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适应和验证斯坦福 Presenteeism 量表-6 在医疗保健专业人员中的应用。

Adaptation and validation of the Stanford Presenteeism Scale-6 in healthcare professionals.

机构信息

Faculty of Psychology, Department of Psychology, University of Oviedo, Asturias, Spain.

Faculty of Medicine and Health Sciences, Department of Medicine, Nursing Area, University of Oviedo, Asturias, Spain.

出版信息

Int Nurs Rev. 2020 Mar;67(1):109-117. doi: 10.1111/inr.12544. Epub 2019 Aug 8.

DOI:10.1111/inr.12544
PMID:31393004
Abstract

AIM

To develop and psychometrically test the Stanford Presenteeism Scale-6 to assess presenteeism in the Spanish healthcare population.

BACKGROUND

Presenteeism, referring to going to work despite being ill, has been associated with job stress, productivity losses, reduced patient safety and increased health problems among the professionals who suffer from it.

INTRODUCTION

The highest prevalence of presenteeism in the healthcare sector is among nurses. Their decision to attend work while ill has been related to role overload, lack of supervisor support, mental health and physical conditions.

METHODS

A cross-sectional and validation study was conducted between September 2015 and June 2016 in a hospital in Asturias, Spain. Four hundred and ninety-five healthcare professionals voluntarily agreed to participate (281 nurses, 122 physicians and 92 nursing assistants).

RESULTS

Presenteeism prevalence was high; the majority of it being in the nursing category. Bartlett's test and the Kaiser-Meyer-Olkin test indicated that the data meet the conditions for factorial analysis, evidencing a small variability in the median of each sample item and a significant standard deviation. Adjustment rates obtained in the exploratory factor analysis showed adequacy, and reliability rates also showed adequacy for both factors. It was verified by a confirmatory analysis that the factors of presenteeism are positively associated with burnout.

CONCLUSION

The Stanford Presenteeism Scale-6 showed good psychometric properties to study presenteeism in the Spanish healthcare sector.

IMPLICATIONS FOR NURSING AND HEALTH POLICY

Nursing leaders must develop measurements to assess and control psychosocial risks in order to improve the physical and mental health of professionals and reduce patient safety risks.

摘要

目的

开发斯坦福出勤主义量表-6 并对其进行心理测量学检验,以评估西班牙医疗保健人群中的出勤主义。

背景

出勤主义是指尽管患病仍坚持上班,它与工作压力、生产力损失、患者安全降低以及受其影响的专业人员健康问题增加有关。

介绍

医疗保健部门出勤主义的最高患病率是在护士中。他们在患病时决定上班的决定与角色过载、缺乏主管支持、心理健康和身体状况有关。

方法

这是一项在西班牙阿斯图里亚斯的一家医院进行的横断面和验证研究,于 2015 年 9 月至 2016 年 6 月进行。495 名医疗保健专业人员自愿参加(281 名护士、122 名医生和 92 名护理助理)。

结果

出勤主义的患病率很高;其中大部分是在护理类别。巴特利特检验和凯泽-迈耶-奥尔金检验表明,数据符合因子分析的条件,表明每个样本项目中位数的变异性很小,标准差显著。探索性因子分析中获得的调整率表明适当性,两个因素的可靠性率也表明适当性。验证性分析证实了出勤主义的两个因素与倦怠呈正相关。

结论

斯坦福出勤主义量表-6 具有良好的心理测量学特性,可用于研究西班牙医疗保健部门的出勤主义。

对护理和卫生政策的影响

护理领导者必须制定措施来评估和控制社会心理风险,以改善专业人员的身心健康并降低患者安全风险。

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