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重症监护护士职业生活质量与关怀能力的关系

The Relationship Between Professional Quality of Life and Caring Ability in Critical Care Nurses.

作者信息

Mohammadi Marzieh, Peyrovi Hamid, Mahmoodi Mahmood

机构信息

Marzieh Mohammadi, MSc, is a critical care nurse working in Isfahan, Iran. Hamid Peyrovi, PhD, is a professor of nursing in the Nursing Care Research Center, Iran University of Medical Sciences, Tehran, Iran. Mahmood Mahmoodi, PhD, is a professor of statistics in the Department of Epidemiology and Biostatistics, School of Health of Tehran University of Medical Sciences in Iran.

出版信息

Dimens Crit Care Nurs. 2017 Sep/Oct;36(5):273-277. doi: 10.1097/DCC.0000000000000263.

Abstract

BACKGROUND

Critical care nursing has some features that may affect the ability of critical care nurses to provide care. Professionals as critical care nurses who deal with peoples' health and life often experience some levels of stress that affects their quality of life.

OBJECTIVE

This study examined the relationship between professional quality of life and caring ability of critical care nurses.

METHOD

In this descriptive correlational study, 253 critical care nurses working in the medical and surgical intensive care units of Tehran University of Medical Sciences were recruited by convenience sampling method. The data collection tools included demographic data form, Caring Ability Inventory, and questionnaire for professional quality of life version 5.

RESULTS

There was a statistically significant positive relationship between the professional quality of life and the caring ability (P < .0001). A significant inverse relationship was found between burn-out subscale of compassion fatigue as one aspect of professional life quality with all 3 aspects of caring ability (knowledge, courage, and patience). Secondary traumatic stress, as another subscale of compassion fatigue (as one aspect of professional quality of life), had no statistically significant correlation with caring ability aspects of knowledge and patience. However, there was a significant inverse correlation between the secondary traumatic stress and courage aspect of caring ability (P < .0001). There was a statistically significant positive relationship between compassion satisfaction aspect of professional life quality with knowledge and patience aspects of caring ability, but there was not any relationship between the compassion satisfaction aspect of professional life quality and the courage aspect of caring ability.

DISCUSSION

Improvement of critical care nurses' professional quality of life may increase their caring ability, thereby leading to better and more effective nursing care. Increased awareness by critical care nurse managers of the compassion fatigue phenomenon (secondary traumatic stress and burnout) and its effect on quality of critical care would be helpful in planning more specific strategies and preventing the onset and progression of these symptoms.

摘要

背景

重症护理具有一些可能影响重症护理护士提供护理能力的特征。作为处理人们健康和生命的重症护理护士,专业人员经常会经历一定程度的压力,这会影响他们的生活质量。

目的

本研究探讨了重症护理护士的职业生活质量与关怀能力之间的关系。

方法

在这项描述性相关性研究中,采用便利抽样法招募了德黑兰医科大学医学和外科重症监护病房的253名重症护理护士。数据收集工具包括人口统计学数据表、关怀能力量表和职业生活质量问卷第5版。

结果

职业生活质量与关怀能力之间存在统计学上显著的正相关(P <.0001)。作为职业生活质量一个方面的同情疲劳的倦怠子量表与关怀能力的所有三个方面(知识、勇气和耐心)之间存在显著的负相关。作为同情疲劳(职业生活质量的一个方面)的另一个子量表,继发性创伤应激与关怀能力的知识和耐心方面没有统计学上的显著相关性。然而,继发性创伤应激与关怀能力的勇气方面存在显著的负相关(P <.0001)。职业生活质量的同情满意度方面与关怀能力的知识和耐心方面存在统计学上显著的正相关,但职业生活质量的同情满意度方面与关怀能力的勇气方面没有任何关系。

讨论

提高重症护理护士的职业生活质量可能会提高他们的关怀能力,从而带来更好、更有效的护理。重症护理护士管理者提高对同情疲劳现象(继发性创伤应激和倦怠)及其对重症护理质量影响的认识,将有助于制定更具体的策略,并预防这些症状的发生和发展。

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