Sillero Amalia, Zabalegui Adelaida
Department of Surgical Area, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
Deputy Director of Nursing Research and Education, Hospital Clinic, Barcelona, Spain.
Clin Pract Epidemiol Ment Health. 2018 May 31;14:132-142. doi: 10.2174/1745017901814010132. eCollection 2018.
Knowing the organizational factors that predict burnout in perioperative nurses is paramount for improving the care of patients and promoting nurses' psychosocial well-being and health.
To determine the influence of organizational factors of the perioperative nurse's work environment on the three burnout dimensions: emotional exhaustion, despersonalization, and personal accomplishment.
A cross-sectional study was conducted among 136 nurses in a perioperative care unit at a university hospital in Barcelona, Spain. Data were collected using a demographic data form, and the Spanish versions of the Practice Environment Scale of the Nursing Work Index and Maslach Burnout Inventory.
Findings showed emotional exhaustion in 43% (56) of nurses, depersonalization in 21% (28), and reduced personal accomplisment in 53% (69). The degree of general burnout was moderate.The work environment was considered unfavourable as only one factor of five was favourable (Nursing foundations of quality care). Multiple regression analyses showed three organizational factors were associated with all three dimensions of burnout: "Nurse manager ability, leadership, and support of nurses"; "Staffing and resources adequacy"; and "Nursing foundations of quality care".
In this study three organizational factors played a significant role in predicting burnout among perioperative nurses. We recommend hospital management implement policies to improve these organizational factors. Promoting positive leadership styles, providing necessary resources, and creating a positive climate in the work environment could increase psychosocial wellbeing and decrease burnout among perioperative nurses.
了解预测围手术期护士职业倦怠的组织因素对于改善患者护理、促进护士的心理社会幸福感和健康至关重要。
确定围手术期护士工作环境的组织因素对职业倦怠的三个维度的影响：情感耗竭、去人格化和个人成就感。
在西班牙巴塞罗那一家大学医院的围手术期护理单元对136名护士进行了横断面研究。使用人口统计学数据表以及护理工作指数实践环境量表和马氏职业倦怠量表的西班牙语版本收集数据。
结果显示，43%（56名）护士存在情感耗竭，21%（28名）存在去人格化，53%（69名）个人成就感降低。总体职业倦怠程度为中度。工作环境被认为不利，因为五个因素中只有一个是有利的（优质护理的护理基础）。多元回归分析表明三个组织因素与职业倦怠的所有三个维度相关：“护士长的能力、领导力和对护士的支持”；“人员配备和资源充足性”；以及“优质护理的护理基础”。
在本研究中，三个组织因素在预测围手术期护士的职业倦怠方面发挥了重要作用。我们建议医院管理层实施政策以改善这些组织因素。促进积极的领导风格、提供必要的资源以及在工作环境中营造积极的氛围可以提高围手术期护士的心理社会幸福感并减少职业倦怠。
