探索应对传染病突发事件时的护理意愿、压力与专业精神：韩国2015年中东呼吸综合征疫情期间当地公立医院护士的经历
Exploring Nursing Intention, Stress, and Professionalism in Response to Infectious Disease Emergencies: The Experience of Local Public Hospital Nurses During the 2015 MERS Outbreak in South Korea.
作者信息
Oh Namhee, Hong NamSoo, Ryu Dong Hee, Bae Sang Geun, Kam Sin, Kim Keon-Yeop
机构信息
Nursing Administration Team, Daegu Medical Center, Daegu, South Korea; Department of Healthcare Management, Graduate School of Public Health, Kyungpook National University, Daegu, South Korea.
Department of Preventive Medicine, Kyungpook National University School of Medicine, Daegu, South Korea.
出版信息
Asian Nurs Res (Korean Soc Nurs Sci). 2017 Sep;11(3):230-236. doi: 10.1016/j.anr.2017.08.005. Epub 2017 Aug 21.
PURPOSE
This study aimed to examine levels of stress and professionalism of nurses who provided nursing care during the 2015 Middle East respiratory syndrome outbreak based on their experience, to investigate the nurses' intention to respond to possible future outbreaks in relation to their experience during the outbreak, and to determine the relationship between the outbreak experience and nursing intention considering stress and professionalism.
METHODS
A self-administered questionnaire was designed based on modifications of related questionnaires, and used to assess levels of stress, professionalism, and nursing intention according to participants' experiences during the outbreak. Multiple regression analysis was used to examine the relationship between the outbreak nursing experience and nursing intention considering stress and nursing professionalism.
RESULTS
The overall stress, professionalism, and nursing intention scores for the firsthand experience group were 33.72, 103.00, and 16.92, respectively, whereas those of the secondhand experience group were 32.25, 98.99, and 15.60, respectively. There were significant differences in professionalism and nursing intention scores between the groups (p = .001 and p < .001, respectively). The regression analysis revealed that the regression estimate between stress and nursing intention was B(SE) = -0.08(0.02), beta = -0.21, p < .001 and the regression estimate between professionalism in nursing and nursing intention was B(SE) = 0.05(0.01), beta = 0.23, p < .001.
CONCLUSION
Prior outbreak nursing experience was importantly associated with intention to provide care for patients with a newly emerging infectious disease in the future considering stress and professionalism. Gathering information about nurses' experience of epidemics and regular assessment of job stress and professionalism are required.
目的
本研究旨在根据护士在2015年中东呼吸综合征疫情期间提供护理的经历，考察其压力水平和专业素养，调查护士针对疫情期间的经历对未来可能爆发疫情的应对意向，并确定疫情经历与考虑压力和专业素养的护理意向之间的关系。
方法
在相关问卷的基础上进行修改设计了一份自填式问卷，用于根据参与者在疫情期间的经历评估压力水平、专业素养和护理意向。采用多元回归分析来考察考虑压力和护理专业素养的疫情护理经历与护理意向之间的关系。
结果
直接经历组的总体压力、专业素养和护理意向得分分别为33.72、103.00和16.92，而间接经历组的得分分别为32.25、98.99和15.60。两组之间的专业素养和护理意向得分存在显著差异（分别为p = 0.001和p < 0.001）。回归分析显示，压力与护理意向之间的回归估计值为B(SE) = -0.08(0.02)，β = -0.21，p < 0.001；护理专业素养与护理意向之间的回归估计值为B(SE) = 0.05(0.01)，β = 0.23，p < 0.001。
结论
考虑到压力和专业素养，先前的疫情护理经历与未来为新发传染病患者提供护理的意向密切相关。需要收集护士的疫情经历信息，并定期评估工作压力和专业素养。
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