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应对护理工作倦怠的工具:社会支持、心理韧性与应对策略

[Tools to Face Burnout in Nursing: Social Support, Resilience and Coping Strategies].

作者信息

Arrogante Maroto Óscar, Aparicio-Zaldívar Eva G

出版信息

Rev Enferm. 2017 Mar;40(3):10-17.

Abstract

OBJECTIVES

To establish the differences in social support, resilience, coping, and three burnout dimensions (emotional exhaustion, depersonalization, and reduced personal accomplishment) among special units nursing and nursing staff of others hospital services; as well as to determine psychological variables that predict burnout in these professionals.

METHOD

Correlational and cross-sectorial study. A sample of 133 nursing professionals from University Hospital of Fuenlabrada (Madrid) took part in the study, of whom 61 worked in special units and 72 in wards. Instruments: Maslach Burnout Inventory-Human Services Survey (MBI-HSS), Social Support Subscale, 10-Item CD-RISC (resilience), Brief-Cope (coping), and sociodemographic variables.

RESULTS

No differences were found in any assessed psychological variables as regards hospital service worked in. Social support, resilience and coping strategies determined three burnout dimensions: social support (β = -0.21, support coping (β = -0.22) and disengagement coping (β = 0.22) predicted emotional exhaustion; resilience (V = -0.22) and disengagement coping (β = 0.30) predicted depersonalization; and engagement coping (β = -0.55) predicted reduce personal accomplishment.

CONCLUSIONS

Differences in burnout, social support, resilience and coping strategies are not determined by hospital service. Social support, resilience, engagement coping, and support coping (adaptives) constitute three tools to face burnout in nursing. These tools could be developed by specific programs from universities and health institutions to improve nursing clinical practice.

摘要

目的

确定专科医院特殊科室护理人员与其他科室护理人员在社会支持、心理韧性、应对方式以及倦怠的三个维度(情感耗竭、去个性化和个人成就感降低)方面的差异;并确定预测这些专业人员倦怠的心理变量。

方法

相关性和跨部门研究。来自马德里富恩拉夫拉达大学医院的133名护理专业人员参与了该研究,其中61人在特殊科室工作,72人在病房工作。工具:马氏倦怠量表-人类服务调查(MBI-HSS)、社会支持分量表、10项CD-RISC(心理韧性)、简易应对方式问卷(应对方式)以及社会人口学变量。

结果

在所评估的心理变量方面,未发现不同医院科室之间存在差异。社会支持、心理韧性和应对策略决定了倦怠的三个维度:社会支持(β = -0.21)、支持性应对(β = -0.22)和消极应对(β = 0.22)预测情感耗竭;心理韧性(β = -0.22)和消极应对(β = 0.30)预测去个性化;积极应对(β = -0.55)预测个人成就感降低。

结论

倦怠、社会支持、心理韧性和应对策略的差异并非由医院科室决定。社会支持、心理韧性、积极应对和支持性应对(适应性)构成了应对护理人员倦怠的三种工具。大学和卫生机构可以通过特定项目开发这些工具,以改善护理临床实践。

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