Neuberg Marijana, Železnik Danica, Meštrović Tomislav, Ribić Rosana, Kozina Goran
.
Arh Hig Rada Toksikol. 2017 Sep 26;68(3):190-197. doi: 10.1515/aiht-2017-68-2982.
As this issue has not yet been addressed in Croatia, our aim was to explore the presence of the burnout syndrome in nurses and see how it is related to their perception of elder mistreatment in nursing homes and extended care units. The burnout syndrome was assessed in 171 nursing professionals with a standardised Maslach Burnout Inventory for Human Services Survey (MBI-HSS) for three dimensions: emotional exhaustion (EE), depersonalisation (DP), and personal accomplishment (PA). High EE was reported by 43.9 %, high DP by 22.2 %, and low PA by 39.8 % of the respondents. Their perception of elder abuse and neglect was investigated with two self-completion questionnaires. The answers suggest that elder mistreatment in Croatian nursing homes and extended care units is more common than expected: 55 % witnessed shouting at a resident in anger, 43 % insulting and swearing at a resident, 42 % force-feeding the resident, 39 % ignoring a resident when they called, and 38 % neglecting to turn or move a resident to prevent pressure sores. We also established associations between a number of questionnaire items on perceived abuse and neglect and the burnout syndrome dimensions and determined the items that predicted the type and level of burnout in our respondents. One way to avoid the pitfalls that lead to abuse and neglect is education in schools and at work. We believe our research could contribute to this end.
由于克罗地亚尚未解决这一问题，我们的目的是探究护士群体中倦怠综合征的存在情况，并了解其与他们对养老院和长期护理机构中虐待老年人现象的认知之间的关系。我们使用标准化的《人类服务调查马氏倦怠量表》（MBI-HSS）对171名护理专业人员的倦怠综合征进行了三个维度的评估：情感耗竭（EE）、去个性化（DP）和个人成就感（PA）。43.9%的受访者报告情感耗竭程度高，22.2%的受访者去个性化程度高，39.8%的受访者个人成就感低。我们通过两份自填式问卷调查了他们对虐待和忽视老年人现象的认知。调查结果表明，克罗地亚养老院和长期护理机构中虐待老年人的现象比预期更为普遍：55%的受访者目睹过对居民愤怒地大喊大叫，43%的受访者目睹过辱骂居民，42%的受访者目睹过强迫居民进食，39%的受访者目睹过居民呼叫时被忽视，38%的受访者目睹过因疏忽未给居民翻身或移动身体以预防褥疮。我们还确定了一些关于感知到的虐待和忽视的问卷项目与倦怠综合征维度之间的关联，并确定了能够预测我们受访者倦怠类型和程度的项目。避免导致虐待和忽视的陷阱的一种方法是在学校和工作场所开展教育。我们相信我们的研究可以为此做出贡献。
