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急诊科医护人员职业倦怠、社会人口学及工作场所因素与工作满意度之间的关系分析。

An analysis of the relationship between burnout, socio-demographic and workplace factors and job satisfaction among emergency department health professionals.

作者信息

Tarcan Menderes, Hikmet Neşet, Schooley Benjamin, Top Mehmet, Tarcan Gamze Yorgancıoglu

机构信息

Eskişehir Osmangazi University School of Health, Department of Health Care Management, Eskişehir, Turkey.

University of South Carolina, Department of Integrated Information Technology, Columbia, SC, USA.

出版信息

Appl Nurs Res. 2017 Apr;34:40-47. doi: 10.1016/j.apnr.2017.02.011. Epub 2017 Feb 3.

Abstract

INTRODUCTION

Burnout among emergency medical practitioners and personnel negatively affects career satisfaction and job performance and can lead to mental health issues, including anxiety, depression, and suicide.

PURPOSE

This study investigated the relationship between the perceptions of burnout and job satisfaction of those working in two different hospital's emergency departments assessing the effect of burnout dimensions and additional factors (age, position, marital status, annual income, employment type, gender, patient encounters, and household economic well-being) on job satisfaction. This study addresses a gap in the literature of the relationships between a) burnout and job satisfaction of emergency department's health care personnel (physicians, nurses, technicians) and b) the factors that are associated with emergency department employees' job satisfaction.

METHOD

A cross-sectional survey of two hundred and fifty participants was interviewed, using validated instruments (the Maslach Burnout Scale and the Minnesota Satisfaction Questionnaire). Participants include 38 physicians, 89 nurses, and 84 medical technicians, and 39 information technicians. The Maslach Burnout Inventory Scale, which assesses emotional exhaustion (EE), depersonalization (DP) and personal accomplishment (PA), and the Minnesota Satisfaction Questionnaire (MSQ), which assesses intrinsic satisfaction (IS), extrinsic satisfaction (ES) and overall satisfaction (OS), were used for data collection.

RESULTS

Study findings indicate that significant relationship exists between burnout and job satisfaction; annual income and household economic-well-being had a positive association with job satisfaction, whereas gender, age, education, marital status had no significant effect on any form of satisfaction. Moreover, this study reveals that emotional exhaustion (EE) is a significant predictor of all three dimensions of job satisfaction while depersonalization (DP) had no significant showing.

CONCLUSION

Results of this study suggest that it is not yet clear which factors are salient contributors in demonstrating the relationship between burnout and job satisfaction. This study may draw attention to a better understanding of this relationship will help enable health care administrators to design and implement tools to help increase job satisfaction and decrease burnout as a combined goal rather than treat each issue separately.

摘要

引言

急诊医疗从业者和工作人员的职业倦怠会对职业满意度和工作表现产生负面影响,并可能导致心理健康问题,包括焦虑、抑郁和自杀。

目的

本研究调查了两家不同医院急诊科工作人员的职业倦怠认知与工作满意度之间的关系,评估职业倦怠维度及其他因素(年龄、职位、婚姻状况、年收入、就业类型、性别、患者接触次数和家庭经济状况)对工作满意度的影响。本研究填补了文献中关于以下两方面关系的空白:a)急诊科医护人员(医生、护士、技术人员)的职业倦怠与工作满意度;b)与急诊科员工工作满意度相关的因素。

方法

对250名参与者进行了横断面调查,使用了经过验证的工具(马氏职业倦怠量表和明尼苏达满意度问卷)。参与者包括38名医生、89名护士、84名医疗技术人员和39名信息技术人员。用于数据收集的是评估情感耗竭(EE)、去个性化(DP)和个人成就感(PA)的马氏职业倦怠量表,以及评估内在满意度(IS)、外在满意度(ES)和总体满意度(OS)的明尼苏达满意度问卷(MSQ)。

结果

研究结果表明,职业倦怠与工作满意度之间存在显著关系;年收入和家庭经济状况与工作满意度呈正相关,而性别、年龄、教育程度、婚姻状况对任何形式的满意度均无显著影响。此外,本研究表明情感耗竭(EE)是工作满意度所有三个维度的重要预测因素,而去个性化(DP)则无显著表现。

结论

本研究结果表明,目前尚不清楚哪些因素是职业倦怠与工作满意度之间关系的显著贡献因素。本研究可能会引起人们对更好地理解这种关系的关注,这将有助于医疗保健管理人员设计和实施工具,以帮助提高工作满意度并降低职业倦怠,将其作为一个综合目标,而不是分别处理每个问题。

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