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护生 burnout 综合征:一项观察性研究。

Burnout syndrome in nursing students: An observational study.

机构信息

Nursing Department, Universitat Jaume I, Spain.

出版信息

Nurse Educ Today. 2019 May;76:38-43. doi: 10.1016/j.nedt.2019.01.014. Epub 2019 Feb 6.

Abstract

BACKGROUND

Academic burnout appears attributable to work and academic overload and may negatively affect learning and care quality during clinical clerkship.

OBJECTIVES

To evaluate the presence of burnout syndrome in nursing students and to detect the main stressors that occur during clinical clerkship.

DESIGN

Observational, descriptive and cross-sectional study carried out between January and July 2017.

SETTINGS AND PARTICIPANTS

Second-, third- and fourth-year nursing students at Jaume I University (Universitat Jaume I) (Spain) (n = 126).

METHODS

The KEZKAK questionnaire and the Maslach Burnout Inventory Student Survey were used when carrying out the data collection; sociodemographic and clinical clerkship variables were also collected. Descriptive and bivariate analyses of these instruments' variables were performed.

RESULTS

No student manifested high levels of depersonalisation or low personal accomplishment. Moreover, depersonalisation was found to increase as the academic year progressed (p = 0.027). The most stressful factors were Helplessness and Uncertainty (m = 3.61, sd = 0.345) and Confusion of Medication (m = 2.50, sd = 0.754). The female subsample showed higher stress levels due to multiple factors, such as Lack of Competence (p = 0.001) and Having to Give Bad News (p = 0.01).

CONCLUSION

This study found that its sample did not meet the criteria indicating the presence of burnout syndrome. In addition, the main stressors affecting nursing students during clinical clerkship were identified.

摘要

背景

学术倦怠归因于工作和学术负担过重,可能会对临床实习期间的学习和护理质量产生负面影响。

目的

评估护理学生是否存在倦怠综合征,并发现临床实习期间发生的主要压力源。

设计

2017 年 1 月至 7 月期间进行的观察性、描述性和横断面研究。

地点和参与者

西班牙海梅一世大学(Universitat Jaume I)(n=126)的二、三、四年级护理学生。

方法

使用 KEZKAK 问卷和 Maslach 倦怠量表学生调查进行数据收集;还收集了社会人口学和临床实习变量。对这些工具变量进行描述性和双变量分析。

结果

没有学生表现出高水平的去人性化或低个人成就感。此外,随着学年的进展,去人性化程度增加(p=0.027)。最具压力的因素是无助感和不确定性(m=3.61,sd=0.345)和药物混淆(m=2.50,sd=0.754)。由于多种因素,如缺乏能力(p=0.001)和不得不传达坏消息(p=0.01),女性样本表现出更高的压力水平。

结论

本研究发现,其样本不符合存在倦怠综合征的标准。此外,还确定了影响护理学生在临床实习期间的主要压力源。

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