School of Nursing, Midwifery and Paramedicine, Australian Catholic University, Fitzroy, Victoria, Australia.
NorthWestern Mental Health, Melbourne Health, Parkville, Victoria, Australia.
Int J Ment Health Nurs. 2020 Feb;29(1):56-68. doi: 10.1111/inm.12610. Epub 2019 May 25.
There is widespread recognition that workplace stress can have profound negative impacts on nurses' well-being and practice. Resilience is a process of positive adaptation to stress and adversity. This study aimed to describe mental health nurses' most challenging workplace stressors, and their psychological well-being, workplace resilience, and level of caring behaviours, explore the relationships between these factors, and describe differences in workplace resilience for sociodemographic characteristics. In a descriptive correlational study using convenience sampling, data were collected from N = 498 nurses working in mental health roles or settings in Victoria Australia via an online cross-sectional survey. Key findings included weak to strong (r = 0.301 to r = 0.750) positive relationships between workplace resilience with psychological well-being across all stressor categories (consumer/carer; colleague; organizational role; and organizational service). Psychological well-being was moderately high, but lower for nurses indicating consumer/carer-related stressors as their most stressful challenge. There were weak to moderate (r = 0.306 to r = 0.549) positive relationships between workplace resilience and psychological well-being, and no relationship between resilience and caring behaviours. Workplace resilience was lower (P < 0.05) for less experienced nurses compared with those with >5 years' experience, and lower for younger nurses compared with those aged ≥40 years. To improve their resilience and prevent psychological distress, there is prime opportunity to support nursing students with well-being and resilience-building strategies during their undergraduate education, and to support new graduates with similar programmes when they enter the workforce.
人们普遍认识到，工作场所压力会对护士的健康和工作产生深远的负面影响。韧性是对压力和逆境进行积极适应的过程。本研究旨在描述精神科护士最具挑战性的工作场所压力源，以及他们的心理健康、工作场所韧性和关怀行为水平，探讨这些因素之间的关系，并描述工作场所韧性在社会人口特征方面的差异。本研究采用便利抽样的描述性相关性研究，通过在线横断面调查，从澳大利亚维多利亚州从事精神卫生工作或在该领域工作的 498 名护士中收集数据。主要发现包括：工作场所韧性与所有压力源类别（患者/照顾者；同事；组织角色；和组织服务）的心理健康之间存在弱到强（r=0.301 到 r=0.750）的正相关关系。心理健康处于中等偏高水平，但对于那些认为患者/照顾者相关压力源是最具压力挑战的护士来说，心理健康水平较低。工作场所韧性与心理健康之间存在弱到中度（r=0.306 到 r=0.549）的正相关关系，而韧性与关怀行为之间没有关系。与经验丰富的护士相比，经验较少的护士的工作场所韧性较低（P<0.05），与年龄≥40 岁的护士相比，年轻护士的工作场所韧性较低。为了提高他们的韧性并预防心理困扰，有机会在护理学生的本科教育中为他们提供幸福感和韧性培养策略，并为新毕业的护士提供类似的计划，以帮助他们进入工作岗位。
