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住院肿瘤护理人员的痛苦和应对自我效能感

Distress and Coping Self-Efficacy in Inpatient Oncology Nurses.

作者信息

Wahlberg Lara, Nirenberg Anita, Capezuti Elizabeth

机构信息

Bellevue Hospital Center.

Hunter College.

出版信息

Oncol Nurs Forum. 2016 Nov 1;43(6):738-746. doi: 10.1188/16.ONF.738-746.

Abstract

PURPOSE/OBJECTIVES: To examine distress and coping self-efficacy in inpatient oncology nurses. 
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DESIGN: Cross-sectional survey design.
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SETTING: Oncology Nursing Society (ONS) chapter meetings and Hunter-Bellevue School of Nursing, both in New York, New York, as well as social media.
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SAMPLE: 163 oncology nurses who work with an inpatient adult population.
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METHODS: Participants were recruited through the ONS New York, New York, area chapter meetings, Hunter College, and ONS Facebook pages. An adapted Nurse Distress Thermometer (NDT) measured distress levels. The Occupational Coping Self-Efficacy Questionnaire for Nurses (OCSE-N) used a Likert-type scale to measure coping self-efficacy. Open-ended questions elicited additional perceptions of nurse respondents. 
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MAIN RESEARCH VARIABLES: Descriptive statistics summarized sample demographics. A Pearson correlation between distress levels and coping self-efficacy scores was calculated. Low, normal, and high coping scores were compared to mean distress levels. 
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FINDINGS: Survey participants showed high levels of distress, with a mean NDT score of 8.06. Those with higher coping self-efficacy scores reported less distress. A moderate, negative correlation was shown, with a statistically significant Pearson coefficient of -0.371. Responses to the open-ended questions revealed common stressors and pointed to solutions that institutions might implement to support nurses.
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CONCLUSIONS: Because coping self-efficacy related to lower distress levels in inpatient oncology nurses, institutional-level support for oncology nurses should be provided. 
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IMPLICATIONS FOR NURSING

Interventions aimed at coping self-efficacy may prepare oncology nurses to cope better with their professional demands. Future research should explore how nurse distress affects patients.

摘要

目的/目标:考察肿瘤内科住院部护士的心理困扰及应对自我效能感。

设计

横断面调查设计。

地点

纽约市的肿瘤护理学会(ONS)分会会议、亨特-贝尔维尤护理学院,以及社交媒体。

样本

163名护理成年住院患者的肿瘤内科护士。

方法

通过纽约市ONS分会会议、亨特学院及ONS脸书页面招募参与者。采用改编后的护士心理困扰温度计(NDT)测量心理困扰水平。护士职业应对自我效能量表(OCSE-N)使用李克特量表测量应对自我效能感。开放式问题引出护士受访者的其他看法。

主要研究变量

描述性统计总结了样本的人口统计学特征。计算心理困扰水平与应对自我效能感得分之间的皮尔逊相关性。将低、中、高应对得分与平均心理困扰水平进行比较。

结果

调查参与者显示出较高的心理困扰水平,NDT平均得分为8.06。应对自我效能感得分较高的人报告的心理困扰较少。呈现出中度负相关,皮尔逊系数为 -0.371,具有统计学意义。对开放式问题的回答揭示了常见的压力源,并指出了机构可能实施的支持护士的解决方案。

结论

由于应对自我效能感与肿瘤内科住院部护士较低的心理困扰水平相关,因此应提供机构层面的支持。

对护理的启示

旨在提高应对自我效能感的干预措施可能会帮助肿瘤内科护士更好地应对职业要求。未来的研究应探讨护士的心理困扰如何影响患者。

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