), and composed of nurses (n=133) and nursing assistants (n=61).
MBI-HSS (burnout syndrome), SF-12v1 (physical and mental components of health), 10-Item CD-RISC (resilience), and sociodemographic variables.
Correlational analyses showed that mental health was negatively related with 3 burnout dimensions and positively with resilience. Furthermore, physical health was only negatively related with Emotional Exhaustion, and positively with resilience. Mediational analyses revealed that resilience mediated, on one hand, the relationship between Emotional Exhaustion and Depersonalization with mental health (partial mediation) and, on the other hand, the relationship between Reduced Personal Accomplishment and mental health (total mediation).
Resilience is not only important to improve the mental health of Nursing staff, but also to buffer and minimize the negative consequences of the occupational stress to which they are at risk, with its most adverse result being signs of burnout. Therefore, resilience training should be promoted to improve nursing clinical practice.
确定3种职业倦怠维度(情感耗竭、去个性化和个人成就感降低)、健康状况(身心健康)和心理韧性之间的关系,并分析心理韧性在护士样本中职业倦怠与健康关系中的中介作用。
对马德里富恩拉夫拉达大学医院的194名护理人员进行了一项采用概率抽样的相关性横断面研究,样本包括护士(n = 133)和护理助理(n = 61)。
MBI-HSS(职业倦怠综合征)、SF-12v1(健康的身体和心理成分)、10项CD-RISC(心理韧性)以及社会人口学变量。
相关性分析表明,心理健康与3种职业倦怠维度呈负相关,与心理韧性呈正相关。此外,身体健康仅与情感耗竭呈负相关,与心理韧性呈正相关。中介分析显示,心理韧性一方面在情感耗竭和去个性化与心理健康的关系中起中介作用(部分中介),另一方面在个人成就感降低与心理健康的关系中起中介作用(完全中介)。
心理韧性不仅对改善护士的心理健康很重要,而且对于缓冲和最小化他们面临的职业压力的负面后果也很重要,职业压力最不利的结果就是职业倦怠迹象。因此,应推广心理韧性训练以改善护理临床实践。