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预测护士在急症护理环境中照顾老年患者时的压力源。

Predictors of nurses' stress working with older people admitted to acute care setting.

机构信息

School of Nursing, The University of Jordan, Amman, Jordan.

School of Nursing, Al-Zaytoonah University, Amman, Jordan.

出版信息

Int J Older People Nurs. 2019 Jun;14(2):e12222. doi: 10.1111/opn.12222. Epub 2019 Jan 24.

DOI:10.1111/opn.12222
PMID:30680925
Abstract

AIM

To identify the predictors of nurses' work stressors who care for older people (i.e., over age 65 years) in Jordan.

BACKGROUND

Nurses sometimes experience stress which could occur as results of caring for older people, for example, with multiple physical and psychological needs. This stress could affect the job satisfaction and reduce the quality of care provided to older people. Thus, identifying sources of stress and predictors that cause stress for nurses is required to enhance quality of care for older people.

DESIGN

A cross-sectional design.

METHODS

Cluster random sampling was used to select study settings (i.e., 3 public hospitals, 3 private hospitals and 17 healthcare centres) in Amman, Jordan. A convenience sampling method was used to select 485 nurses. The Quality-Work-Competence questionnaire and Nurses' Working Life Questionnaire were used. Multiple linear regressions were used to identify predictors of job stress for nurses providing care for older people. The data were collected between June 2016 and January 2017.

RESULTS

Job satisfaction, competence, development skills, gender, organisational climate and employee development, all have demonstrated significant correlations with stress. The regression analysis showed that the model significantly predicted a sizable portion of variance (R  = 0.27, p < 0.001) in the physical and psychological stress among nurses working in the older people care settings.

CONCLUSION

The nursing profession and the employing agencies should support nurses who care for older people in practice by conducting special training programmes to cope with stress. Interventional studies should be conducted to confirm the association between the nurses' work stress who care for older people and job satisfaction, competence, development skills, gender, organisational climate and employee development.

IMPLICATIONS FOR PRACTICE

It is recommended that rotating appropriate competent nurses who care for older people, in particular dementia patients who are usually very ill may have greater needs due to their cognitive status, through other wards would temporarily reduce the nurses' stress. The nursing profession and the employing agencies should support nurses who care for older people in practice by conducting special training programmes focusing on the teaching skills and knowledge of how to deal with stress.

摘要

目的

识别在约旦照顾老年人(即 65 岁以上)的护士工作压力源的预测因素。

背景

护士有时会感到压力,这种压力可能是由于照顾老年人引起的,例如,老年人有多种身体和心理需求。这种压力会影响护士的工作满意度,并降低为老年人提供的护理质量。因此,需要确定压力源和导致护士压力的预测因素,以提高老年人的护理质量。

设计

横断面设计。

方法

使用聚类随机抽样选择研究场所(即 3 家公立医院、3 家私立医院和 17 家医疗中心)在安曼,约旦。采用方便抽样法选择 485 名护士。使用工作质量-能力问卷和护士工作生活问卷。采用多元线性回归分析确定为老年人提供护理的护士工作压力的预测因素。数据收集于 2016 年 6 月至 2017 年 1 月。

结果

工作满意度、能力、发展技能、性别、组织氛围和员工发展都与压力有显著相关性。回归分析表明,该模型显著预测了在为老年人护理环境工作的护士的身体和心理压力方面存在较大差异(R ² = 0.27,p < 0.001)。

结论

护理专业和用人单位应通过开展特殊培训计划来支持为老年人提供护理的护士,以应对压力。应进行干预性研究,以确认护士工作压力与工作满意度、能力、发展技能、性别、组织氛围和员工发展之间的关系。

实践意义

建议通过将照顾老年人,特别是认知障碍患者(通常病情较重,因为他们的认知状态,需要更多的护理)的合适、有能力的护士轮流调至其他病房,暂时减轻护士的压力。护理专业和用人单位应通过开展特殊培训计划,重点教授如何处理压力的技能和知识,为为老年人提供护理的护士提供实践支持。

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