Abdul Rahman Hanif, Abdul-Mumin Khadizah, Naing Lin
PAPRSB Institute of Health Sciences, Universiti Brunei Darussalam, Brunei Darussalam.
PAPRSB Institute of Health Sciences, Universiti Brunei Darussalam, Brunei Darussalam.
Asian Nurs Res (Korean Soc Nurs Sci). 2017 Mar;11(1):13-18. doi: 10.1016/j.anr.2017.01.003. Epub 2017 Feb 11.
Little evidence estimated the exposure of psychosocial work stressors, work-related fatigue, and musculoskeletal disorders for nurses working in South-East Asian region, and research on this subject is almost nonexistent in Brunei. The main aim of our study was to provide a comprehensive exploration and estimate exposure of the study variables amongst emergency (ER) and critical care (CC) nurses in Brunei. The study also aims to compare whether experiences of ER nurses differ from those of CC nurses.
This cross-sectional study was implemented in the ER and CC departments across Brunei public hospitals from February to April 2016 by using Copenhagen Psychosocial Questionnaire II, Occupational Fatigue Exhaustion Recovery scale, and Cornell Musculoskeletal Discomfort Questionnaire.
In total, 201 ER and CC nurses (82.0% response rate) participated in the study. Quantitative demands of CC nurses were significantly higher than ER nurses. Even so, ER nurses were 4.0 times more likely [95% confidence interval (2.21, 7.35)] to experience threats of violence, and 2.8 times more likely [95% confidence interval: (1.50, 5.29)] to experience chronic fatigue. The results revealed that nurses experienced high quantitative demands, work pace, stress, and burnout. High prevalence of chronic and persistent fatigue, threats of violence and bullying, and musculoskeletal pain at the neck, shoulder, upper and lower back, and foot region, was also reported.
This study has provided good estimates for the exposure rate of psychosocial work stressors, work-related fatigue, and musculoskeletal disorders among nurses in Brunei. It provided important initial insight for nursing management and policymakers to make informed decisions on current and future planning to provide nurses with a conducive work environment.
几乎没有证据评估东南亚地区护士面临的心理社会工作压力源、工作相关疲劳和肌肉骨骼疾病的暴露情况，文莱在这一主题上的研究几乎不存在。我们研究的主要目的是全面探索并评估文莱急诊（ER）和重症护理（CC）护士中研究变量的暴露情况。该研究还旨在比较急诊护士和重症护理护士的经历是否存在差异。
2016年2月至4月，通过使用哥本哈根心理社会问卷II、职业疲劳疲惫恢复量表和康奈尔肌肉骨骼不适问卷，在文莱公立医院的急诊和重症护理部门开展了这项横断面研究。
共有201名急诊和重症护理护士参与了研究（回复率为82.0%）。重症护理护士的定量需求显著高于急诊护士。即便如此，急诊护士遭受暴力威胁的可能性高4.0倍[95%置信区间（2.21，7.35）]，经历慢性疲劳的可能性高2.8倍[95%置信区间：（1.50，5.29）]。结果显示，护士面临着较高的定量需求、工作节奏、压力和职业倦怠。还报告了慢性和持续性疲劳、暴力和欺凌威胁以及颈部、肩部、上背部、下背部和足部肌肉骨骼疼痛的高患病率。
本研究对文莱护士心理社会工作压力源、工作相关疲劳和肌肉骨骼疾病的暴露率进行了良好评估。它为护理管理人员和政策制定者在当前和未来规划方面做出明智决策提供了重要的初步见解，以便为护士提供有利的工作环境。
