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探讨希腊痴呆症护理护士污名与倦怠的关系。

Exploration of the relationship between stigma and burnout among Greek nurses in dementia care.

机构信息

Nursing Department, University of West Attica, Athens, Greece.

Medical School, National and Kapodistrian University of Athens, Athens, Greece.

出版信息

J Nurs Manag. 2020 Apr;28(3):615-624. doi: 10.1111/jonm.12964. Epub 2020 Mar 10.

DOI:10.1111/jonm.12964
PMID:31985861
Abstract

OBJECTIVE

To investigate possible correlations between stigma and burnout of nurses and non-graduate professional caregivers of elderly with dementia in nursing homes.

BACKGROUND

Research on dementia stigma in health care professionals as well as its relationship with their well-being is seriously lacking.

METHODS

This cross-sectional study involved a convenience sample of 171 nurses and other professional caregivers in 16 Greek elderly care units who responded to Maslah Burnout Inventory (ΜΒΙ) as well as the Family Stigma in Alzheimer's Disease Scale (FS-ADS). In order to find adjusted associations between independent variables and the stigma and burnout of professional caregivers, multiple linear regression analysis was used.

RESULTS

Cognitive, emotional and behavioural attributions of the three dimensions of stigma were found to be independent predictive factors of burnout's dimensions which indicate that stigma nurses deposit on patients, contributes towards their burnout.

CONCLUSION

Educational preparation of geriatric nurses should provide them with the option of seeing dementia as a normal stage of life since reducing stigma can contribute towards preventing and managing professional burnout.

IMPLICATIONS FOR NURSING MANAGEMENT

In order to reduce burnout, nurse managers should design lifelong learning programs on the basis of changing the stigmatizing negative cognitive and emotional attitudes of professionals towards dementia.

摘要

目的

探讨养老院中痴呆老年人的护士和非本科专业护理人员的耻辱感和倦怠感之间可能存在的相关性。

背景

对卫生保健专业人员的痴呆耻辱感及其与他们的幸福感之间的关系的研究严重不足。

方法

本横断面研究涉及希腊 16 个老年人护理单位的 171 名护士和其他专业护理人员,他们对 Maslah 倦怠量表(MBI)和阿尔茨海默病家庭耻辱量表(FS-ADS)做出了回应。为了在独立变量和专业护理人员的耻辱感和倦怠感之间找到调整后的关联,我们使用了多元线性回归分析。

结果

耻辱感的三个维度的认知、情感和行为归因被发现是倦怠感维度的独立预测因素,这表明护士对患者的耻辱感会导致他们的倦怠感。

结论

老年护理护士的教育准备应该为他们提供将痴呆视为正常生命阶段的选择,因为减少耻辱感可以有助于预防和管理职业倦怠。

护理管理的意义

为了减少倦怠感,护士管理者应该根据改变专业人员对痴呆的歧视性消极认知和情感态度,设计终身学习计划。

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