Department of Clinical Nursing, Wroclaw Medical University, Wroclaw, Poland.
Department of Organization and Management, Wroclaw Medical University, Wroclaw, Poland.
J Nurs Manag. 2020 Nov;28(8):2185-2195. doi: 10.1111/jonm.13135. Epub 2020 Sep 17.
To assess the impacts of burnout and job satisfaction on the rationing of care in the professional group of nurses.
The shortage of nursing staff is currently one of the most significant health care problems. It is not clear how burnout and job satisfaction affect the rationing of nursing care.
We included 594 nurses, and we used the Basel Extent of Rationing of Nursing Care-R (BERNCA-R), the Maslach Burnout Inventory (MBI) and the Job Satisfaction Scale (JSS).
The average scores were 1.72 ± 0.87 points for the BERNCA-R, 36.08 ± 21.25 for the MBI and 19.74 ± 5.57 for the JSS. A statistically significant positive correlation between the BERNCA-R and the MBI (p < .05) and a negative correlation between the BERNCA-R and the JSS (p < .05) were observed. Independent predictors of the BERNCA-R were the result of emotional exhaustion of the MBI and the assessment of the impact of independence on job satisfaction (p < .05).
Occupational burnout can decrease job satisfaction in nursing staff and result in adverse outcomes of rationing care. Nursing managers should pay more attention to individual differences in nursing-care workers linked with nursing burnout, job satisfaction and the rationing of care.
Interventions aimed at counteracting burnout are the key to improving job satisfaction in nurses.
评估职业护士群体中的倦怠和工作满意度对护理配给的影响。
护理人员短缺是当前医疗保健领域面临的最大问题之一。目前尚不清楚倦怠和工作满意度如何影响护理配给。
我们纳入了 594 名护士，使用了巴塞尔护理配给评估量表-修订版（BERNCA-R）、马斯拉赫倦怠量表（MBI）和工作满意度量表（JSS）。
BERNCA-R 的平均得分为 1.72±0.87 分，MBI 为 36.08±21.25 分，JSS 为 19.74±5.57 分。BERNCA-R 与 MBI 之间存在显著的正相关（p<.05），而 BERNCA-R 与 JSS 之间存在显著的负相关（p<.05）。MBI 的情感耗竭和对独立性对工作满意度的影响评估是 BERNCA-R 的独立预测因素（p<.05）。
职业倦怠会降低护理人员的工作满意度，导致护理配给不良。护理管理人员应更加关注与护理倦怠、工作满意度和护理配给相关的护理人员的个体差异。
旨在对抗倦怠的干预措施是提高护士工作满意度的关键。
