评估中东呼吸综合征疫情后护士创伤后应激和离职意向的存在:主管支持的重要性。
Assessing the Presence of Post-Traumatic Stress and Turnover Intention Among Nurses Post-Middle East Respiratory Syndrome Outbreak: The Importance of Supervisor Support.
机构信息
Konyang University.
Seoul Health Foundation.
出版信息
Workplace Health Saf. 2020 Jul;68(7):337-345. doi: 10.1177/2165079919897693. Epub 2020 Mar 9.
South Korea faced the Middle East Respiratory Syndrome (MERS) outbreak for the first time in 2015, which resulted in 186 infected patients and 39 deaths. This study investigated the level of post-traumatic stress disorder (PTSD) and turnover intention, the relationship between PTSD and turnover intention, and the buffering effect of supervisor support among nurses post-MERS outbreak. : In total, 300 nurses from three of 15 isolation hospitals in South Korea were invited to participate. We collected data pertaining to PTSD, turnover intention, supervisor support, work-related factors, and socio-demographic factors through a structured survey distributed to the nurses at the hospitals after the outbreak. For the statistical analyses, descriptive statistics and multiple regression were employed. : Of the 147 participants, 33.3% were involved in the direct care of the infected patients, whereas 66.7% were involved in the direct care of the suspected patients. More than half (57.1%) of the nurses experienced PTSD, with 25.1% experienced full PTSD and 32.0% with moderate or some level of PTSD. The mean score of turnover intention was 16.3, with the score range of 4 to 20. The multiple regression analysis revealed that PTSD was positively associated with turnover intention, and supervisor support had a strong buffering effect. : These findings confirmed that after a fatal infectious disease outbreak like MERS, nurses experience high level of PTSD and show high intention to leave. Organizational strategies to help nurses to cope with stress and to prevent turnover intention, especially using supervisor support, would be beneficial.
韩国于 2015 年首次面临中东呼吸综合征(MERS)疫情,导致 186 名感染者和 39 人死亡。本研究调查了 MERS 疫情后护士创伤后应激障碍(PTSD)和离职意愿水平、PTSD 与离职意愿的关系,以及主管支持的缓冲作用。在韩国的 15 家隔离医院中的 3 家,共邀请了 300 名护士参与。我们通过向医院的护士发放结构问卷调查了 PTSD、离职意愿、主管支持、与工作相关的因素和社会人口因素等数据。对于统计分析,采用了描述性统计和多元回归。在 147 名参与者中,有 33.3%直接护理了感染者,而 66.7%直接护理了疑似患者。超过一半(57.1%)的护士经历了 PTSD,其中 25.1%的人患有完全 PTSD,32.0%的人患有中度或某些程度的 PTSD。离职意愿的平均得分为 16.3,得分范围为 4 到 20。多元回归分析显示,PTSD 与离职意愿呈正相关,主管支持具有很强的缓冲作用。这些发现证实,在像 MERS 这样的致命传染病疫情后,护士会经历高水平的 PTSD,并表现出强烈的离职意愿。采取组织策略帮助护士应对压力并预防离职意愿,特别是利用主管支持,将是有益的。
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