School of Nursing, University of Louisville, Louisville, KY, USA.
Departments of Population and Public Health Sciences and Family Medicine, Wright State University, Dayton, OH, USA.
West J Nurs Res. 2021 May;43(5):442-451. doi: 10.1177/0193945920956970. Epub 2020 Sep 10.
This cross-sectional, correlational study's purpose was to evaluate the effects of resilience and moral distress on workplace engagement in emergency department nurses providing direct patient care. Data were collected from 175 emergency department nurses using a Web-based survey. The higher the nurses' resilience and the lower their moral distress, the greater their workplace engagement. Resilience and moral distress were not correlated; furthermore, moral distress did not mediate a relationship between resilience and workplace engagement. Resilience was higher with greater job satisfaction, increased age, and longer tenure as a nurse. Workplace engagement increased with higher job satisfaction and less time seeking other employment. Moral distress scores were higher in nurses reporting lower job satisfaction. Multiple regression analysis revealed that resilience, job satisfaction, and moral distress were independent predictors of workplace engagement. Interventions that improve resilience and job satisfaction and/or lower moral distress may improve workplace engagement of emergency department nurses.
这项横断面相关性研究旨在评估弹性和道德困境对直接照顾患者的急诊护士工作投入的影响。研究数据通过网络调查的方式从 175 名急诊护士处收集。护士的弹性越高，道德困境越低，其工作投入度越高。弹性和道德困境之间没有相关性；此外，道德困境并没有在弹性和工作投入之间起到中介作用。较高的工作满意度、较高的年龄和较长的护士任期会使弹性更高。较高的工作满意度和较少的寻找其他工作的时间会增加工作投入。报告工作满意度较低的护士的道德困境得分更高。多元回归分析显示，弹性、工作满意度和道德困境是工作投入的独立预测因子。提高弹性和工作满意度和/或降低道德困境的干预措施可能会提高急诊护士的工作投入度。
