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COVID-19 焦虑一线护士:组织支持、个人韧性和社会支持的预测作用。

COVID-19 anxiety among front-line nurses: Predictive role of organisational support, personal resilience and social support.

机构信息

College of Nursing, Sultan Qaboos University, Muscat, Oman.

College of Nursing, Visayas State University, Leyte, Philippines.

出版信息

J Nurs Manag. 2020 Oct;28(7):1653-1661. doi: 10.1111/jonm.13121. Epub 2020 Aug 21.

Abstract

AIM

This study examines the relative influence of personal resilience, social support and organisational support in reducing COVID-19 anxiety in front-line nurses.

BACKGROUND

Anxiety related to the COVID-19 pandemic is prevalent in the nursing workforce, potentially affecting nurses' well-being and work performance. Identifying factors that could help maintain mental health and reduce coronavirus-related anxiety among front-line nurses is imperative. Currently, no studies have been conducted examining the influence of personal resilience, social support and organisational support in reducing COVID-19 anxiety among nurses.

METHODS

This cross-sectional study involved 325 registered nurses from the Philippines using four standardized scales.

RESULTS

Of the 325 nurses in the study, 123 (37.8%) were found to have dysfunctional levels of anxiety. Using multiple linear regression analyses, social support (β = -0.142, p = .011), personal resilience (β = -0.151, p = .008) and organisational support (β = -0.127, p = .023) predicted COVID-19 anxiety. Nurse characteristics were not associated with COVID-19 anxiety.

CONCLUSIONS

Resilient nurses and those who perceived higher organisational and social support were more likely to report lower anxiety related to COVID-19.

IMPLICATION FOR NURSING MANAGEMENT

COVID-19 anxiety may be addressed through organisational interventions, including increasing social support, assuring adequate organisational support, providing psychological and mental support services and providing resilience-promoting and stress management interventions.

摘要

目的

本研究考察了个人韧性、社会支持和组织支持对降低一线护士 COVID-19 焦虑的相对影响。

背景

与 COVID-19 大流行相关的焦虑在护理人员中普遍存在,可能会影响护士的身心健康和工作表现。确定有助于维持心理健康和降低一线护士与冠状病毒相关焦虑的因素至关重要。目前,尚无研究探讨个人韧性、社会支持和组织支持对降低护士 COVID-19 焦虑的影响。

方法

本横断面研究使用四个标准化量表对来自菲律宾的 325 名注册护士进行了调查。

结果

在研究中的 325 名护士中,有 123 名(37.8%)被发现存在功能失调水平的焦虑。使用多元线性回归分析,社会支持(β=-0.142,p=.011)、个人韧性(β=-0.151,p=.008)和组织支持(β=-0.127,p=.023)均能预测 COVID-19 焦虑。护士的特征与 COVID-19 焦虑无关。

结论

有韧性的护士和那些感知到更高组织和社会支持的护士更有可能报告与 COVID-19 相关的焦虑程度较低。

对护理管理的意义

可以通过组织干预措施来解决 COVID-19 焦虑问题,包括增加社会支持、确保充足的组织支持、提供心理和精神支持服务以及提供促进韧性和压力管理的干预措施。

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