在埃塞俄比亚东部哈拉尔的政府医院中，护士的工作相关压力及其相关因素：一项横断面研究。
Nurses' work-related stress and associated factors in governmental hospitals in Harar, Eastern Ethiopia: A cross-sectional study.
机构信息
School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
School of Nursing and Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
出版信息
PLoS One. 2020 Aug 3;15(8):e0236782. doi: 10.1371/journal.pone.0236782. eCollection 2020.
INTRODUCTION
Work-related stress causes poor quality of nursing care and increases the risk of medical errors. Research evidence is so limited to nurses' work-related stress in eastern Ethiopia. Therefore, this study aimed to assess work-related stress and associated factors among nurses working in governmental hospitals in Harar, Eastern Ethiopia.
METHODS
Institution-based quantitative cross-sectional study was conducted among 367 nurses from 15th to 30th March, 2015. Simple random sampling technique was applied to recruit study participants. Data were collected using structured self-administered questionnaire. Descriptive statistics, bivariate and multivariate logistic regressions were carried out. The statistical association was declared using adjusted odds ratio at 95% confidence interval (CI) and P-value of less than 0.05.
RESULTS
A total of 398 study participants were involved in the study, and the response rate was 92.2% (367/398). More than half of 202(55%) of the participants were males. One third (33.8%, n = 124) of study participants' age ranged between 26 to 34 years. The prevalence of work-related stress in the current study was 66.2%. Nurses, who reared child (AOR = 2.1, 95% CI: 1.2, 3.7), working in intensive care units (AOR = 4.5, 95% CI: 1.4, 17.7), work on rotation (AOR = 2.5, 95% CI: 1.4, 4.4), and nurses who had a chronic medical illness (AOR = 2.6, 95% CI: 1.2, 5.7) were significantly associated with nurses' work-related stress.
CONCLUSION
Two-thirds of nurses who were working at government hospitals had work-related stress. Work-related stress was associated with child-rearing, working units, work on rotation, and chronic medical illness. We suggested the hospital's administration, and other concerned stakeholders should design a strategy to undertake necessary measures such as hiring more nurses to minimize workload and rescheduling work shift to alleviate work-related stress among nurses.
简介
工作相关压力会导致护理质量下降，并增加医疗失误的风险。在埃塞俄比亚东部，有关护士工作相关压力的研究证据非常有限。因此，本研究旨在评估在哈勒尔政府医院工作的护士的工作相关压力和相关因素。
方法
2015 年 3 月 15 日至 30 日，采用基于机构的定量横断面研究方法，对 15 至 30 名护士进行了研究。采用简单随机抽样技术招募研究参与者。使用结构化的自我管理问卷收集数据。进行描述性统计，双变量和多变量逻辑回归。使用 95%置信区间（CI）和 P 值<0.05 的调整比值比来表示统计关联。
结果
共有 398 名研究参与者参与了研究，应答率为 92.2%（367/398）。超过一半的 202 名参与者（55%）为男性。三分之一（33.8%，n=124）的研究参与者年龄在 26 至 34 岁之间。本研究中工作相关压力的患病率为 66.2%。抚养孩子的护士（AOR=2.1，95%CI：1.2，3.7）、在重症监护病房工作的护士（AOR=4.5，95%CI：1.4，17.7）、轮班工作的护士（AOR=2.5，95%CI：1.4，4.4）和患有慢性疾病的护士（AOR=2.6，95%CI：1.2，5.7）与护士的工作相关压力显著相关。
结论
在政府医院工作的护士中有三分之二存在工作相关压力。工作相关压力与育儿、工作单位、轮班工作和慢性疾病有关。我们建议医院管理部门和其他利益相关者应制定一项策略，采取必要措施，例如招聘更多的护士以减轻工作量和重新安排工作班次，以减轻护士的工作相关压力。
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