新生儿重症监护病房护士临床能力与职业倦怠之间的关系。
The relationship between nurses' clinical competence and burnout in neonatal intensive care units.
作者信息
Soroush Fatemehzahra, Zargham-Boroujeni Ali, Namnabati Mahboobeh
机构信息
Students' Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
出版信息
Iran J Nurs Midwifery Res. 2016 Jul-Aug;21(4):424-9. doi: 10.4103/1735-9066.185596.
BACKGROUND
Nurses' clinical competency plays an important role in the care of preterm infants. On the other hand, burnout is one of the most important factors in reducing the nurses' efficiency. With regard to the importance of the role of nurses, and the vulnerability of the infants, the purpose of this study was to investigate the relationship between nurses' burnout and clinical competency in NICUs.
MATERIALS AND METHODS
The descriptive cross-sectional study was conducted with the participation of 86 nurses working in the NICUs of hospitals in Isfahan, Iran. Census sampling method was used in the NICUs of educational hospitals in 2014. Data were collected by a questionnaire including demographic characteristics, Patricia clinical competency, and Maslach burnout scales. Data were analyzed by the statistical tests of independent t-test and Pearson correlations test with the significance level of α < 0.05.
RESULTS
Six dimensions of clinical competency and three dimensions of nurses' burnout were assessed at three levels (weak, moderate, and strong levels). Statistical tests showed that clinical competency was at a moderate level in all fields. Of the dimensions of nurses' burnout, emotional exhaustion was moderate, depersonalization was weak, and personal performance was strong. The results showed that nurses' burnout and clinical competency in the NICUs were at a moderate level and had a significant negative relationship (r = -0.322, P = 0.003).
CONCLUSIONS
Results showed that burnout had a negative relationship with competency. Therefore, managers are suggested to improve nurses' competency and diminish their job burnout through better and more applicable planning.
背景
护士的临床能力在早产儿护理中起着重要作用。另一方面，职业倦怠是降低护士工作效率的最重要因素之一。鉴于护士角色的重要性以及婴儿的脆弱性，本研究旨在调查新生儿重症监护病房（NICU）护士的职业倦怠与临床能力之间的关系。
材料与方法
本描述性横断面研究由伊朗伊斯法罕医院新生儿重症监护病房的86名护士参与。2014年在教学医院的新生儿重症监护病房采用普查抽样方法。通过一份包括人口统计学特征、帕特里夏临床能力量表和马氏职业倦怠量表的问卷收集数据。采用独立t检验和皮尔逊相关检验进行数据分析，显著性水平为α < 0.05。
结果
在三个水平（弱、中、强水平）评估了临床能力的六个维度和护士职业倦怠的三个维度。统计检验表明，所有领域的临床能力均处于中等水平。在护士职业倦怠的维度中，情感耗竭为中等水平，去个性化为弱水平，个人成就感为强水平。结果表明，新生儿重症监护病房护士的职业倦怠与临床能力处于中等水平，且存在显著负相关（r = -0.322，P = 0.003）。
结论
结果表明职业倦怠与能力呈负相关。因此，建议管理者通过更好、更适用的规划来提高护士的能力并减少其工作倦怠。
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