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结核病管理护士和医生工作满意度及职业倦怠的预测因素

Predictors of job satisfaction and burnout among tuberculosis management nurses and physicians.

作者信息

Seo Hae-Suk, Kim Hyunjoong, Hwang Se-Min, Hong Soo Hyun, Lee In-Young

机构信息

Department of Tuberculosis, Seobuk Hospital, Seoul, Korea.

Department of Preventive Medicine, Korea University College of Medicine, Seoul, Korea.

出版信息

Epidemiol Health. 2016 Mar 9;38:e2016008. doi: 10.4178/epih.e2016008. eCollection 2016.

Abstract

OBJECTIVES

This study examined job satisfaction, empowerment, job stress, and burnout among tuberculosis management nurses and physicians in public healthcare institutions.

METHODS

This was a cross-sectional study analyzing survey data collected from 249 nurses and 57 physicians in 105 public health centers, three public tuberculosis hospitals, and one tertiary hospital. The survey questionnaire comprised general characteristics, work-related characteristics, and four index scales (job satisfaction, empowerment, job stress, and burnout). The two-sample t-test was used to estimate the mean differences in the four index scales. Multiple regression analysis was used to determine whether general and work-related characteristics affected the four index scales.

RESULTS

The job satisfaction and empowerment scores of the nurses were lower than those of the physicians. Except for the tuberculosis-specialized hospitals alone, the average job satisfaction scores of nurses were higher than those of physicians. Moreover, the nurses reported more job stress and burnout than did the physicians in tuberculosis departments in public healthcare institutions in Korea; in particular, the burnout reported by nurses was significantly higher than that reported by physicians at the National Medical Center. Marital status, nursing position, number of coworkers, the average number of days of overtime work per month, self-rated health, and hospital type were associated with the four index scales.

CONCLUSIONS

Overall, nurses were more vulnerable to job stress and burnout than physicians. Reducing the workload of nurses by ensuring the presence of sufficient nursing staff and equipment, as well as by equipping facilities to prevent tuberculosis infections, should be considered priorities.

摘要

目的

本研究调查了公共医疗机构中结核病管理护士和医生的工作满意度、工作自主性、工作压力和职业倦怠情况。

方法

这是一项横断面研究,分析了从105个公共卫生中心、3家公共结核病医院和1家三级医院的249名护士和57名医生收集的调查数据。调查问卷包括一般特征、与工作相关的特征以及四个指标量表(工作满意度、工作自主性、工作压力和职业倦怠)。采用两样本t检验来估计四个指标量表的平均差异。多元回归分析用于确定一般特征和与工作相关的特征是否会影响这四个指标量表。

结果

护士的工作满意度和工作自主性得分低于医生。除了仅结核病专科医院外,护士的平均工作满意度得分高于医生。此外,在韩国的公共医疗机构结核病科室中,护士报告的工作压力和职业倦怠比医生更多;特别是,护士报告的职业倦怠明显高于国家医疗中心的医生。婚姻状况、护理职位、同事数量、每月平均加班天数、自我评定的健康状况和医院类型与这四个指标量表相关。

结论

总体而言,护士比医生更容易受到工作压力和职业倦怠的影响。应优先考虑通过确保有足够的护理人员和设备,以及配备预防结核病感染的设施来减轻护士的工作量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17aa/4846742/406d8b8e4cff/epih-38-e2016008f1.jpg

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