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重症监护病房护理人员的工作-回报失衡与职业倦怠:一项横断面研究。

Effort-Reward Imbalance and Burnout Among ICU Nursing Staff: A Cross-Sectional Study.

作者信息

Padilla Fortunatti Cristobal, Palmeiro-Silva Yasna K

机构信息

Cristobal Padilla Fortunatti, RN, is Staff Nurse, Red de Salud UC-CHRISTUS, Santiago, Chile; and is a Master's candidate at Pontificia Universidad Católica de Chile. Yasna K. Palmeiro-Silva, MPH, RN, is Assistant Professor, School of Nursing, Universidad de los Andes, and CEO, Data&Health, Santiago, Chile.

出版信息

Nurs Res. 2017 Sep/Oct;66(5):410-416. doi: 10.1097/NNR.0000000000000239.

Abstract

BACKGROUND

Occupational stress is commonly observed among staff in intensive care units (ICUs). Sociodemographic, organizational, and job-related factors may lead to burnout among ICU health workers. In addition, these factors could modify the balance between efforts done and rewards perceived by workers; consequently, this imbalance could increase levels of emotional exhaustion and depersonalization and decrease a sense of personal accomplishment.

OBJECTIVE

The purpose of this study was to analyze the relationship between effort-reward imbalance and burnout dimensions (emotional exhaustion, depersonalization, and personal accomplishment) among ICU nursing staff in a university hospital in Santiago, Chile.

METHODS

A convenience sample of 36 registered nurses and 46 nurse aides answered the Maslach Burnout Inventory and Effort-Reward Imbalance Questionnaire and provided sociodemographic and work-related data.

RESULTS

Age and effort-reward imbalance were significantly associated with emotional exhaustion in both registered nurses and nurse aides; age was negatively correlated with emotional exhaustion, whereas effort-reward imbalance was positively correlated. Age was negatively associated with depersonalization. None of the predictors were associated with personal accomplishment.

DISCUSSION

This study adds valuable information about relationships of sociodemographic factors and effort-reward imbalance and their impact on dimensions of burnout, particularly on emotional exhaustion.

摘要

背景

职业压力在重症监护病房(ICU)工作人员中普遍存在。社会人口统计学、组织和工作相关因素可能导致ICU医护人员出现职业倦怠。此外,这些因素可能会改变工作人员付出的努力与所感知到的回报之间的平衡;因此,这种失衡可能会增加情感耗竭和去个性化的程度,并降低个人成就感。

目的

本研究旨在分析智利圣地亚哥一家大学医院的ICU护理人员中,努力-回报失衡与职业倦怠维度(情感耗竭、去个性化和个人成就感)之间的关系。

方法

选取36名注册护士和46名护士助理作为便利样本,他们回答了马氏职业倦怠量表和努力-回报失衡问卷,并提供了社会人口统计学和工作相关数据。

结果

年龄和努力-回报失衡在注册护士和护士助理中均与情感耗竭显著相关;年龄与情感耗竭呈负相关,而努力-回报失衡呈正相关。年龄与去个性化呈负相关。没有任何预测因素与个人成就感相关。

讨论

本研究增加了关于社会人口统计学因素与努力-回报失衡之间关系及其对职业倦怠维度,尤其是对情感耗竭影响的有价值信息。

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